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Effective management of hemostasis during surgery is critical for the patient. Using the nursing process and evidence-based practices, this independent study program will assist the perioperative RN identify risks, benefits, indications, contraindications, and adverse effects for the various methods available for control of bleeding during surgery. The goal of this learning activity is to educate perioperative RNs about the methods for effective management of hemostasis during surgery to promote positive outcomes for the surgical patient.
Objectives
After completion of this continuing nursing education activity, the participant will be able to:
1. Identify the clinical implications of surgical bleeding.
2. Differentiate between mechanical, energy-based, and chemical methods of surgical hemostasis.
3. Compare the various categories of topical hemostatic products.
4. Identify key factors to consider in the selection of hemostatic products.
5. Describe perioperative nursing care for patients undergoing surgical hemostasis.
2.4 Contact Hours are available through AORN. Learn more at http://bit.ly/HemostasisStudyGuide. This education program was funded through the AORN Foundation by a grant from Ethicon Biosurgery.
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Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
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Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
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1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
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Memorandum Of Association Constitution of Company.pptseri bangash
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A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
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Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
Objective Clause: This clause delineates the main objectives for which the company is formed. It's important to define these objectives clearly, as the company cannot undertake activities beyond those mentioned in this clause.
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Liability Clause: It outlines the extent of liability of the company's members. In the case of companies limited by shares, the liability of members is limited to the amount unpaid on their shares. For companies limited by guarantee, members' liability is limited to the amount they undertake to contribute if the company is wound up.
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Capital Clause: This clause specifies the authorized capital of the company, i.e., the maximum amount of share capital the company is authorized to issue. It also mentions the division of this capital into shares and their respective nominal value.
Association Clause: It simply states that the subscribers wish to form a company and agree to become members of it, in accordance with the terms of the MOA.
Importance of Memorandum of Association:
Legal Requirement: The MOA is a legal requirement for the formation of a company. It must be filed with the Registrar of Companies during the incorporation process.
Constitutional Document: It serves as the company's constitutional document, defining its scope, powers, and limitations.
Protection of Members: It protects the interests of the company's members by clearly defining the objectives and limiting their liability.
External Communication: It provides clarity to external parties, such as investors, creditors, and regulatory authorities, regarding the company's objectives and powers.
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Binding Authority: The company and its members are bound by the provisions of the MOA. Any action taken beyond its scope may be considered ultra vires (beyond the powers) of the company and therefore void.
Amendment of MOA:
While the MOA lays down the company's fundamental principles, it is not entirely immutable. It can be amended, but only under specific circumstances and in compliance with legal procedures. Amendments typically require shareholder
India Orthopedic Devices Market: Unlocking Growth Secrets, Trends and Develop...Kumar Satyam
According to TechSci Research report, “India Orthopedic Devices Market -Industry Size, Share, Trends, Competition Forecast & Opportunities, 2030”, the India Orthopedic Devices Market stood at USD 1,280.54 Million in 2024 and is anticipated to grow with a CAGR of 7.84% in the forecast period, 2026-2030F. The India Orthopedic Devices Market is being driven by several factors. The most prominent ones include an increase in the elderly population, who are more prone to orthopedic conditions such as osteoporosis and arthritis. Moreover, the rise in sports injuries and road accidents are also contributing to the demand for orthopedic devices. Advances in technology and the introduction of innovative implants and prosthetics have further propelled the market growth. Additionally, government initiatives aimed at improving healthcare infrastructure and the increasing prevalence of lifestyle diseases have led to an upward trend in orthopedic surgeries, thereby fueling the market demand for these devices.
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Taurus Zodiac Sign_ Personality Traits and Sign Dates.pptxmy Pandit
Explore the world of the Taurus zodiac sign. Learn about their stability, determination, and appreciation for beauty. Discover how Taureans' grounded nature and hardworking mindset define their unique personality.
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Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
Unveiling the Secrets How Does Generative AI Work.pdfSam H
At its core, generative artificial intelligence relies on the concept of generative models, which serve as engines that churn out entirely new data resembling their training data. It is like a sculptor who has studied so many forms found in nature and then uses this knowledge to create sculptures from his imagination that have never been seen before anywhere else. If taken to cyberspace, gans work almost the same way.
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10. Figure 97-1 Bench bleeding a master cylinder. Always clamp a master cylinder in a vise by the mounting flange to prevent distortion of the cylinder bore. Bench bleeding tubes can also be used that route the fluid back into the reservoir.
20. Figure 97-2 Typical bleeder valve from a disc brake caliper. The arrows point to the taper section that does the actual sealing. It is this taper that requires a shock to loosen. If the bleeder is simply turned with a wrench, the bleeder usually breaks off because the tapered part at the bottom remains adhered to the caliper or wheel cylinder. Once loosened, brake fluid flows around the taper and out through the hole in the side of the bleeder valve. The hole is clogged in this example and needs to be cleaned out.
21. Figure 97-3 Typical bleeder locations. Note that the combination valve and master cylinder shown do not have bleeder valves; therefore, bleeding is accomplished by loosening the brake line at the outlet ports.
22.
23.
24.
25.
26.
27. Figure 97-4 Using an air punch next to the bleeder valve to help “break the taper” on the bleeder valve.
52. Figure 97-6 Bleeding brakes using clear plastic tubing makes it easy to see air bubbles. Submerging the hose in a container of clean brake fluid helps ensure that all of the air will be purged by the system.
71. Figure 97-9 Gravity bleeding is simply opening the bleeder valve and allowing gravity to force the brake fluid out of the bleeder valve. Because air is lighter than brake fluid all of the air escapes before the brake fluid runs out.
85. Figure 97-10 A typical pressure bleeder. The brake fluid inside is pressurized with air pressure in the air chamber. This air pressure is applied to the brake fluid in the upper section. A rubber diaphragm separates the air from the brake fluid.
86. Figure 97-11 Brake fluid under pressure from the power bleeder is applied to the top of the master cylinder. It is very important that the proper adapter be used for the master cylinder. Failure to use the correct adapter or failure to release the pressure on the brake fluid before removing the adapter can cause fluid to escape under pressure.
87.
88.
89.
90.
91.
92.
93.
94. Figure 97-12 Metering valve override tool on a General Motors vehicle.
95.
96.
97.
98. Figure 97-13 Pull-out-type metering valves being held out using a special override tool.
117. Figure 97-14 Special bleed valve tools are often required when bleeding some ABS units such as the Kelsey-Hayes 4WAL system.
118. Figure 97-15 Two bleed valve tools are needed to bleed the Kelsey-Hayes 4WAL system, which attaches to the bleeder valves on the accumulator.
119.
120.
121.
122. Figure 97-16 To perform an automated brake bleed procedure on an antilock braking system, first connect a factory or enhanced scan tool to the data link connector (DLC) located under the dash on this vehicle.
123.
124. Figure 97-17 Access the menu that includes antilock brake system (ABS) functions.
125.
126. Figure 97-18 Scroll through the menus and select automated bleed procedure and follow the on-screen instructions.
131. Figure 97-19 A turkey baster can be used to remove the old brake fluid from the master cylinder reservoir. A rubber hose was attached to the end of the turkey baster to get access to the brake fluid.
132.
133.
134.
135.
136.
137.
138.
139.
Editor's Notes
Figure 97-1 Bench bleeding a master cylinder. Always clamp a master cylinder in a vise by the mounting flange to prevent distortion of the cylinder bore. Bench bleeding tubes can also be used that route the fluid back into the reservoir.
Figure 97-2 Typical bleeder valve from a disc brake caliper. The arrows point to the taper section that does the actual sealing. It is this taper that requires a shock to loosen. If the bleeder is simply turned with a wrench, the bleeder usually breaks off because the tapered part at the bottom remains adhered to the caliper or wheel cylinder. Once loosened, brake fluid flows around the taper and out through the hole in the side of the bleeder valve. The hole is clogged in this example and needs to be cleaned out.
Figure 97-3 Typical bleeder locations. Note that the combination valve and master cylinder shown do not have bleeder valves; therefore, bleeding is accomplished by loosening the brake line at the outlet ports.
Figure 97-4 Using an air punch next to the bleeder valve to help “break the taper” on the bleeder valve.
Figure 97-5 Most vehicle manufacturers recommend starting the brake bleeding process at the rear wheel farthest from the master cylinder.
Figure 97-6 Bleeding brakes using clear plastic tubing makes it easy to see air bubbles. Submerging the hose in a container of clean brake fluid helps ensure that all of the air will be purged by the system.
Figure 97-7 Using a compressed air-powered vacuum bleeder.
Figure 97-8 Vacuum bleeding uses atmospheric pressure to force brake fluid through the hydraulic system.
Figure 97-9 Gravity bleeding is simply opening the bleeder valve and allowing gravity to force the brake fluid out of the bleeder valve. Because air is lighter than brake fluid all of the air escapes before the brake fluid runs out.
Figure 97-10 A typical pressure bleeder. The brake fluid inside is pressurized with air pressure in the air chamber. This air pressure is applied to the brake fluid in the upper section. A rubber diaphragm separates the air from the brake fluid.
Figure 97-11 Brake fluid under pressure from the power bleeder is applied to the top of the master cylinder. It is very important that the proper adapter be used for the master cylinder. Failure to use the correct adapter or failure to release the pressure on the brake fluid before removing the adapter can cause fluid to escape under pressure.
Figure 97-12 Metering valve override tool on a General Motors vehicle.
Figure 97-13 Pull-out-type metering valves being held out using a special override tool.
Figure 97-14 Special bleed valve tools are often required when bleeding some ABS units such as the Kelsey-Hayes 4WAL system.
Figure 97-15 Two bleed valve tools are needed to bleed the Kelsey-Hayes 4WAL system, which attaches to the bleeder valves on the accumulator.
Figure 97-16 To perform an automated brake bleed procedure on an antilock braking system, first connect a factory or enhanced scan tool to the data link connector (DLC) located under the dash on this vehicle.
Figure 97-17 Access the menu that includes antilock brake system (ABS) functions.
Figure 97-18 Scroll through the menus and select automated bleed procedure and follow the on-screen instructions.
Figure 97-19 A turkey baster can be used to remove the old brake fluid from the master cylinder reservoir. A rubber hose was attached to the end of the turkey baster to get access to the brake fluid.