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ASC-094 ASC Storage Management Assessment

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ASC-094 exam Dumps Source : ASC Storage Management Assessment

Test Code : ASC-094
Test Name : ASC Storage Management Assessment
Vendor Name : Symantec
: 77 Real Questions

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Symantec ASC Storage Management Assessment

Symantec improvements Storage basis, supports SSDs | killexams.com Real Questions and Pass4sure dumps

by way of Kevin Komiega

-- Symantec announced a slew of product enhancements for Veritas Storage foundation, Cluster File system and Cluster Server these days with its sights set on boosting the performance and administration of solid-state disk (SSD) drives, improving failover methods, and rounding out its skinny provisioning approach.

Veritas Storage foundation, the company's storage administration platform, got the bulk of the upgrades. Sean Derrington, director of Symantec's storage and availability administration group, says Storage groundwork can now immediately find SSD devices from array and server companies and put records the place it belongs in a method that's clear to clients.

Storage basis's SSD optimization elements encompass pre-described guidelines that automate the file migration system primarily based upon quite a number attributes, including file size, classification, or endeavor. The utility can now immediately flow data from a mechanical quantity to a excessive-efficiency SSD-based volume.

"as an instance, they are able to take two volumes in an array – one on average complicated disk drives [HDDs] and one on SSDs – and give an administrator visibility into each on account of their dynamic multipathing utility," says Derrington.

On the skinny provisioning front, Storage foundation's SmartMove expertise, which works in tandem with Veritas volume Replicator to migrate from "thick" to "thin" storage over distances, can now peer into legacy storage volumes and automate the storage reclamation technique.

Symantec has also prolonged its skinny provisioning know-how to home windows-based mostly virtual server environments through adding aid for Microsoft Hyper-V to its Storage basis for windows product.

Derrington says the Veritas skinny Reclamation API, announced final 12 months, is now fully supported by means of Symantec partners IBM (XIV) and 3PAR (InServ), with extra hardware companions planning guide within the coming months.

the thin Reclamation API allows for computerized area reclamation for thin provisioning storage arrays.

moreover, Symantec has tightened the combination between Veritas Cluster File system and Oracle, Sybase and IBM DB2 to deliver "near instantaneous" recuperation of applications.

Symantec has more suitable Cluster File gadget and Cluster Server for greater levels of availability in Oracle environments. due to this fact, valued clientele can now failover functions working single-example Oracle or single-example DB2 in seconds, in line with Derrington.

Symantec is additionally offering a Storage evaluation service to aid shoppers in their efforts to deploy Symantec products, including Veritas Storage groundwork, Veritas Cluster File gadget and Veritas Cluster Server.

related articles:Symantec unveils FileStore cloud storage platform3PAR places a brand new twist on thin provisioningSymantec updates Storage foundation for home windows


Symantec and Salesforce.com associate to deliver enhanced protection for Cloud-based mostly functions | killexams.com Real Questions and Pass4sure dumps

LAS VEGAS, NV--(Marketwire - 05/03/11) - Symantec imaginative and prescient -- Symantec Corp. (NASDAQ:SYMC - news) today introduced Symantec security evaluation for Salesforce, a new safety utility that's scheduled to be attainable on the AppExchange, the realm's most-conventional market for enterprise apps in the cloud. Symantec protection evaluation for Salesforce will assist companies lengthen the visibility of their IT infrastructure to consist of cloud-based functions corresponding to Salesforce. Symantec protection evaluation for Salesforce plans to integrate with the Symantec manage Compliance Suite, featuring valued clientele a complete view of the safety and compliance of assistance and applications whether they stay on premise or in the cloud.Symantec has also joined the salesforce.com companion ecosystem, with the intention to permit Symantec to construct functions using drive.com applied sciences, distribute to new purchasers and market to current salesforce.com consumers by means of the AppExchange.click on to Tweet: Symantec and Salesforce.com provide consumers extra self assurance in cloud protection: http://bit.ly/iRQYsl"we've heard from their clients that safety is without doubt one of the properly concerns they've about moving to the cloud. constructing self assurance within the cloud sooner or later ability that customers will have the equal visibility and handle of their counsel and applications whether they're within the cloud or residing on the consumer's own infrastructure," pointed out Francis deSouza, senior vp, enterprise protection group, Symantec. "together, Symantec and salesforce.com are innovating to bring greater visibility and transparency for valued clientele relocating to the cloud.""Salesforce.com knows that the confidentiality, integrity and availability of their clients' tips are a must-have to their company operations," said Ron Huddleston, senior vice president, salesforce.com. "Our work with Symantec underscores their dedication to offering their consumers with comprehensive visibility into the protection and compliance necessities of working in the cloud."This new utility is additional designed to allow valued clientele to combine the evaluation facts into the Symantec manage Compliance Suite, an automated solution which provides a finished view of a firm's IT chance and compliance posture. via integrating visibility of cloud-primarily based purposes into the Symantec handle Compliance Suite, corporations should be capable of define and enforce safety guidelines for cloud-based mostly functions within a holistic answer that can also be used across the corporation's broader IT infrastructure.AvailabilityBuilt using force.com, the leading enterprise cloud-computing platform, Symantec protection assessment for Salesforce is scheduled to be available for verify power and deployment on the AppExchange in Mid-2011. existing Symantec control Compliance Suite, with a latest subscription, and salesforce.com customers can be capable of use the answer at no extra charge.linked

join with Symantec

About Symantec Symantec is a worldwide leader in featuring protection, storage and systems management solutions to assist consumers and companies comfortable and manage their information-driven world. Their utility and services offer protection to towards extra hazards at extra features, more fully and correctly, enabling confidence anywhere assistance is used or saved. greater guidance is purchasable at www.symantec.com.concerning the drive.com Platform and AppExchange force.com is the only proven enterprise platform for constructing and operating enterprise applications in the cloud. The force.com platform powers the Salesforce CRM (http://www.salesforce.com/) functions, greater than 1,000 ISV partner purposes like those from CA technologies, FinancialForce.com and Fujitsu, and 200,000 custom applications used by using salesforce.com's 92,300 purchasers corresponding to Japan post, Kaiser Permanente, KONE and sprint Nextel. drive.com additionally allows for developers to make any business app social by means of leveraging the social collaboration add-ons including profiles, popularity updates, and precise-time feeds purchasable with Chatter.functions developed on the force.com platform may also be easily dispensed to the entire cloud computing community in the course of the salesforce.com AppExchange market http://www.salesforce.com/appexchange/.Disclaimer: Any ahead-searching indication of plans for products is preliminary and all future free up dates are tentative and are field to alternate. Any future unlock of the product or deliberate adjustments to product ability, performance, or feature are discipline to ongoing evaluation by using Symantec, and might or may additionally now not be applied and will now not be regarded enterprise commitments with the aid of Symantec and should no longer be relied upon in making purchasing selections.be aware TO EDITORS: if you'd like additional information on Symantec organisation and its products, please consult with the Symantec information Room at http://www.symantec.com/news. All costs mentioned are in U.S. dollars and are valid best in the u.s..Symantec, the Symantec brand, and the Checkmark logo are logos or registered trademarks of Symantec organization or its associates in the U.S. and other nations. different names may well be logos of their respective house owners.Technorati Tags Cloud, security, chance, compliance


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ASC Storage Management Assessment

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30 Tips for Designing and Building an Ambulatory Surgery Center | killexams.com real questions and Pass4sure dumps

Written by Arthur E. Casey, CASC, Senior Vice President of Business Development, Outpatient Healthcare Strategies | December 17, 2012 | Print  | Email This article was written by Arthur E. Casey, CASC, Senior Vice President of Business Development, Outpatient Healthcare Strategies.

In my 20-plus years of involvement with ASC operations, I have never seen two ASCs designed exactly alike, and none of the 150-plus I have visited or worked with was perfectly designed. Everyone has things that work well and don't work well from a design and construction perspective.

While perfection is likely an unobtainable goal, if you are planning to design and build a new ASC, there are certainly things you should consider before breaking ground on the project that will help put you — and your new facility — in a better position for success.

Based on my experiences, here are 30 tips for designers and developers of new ASCs.

1. Get the physicians' input up front. When I go to develop a facility, I interview each physician that will work there, whenever possible, and talk to them about their workflow, how they like to interact with patients, their equipment needs, etc. The more you can learn about what the physicians like and dislike, the better you can address these needs during design of the ASC.

2. Commit time to research. If you can spend significant time conducting research into your needs and options, you will put yourself in a better position to make educated decisions and provide guidance to your architect.

When interviewing architects, ask if they have learned from their mistakes by visiting any of the facilities they designed to see what worked well and what did not. More importantly, when checking references of an architect, request a floor plan from the reference to review while asking the reference questions such as, "From the way your ASC was originally designed, what did the architect do that was good and what doesn't work? What is your flow like? Have you had to do any workarounds? What is your supply storage like? Where is your equipment storage and how does it work?"

Ask the questions that speak to issues important to you, your physicians and what you want to achieve with your design. The key is identifying the most important things to you and then building for those priorities, especially if you have to build into an existing MOB and your footprint is somewhat determined for you. You need to make sure what's most important to you is done best.

3. Review multiple designs. Don't just consider one architect or look at one layout. You will want to look at multiple architects and their layouts. This is not only for cost comparison; as you view different designs for your ASC, you can identify the best of each layout and work with the architect you choose to integrate those elements into your final design.

4. Plan for a realistic case volume. I always tell physician partnerships that when they're thinking about developing a new ASC, determine where they are today with their case volume and cut that number in half. From that standpoint, build the ASC with an objective of reaching the number they think they have today. The reality is they're probably not going to be anywhere close to that volume figure from the beginning. This is an important consideration so they do not build the facility too small or too large to accommodate unrealistic volume.

5. Understand your structural opportunities and limitations. Building an ASC as a standalone facility in its own building is much easier from a design perspective, since you can essentially create the building — its shape, use of space and workflow — any way you want. This model seems to be more common in more rural and suburban settings vs. the typically more dense metropolitan setting.

In metropolitan areas, you're probably going to develop a new ASC in an existing office building and/or an MOB that may be under construction. In this scenario, you tend to run into more obstacles with your design plans, from structural beams and posts you have to work around to the pre-determined physical footprint of the building.

The optimal design opportunity is with a standalone facility because you can create the building to match the floor plan and closely mimic what you're trying to achieve. However, this option is more expensive, and the reality is that for most new ASCs, you don't need a facility large enough to justify investing in construction of a whole new building.

6. Understand your patients to plan your lobby. When considering the size of your lobby, it is helpful to know the patients who will use it. In markets with a larger percentage of minorities and individuals on the lower end of the economic scale, I have observed an increase in the number of people in the lobby. This may be attributable to a family-oriented culture and/or patients with family members who have no other place to go. In situations like these, you might have patients coming in with several family members, and will want to plan a lobby that is large enough to accommodate a greater number of visitors.

The same logic is true for ASCs planning to perform pediatrics. These young patients will often come in with a mother and father, and sometimes siblings and grandparents. Note: If you're treating children, you must take into consideration the potential for a crying child in all areas of your patient flow: in pre-op, recovery and your lobby space.

In addition to speaking with your physicians about their patients, consider visiting their offices on busy days to assess how many people join patients for an office visit. This will provide you with a better understanding of what you're likely to see in your ASC's lobby.

7. Place business office staff near patient check-in. You will want your business office close to where you check in patients. In the event that you have multiple patients checking in at one time, a member of the business team will then be in a position to step out from a cubicle to assist with check-in and help ensure there is never a long line of patients waiting for processing.

8. Position the scheduler(s) close to ORs. Scheduling, in my opinion, needs to be very close to the ORs, or at least where schedulers can easily reach the clinical manager or nurse manager if there are questions and/or problems with the schedule. This close proximity will allow staff members to more easily address concerns. Placing schedulers in the front of the building and far from ORs will require them to call back to the clinical area for assistance. It is easier for a manager to look over a scheduler's shoulders at the schedule rather than needing to log in at a separate computer station to view the schedule and assess the situation.

9. Keep medical records storage room small. I'm not a proponent of large medical records storage rooms. More facilities are going to an electronic version. You will want enough room to store no more than a year's worth of charts at a given time. It will help to learn your anticipated case volume and to assume you will need a paper chart for each case for a year. Make sure you have space large enough to accommodate just that much paper; if you make the room any larger, it's likely you will use the space to stock other items that should go elsewhere.

10. Who gets the corner office? Carefully select who receives an office and where offices are placed. I am not a proponent of many offices in an ASC. I think there is a tendency to overbuild offices, which typically results in leadership spending too much time in the office and not enough attention to where they should be. Obviously, it is necessary to provide the administrator with an office; just make sure it is not isolated and inconvenient for staff to visit. You also do not want it situated off the OR hall because the administrator will find it challenging to accomplish what is needed when faced with numerous possible distractions.

The nurse manager typically needs an office or private space where counseling can take place, and take care of required paperwork. Your nursing manager's office should not be in the administration area as that should be a fair distance from the ORs. Make sure the nursing manager's office is close enough to the ORs or clinical area to assist in monitoring the flow and be readily available to step out and assist if needed.

Does a medical director need an office? In my opinion, no. But do physicians need a workspace for everyone to use? Sure. Will that space be different from where they will dictate? It should be.

The business manager and other business office positions do not require a private office. The use of alcoves and/or cubicles with sound dampening features provides more flexibility to make changes to the layout.

11. Make sure pre-op can accommodate case volume. This is an instance where doing your homework and research up front by speaking with the initial physician investors is going to be critical. I recommend you do your best to learn exactly which procedures the physicians intend to perform, how many procedures they can perform in a day and the average length of time for these procedures. This information will help provide a framework to help determine how many pre-op stations and recovery bays your ASC should have, which requires knowledge of the types of procedures your physicians will perform.

It's not uncommon to see a four-OR/procedure room with 4-6 pre-op bays. This ratio can work, and will often meet building requirements, but is likely to present challenges for fast-paced ASCs with high volume of shorter cases. For example, if your ASC performs ophthalmology procedures, they can often schedule as many as 15-20 cases per day or more. Ophthalmology patients will often take longer to admit because they're often on more medications or have longer patient histories to review. However, the procedural flow of these patients is usually very quick, especially when you have ophthalmologists who can perform cataract procedures in 10-15 minutes. If your pre-op time is twice that long — 20 minutes, for example — and you only have 1-1.5x pre-op rooms ops per OR, you will face a situation where patients will become backlogged as pre-op team members work to get patients through their process and into the ORs.

A similar problem faces ASCs performing a large volume of gastroenterology and pain procedures. These procedures also tend to be very short in the actual length of procedure. The time between the first patient entering the OR and the next patient being fully prepared for surgery is fairly short. You will want to make sure you have enough pre-op spaces available so patients are ready to go into the procedure room or the OR, once the physician is ready for the next case. The time in between cases becomes even shorter when physicians are flipping rooms. You need to make sure you have enough pre-op spots to accommodate the anticipated physicians' flow and their preferred practice patterns.

12. Determine whether you want patient lockers. I'm not a proponent of the lockable locker for patients. There was a time when most facilities had lockers for storage of patients' belongings. Once patients locked the locker, they pinned the key to the lock to the patient's gown. That way, they knew those belongings essentially always stayed with the patient.

The reality is if the recovery room is not close to the lockers, you now need a staff member to go over to the locker, gather all of the belongings and bring them back, or if, during surgery, the gown is removed, and you now have to go search thru the laundry to retrieve the key These issues seem to negate the concept of securing and locking the patient's belongings. More and more facilities are going with the approach of putting the patient's belongings in a bag, making sure the bag stays with the gurney and the gurney stays with the patient.

13. Decide if enclosed rooms for pre-op assessment are necessary. There are two different mindsets on how to handle pre-op assessment and confidentiality concerns. Many people feel you need to have enclosable rooms with the ability to shut the door to ensure privacy. These are great, but they really eat up significant space — more space than I would argue is necessary. They also make it more difficult to keep track of what's happening with patients behind closed doors: are they dressed, do they need help, etc.

Conversely, the other option is bays with curtains separating one bay from the other. This scenario is not really conducive to privacy. A third option — and possibly the best depending on your circumstances — would be an amalgamation of the two described above. You could have bays, but with hard, full walls to help with confidentiality and privacy, and still have curtains for the front for privacy while changing. This option typically gives you the best of both scenarios. Make sure that you install enough bumper protection in these bays to keep the ASC looking pristine, and not have your walls dinged up from being hit by the equipment.

Note: Regardless of which model you choose, it is very important to have a restroom located near the pre-op bays. You don't want patients walking down a long hallway in their gown to use the bathroom.

14. Allocate appropriate and adequate nursing desk workspace. If you are planning to keep patient charts at the nurse's desk, you will need to consider what this will do your workflow. Physicians, including anesthesiologists, will likely want to have easy access to the charts. In a busy ASC, this may result in several physicians and staff members working at the desk at the same time, so the workspace will need to be big enough to accommodate a significant number of people. But you will want to avoid making the space so large that physicians are far away from their patients when viewing charts.

15. Identify which specialties will go in which ORs. Identifying which ORs will be primarily used for which specialties is very helpful from a design perspective. For example, if you're building a three-OR facility and plan to running ophthalmology out of 1-2 ORs, orthopedics in 1-2 ORs and pain in one OR, you're going to want your phacoemulsification system and microscope close to the ophthalmology rooms and storage for the C-arm close to the OR. If you're doing orthopedics in the same rooms as ophthalmology, for example, you will want a place to store the microscope or phacoemulsification machine However, moving equipment inordinately increases the likelihood of them being damaged or falling out of calibration, requiring increased maintenance.

16. Don't build ORs too small. One of the biggest problems I see in existing facilities is ORs that were built too small or not designed for the types of procedures performed in today's ASCs. For example, consider a big orthopedics case that needs a C-arm, and all of the carts and towers required. Try to perform one of these cases in a small or poorly designed room and it will become tight very quickly. With the advent of spine and other procedures requiring big equipment and more people, you need ORs large enough to maneuver in and accommodate several pieces of (often big) equipment.

17. But don't build ORs too large, either. Conversely, I have seen ORs that were up to twice the size they should have been. You must be reasonable in the assessment of how large to build your ORs. Should you build them to meet minimal code? Absolutely not! However, somewhere between that absolute minimum and doubling the size of the room, probably in the range of between one-and-a-third to one-and-a-half times the minimum. You want to have them large enough to accommodate the C-arm, microscopes, cart movement, the ability to switch from the left to right side of the patient, additional equipment (related to the specific specialty), etc. In some of the larger cases, you will need to accommodate more people — an extra physician, an equipment rep in the room, etc. It is extremely important to design the OR space to fit everyone and everything that needs to be there.

18. Don't place your ORs near the property line. You will want to build your ASC so that you can expand if you max out OR capacity several years down the road. Avoid placing your ORs on the sides of your building near property lines, where expansion into the space is not permitted. Flip the direction around so you have the ability to expand, for example, into the parking lot.

19. Consider future expansion "next door." If you're building the ASC in an MOB, and will occupy space on the same floor as other businesses, expansion will most likely occur by your taking space from the business "next door" if it becomes available as opposed to adding on to the building. As such, you will want to place your ORs or other clinical areas where expansion is most likely to occur along the walls you share with other businesses.

There are many people who are proponents of the concept of building out but not equipping an extra OR up front during construction. This may be a good idea, or you may end up paying rent on space for the next 10 years unnecessarily. Plan carefully.

Note: While you may never expand your ASC, you don't want to close off that opportunity. I come into facilities that are maxed to capacity and really need to look at ways of expanding. Unfortunately, layout makes it difficult to add new ORs without essentially shutting down operations and starting from scratch, which is cost-prohibitive. If you have an existing operation running, you're never going to just close down and remodel your whole facility for six months and then reopen. Plan carefully.

20. Keep anesthesia out of the corner. It is critical for your anesthesia provider to move around the OR and not be stuck in a corner near the gas outlets. If the anesthesiologist has limited mobility in the OR, you will need to position the patient around the anesthesiologist rather than designing the OR in such a way for anesthesiologists to move around and do what they need to for patient care.

In small centers, if your lead anesthesiologist is the medical director and someone needs to speak with him or her or during a procedure, if he or she is in the corner of the OR, staff members will need to navigate the room to get over to the anesthesia cart. This isn't conducive to good flow. Anesthesia providers are a crucial and critical part of the operative team, and you need to consider their placement and location just as much as the placement of physicians and scrub techs.

21. Avoid built-in cupboards in ORs. In many ORs, I see amazing built-in cupboards designed to house supplies for the OR. From an operations standpoint, I am vehemently against these cupboards in the OR, primarily for two reasons: 1) They're never designed in a manner to stock what you really need in a manner that you need; and 2) You end up having multiple locations for the same supply item. From a cost and inventory standpoint, it becomes extremely difficult to know how much of a given supply you have on hand if you, for example, have a specific type of suture in four different ORs. Add this to your main storage stock, and you end up with five locations for one type of suture.

Invariably, you will purchase five boxes of something to stock the four ORs and the main stock, when in reality you'll only go through one box in the next six months. That becomes problematic from a cost standpoint and in terms of inventory outdates, and it's a challenge to manage all of this from an operational perspective.

I believe facilities should maintain supplies in 1-2 locations, maximum. If ASCs do a good job of picking cases and making sure preference cards are as complete as possible and kept up to date, they should have 99 percent of supply items necessary for any case picked for the room from these 1-2 locations, thus eliminating the need to stock those supplies in the OR as well.

22. Plan for gurney flow and storage. Gurneys travel throughout the ASC, and it's critical when planning the building's layout to determine which path will permit the best flow for gurneys. The gurneys bring the patient from pre-op into the OR, then from the OR into recovery, then back to pre-op for the next patient. They also need to be cleaned before another patient is placed upon them. You need to determine how your flow is going to work relative to those gurneys and how far they have to go to get from one destination to another.

If there isn't enough storage space for unused gurneys, they may clutter the OR hall, which causes potential problems with fire safety. They may also become stacked in a corner, which makes it difficult to get the right gurney to the right patient and keep flow moving. It is valuable to build in alcoves for gurney storage, but this space should only used to store the gurneys.

23. Plan for sufficient OR equipment storage. Sufficient equipment storage outside of the OR is extremely important. Unless you're planning to equip your center so every room has its own tower, its own C-arm and every piece of equipment for every specialty you're doing, you have to store that equipment somewhere. Some facilities will have a space for the gurney and separate space for equipment overflow where they store C-arms and towers not in use.

24. Build equipment storage that addresses your physicians' needs. As mentioned earlier, it's valuable to learn which equipment the initial physician users will need; this will help ensure you're building enough storage space for the equipment you will purchase.

25. Design practical storage rooms. Design your equipment storage in a manner that ensures the equipment is easily accessible. Building a single, large, square storage room is usually not practical, as pieces of equipment will inevitably end up stuck in the back and sides of the room and accessing them will require emptying out much of the supply room. Long, narrow spaces in which you can access any space without emptying the room is much more beneficial from a storage standpoint.

26. Carefully consider other storage needs. While storage for surgical equipment is important, it's not the only storage you need to consider. You may want a storage area for all of your anesthesia supplies, and you need a storage area for your pharmaceuticals. The rules for storing pharmaceuticals now require ASCs to secure everything from IV solutions to syringes, in addition to making sure all medications are secure. Many facilities plan poorly to address these requirements; they typically put medications in a closet-type area, and then realize that there's no room left to stock IV solutions and syringes. This means they are forced to find another secure location, which may present challenges from a convenience and cost perspective.

With so many items requiring storage, designers of a new ASC may be inclined to plan for extra storage. The danger with this is if there is unassigned storage space, the space is unlikely to remain unused for long and may become the home for random pieces of equipment and storage overflow. Building appropriate-sized storage rooms for specific purposes is extremely important.

27. Place processing near supplies and receiving. I believe purchasing should be placed close to where supplies are received and stocked. It shouldn't be up in the business office area if receiving is in the back of the building and the supply room is nearby. Purchasing needs to be located close to where most of the purchasing- and storage-related work will take place.

28. Value the importance and needs of sterile processing. The sterile processing room(s) in your ASC will be extremely important. Your instrument trays need to be stored in a room where humidity can be controlled and monitored, so it can't be right around the corner or in the same room as your autoclaves. When you open the autoclaves, steam rushes out, and you will face the constant problem of trying to monitor humidity levels.

You will also want your sterile processing room near your ORs for convenience, designed so you have appropriate storage for your supplies and built large enough to accommodate personnel and instrument trays. The number of trays you need to sterilize will increase if your case volume is high.29. Strategically place physician dictation alcoves. It's not uncommon to see really nice alcoves for physician dictation built in the OR hall or in recovery rooms. Unfortunately, these alcoves are often rarely used because their location doesn't work well with physicians' flow. When interviewing physicians, try to determine their preferences for where they like to dictate, and plan the alcoves accordingly.

30. Save space with one break room for physicians and staff. I'm not a proponent of separate lounges for physicians and staff. I think it's extremely important that everyone works together to encourage a team mindset. Separate lounges only encourage a separation between the two teams and foster an "us vs. them" concept.

I'm not a proponent of tiny staff break rooms, either. You need a room large enough to accommodate at least one-third of staff plus physicians and anesthesia providers. During lunch breaks, you will likely have as much as one-third or more of your staff at lunch, so make sure there's enough space to accommodate this number of team members, physicians, anesthesia personnel, and possibly a vendor or two, comfortably.

Although not a requirement, break rooms often will be used to host staff meetings, so if you plan to do so, you should also have enough space to accommodate staff members for training and in-services.

ConclusionOverall, the long and the short of planning for the development of an ASC comes down to information data collection, planning and establishing the key points and issues and ultimately determining what is most important to you, your physicians and your patients.

Arthur E. Casey, CASC, is senior vice president of business development for Outpatient Healthcare Strategies (www.outpatienthcs.com), a provider of healthcare management consultancy services for ambulatory surgery centers, hospitals and physician group practices based in Houston.

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View their policies by clicking here.

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Here's the seafood Australians eat (and what they should be eating) | killexams.com real questions and Pass4sure dumps

Many Australians are concerned with the sustainability of their seafood. While definitions of sustainability vary, according to government assessments, over 85% of seafood caught in Australia is sustainable.

However, just because a fish is sustainably caught, it doesn't make it the most nutritious and healty option – and vice versa. For the first time, research has investigated the seafood Australians eat in terms of what's best for us and the planet.

Our study, published today in the journal Frontiers in Nutrition, found that Australians consume a lot of large oceanic fish, like shark and tuna, as well as farmed salmon and prawns, but there are other, healthier options available like mackerel, sardines and blue grenadier.

What Australians eat

The word seafood is used to describe thousands of different species, both marine and freshwater, and from the wild or farmed. Because of these differences, the environmental footprint of "seafood" can vary greatly, as can their nutritional profile.

Our research used data from the Australian Health Survey to investigate the nutritional quality and sustainability of seafood consumption in Australia.

We measured nutrition by the estimated contribution of 100g of a given seafood to the average requirement of protein, omega 3, calcium, iodine, selenium and zinc. Sustainability was assessed on the basis of stock status, resource use, habitat and ecosystem impacts, and health and disease management.

The majority of respondents (83%) did not consume any seafood on the day of the survey, and they found that there were large discrepancies in consumption patterns between different sociodemographic groups.

Of those who did consume seafood, the proportion was lowest among adults who were unemployed, had the least education and those who were most socio-economically disadvantaged.

Crustaceans and low-omega 3 fish, such as basa and tilapia, which were identified as some of the least nutritious and least sustainable types of seafood, constituted a substantial amount of total seafood intake for the lowest socio-economic consumers.

In contrast, consumers in the highest socio-demographic group consumed mainly high trophic level fish, such as tuna and shark, and farmed fish with high omega-3 content, such as salmon and trout, which were considered the more nutritious types of seafood with a moderate sustainability. Less than 1% of adults reported eating sardines and mackerel which were considered some of the most nutritious and sustainable varieties.

What is sustainability?

Sustainability in seafood is complex and difficult to quantify. Greenhouse gas emissions are not currently covered by the major assessment groups, despite the contribution of the fishing industry to global emissions and the variation between different seafood types.

For example, growing demand for crustaceans like prawns or shrimp, is resulting in higher emissions from the global fishing fleet, as these fisheries are fuel intensive. In contrast, small pelagic fisheries, such as sardines, have very low emissions – although they are a lot less popular.

Farmed seafoods also vary considerably in their environmental footprint. In the past, large farmed species of fish have been fed with much smaller wild fish. This practice is in decline, with small feed fish replaced by crops and animal by-products.

However, it's not clear this substitution is environmentally friendly. At the same time, the nutritional value of farmed fish has decreased.

Making better choices

Detailed nutrition information is not readily available at the point of purchase for fresh seafood. It can be tricky making an informed decision on the spot.

However, Food Standards Australia and New Zealand have created nutrient profiles for a range of food, including seafood. The National Heart Foundation of Australia provides information on the amount of marine-sourced omega-3s in fish and seafood commonly available, with species such as Atlantic salmon and sardines listed as highest sources, while prawns and crabs are much lower.

To check the sustainability of your seafood choice, you can consult the AMCS guide or look for certifications such as the Marine Stewardship Council (MSC) for wild capture fisheries or the Aquaculture Stewardship Council (ASC) or Best Aquaculture Practices (BAP) logos. WWF have also developed a canned tuna guide (changeyourtuna.org.au).

Eating new seafood species can be tricky if you are not familiar with them. There are many resources available to help you pick and prepare seafood, such as FRDC fish files, Sydney Fish Market recipes and an SBS section on sustainable seafood recipes.

In WA, the Western Australian Fishing Industry Council have produced guides on local seafood, including information on underultised species, cooking and storage. South Australians can now pick up local fish from the new Community Supported Fishery each week, or have it delivered.

All food production has an impact, but making an informed choice can be beneficial for health and the environment. So, get adventurous with your seafood selections by experimenting with choices that are both nutritious and meet your sustainability criteria. As you become more familiar with different species and ways to prepare them, you won't have to juggle different guides at the fish counter and decide it's all too hard.

This article is republished from The Conversation under a Creative Commons license. Read the original article.The Conversation

Citation: Here's the seafood Australians eat (and what they should be eating) (2018, December 4) retrieved 17 April 2019 from https://phys.org/news/2018-12-seafood-australians.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.


Ardmore Shipping's (ASC) CEO Anthony Gurnee on Q4 2017 Results - Earnings Call Transcript | killexams.com real questions and Pass4sure dumps

No result found, try new keyword!Ardmore Shipping Corp (NYSE:ASC) Q4 2017 Results Conference Call February 7 ... trading volume as a result of the offering will benefit all shareholders. Meanwhile, management remains focused on ...


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