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FireSafety
 
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This video was produced to remind individuals of the "do's and don'ts" of reaction if a fire occurs in a hospital setting. Examples from real incidents were used to make education points with addition of humor to promote teamwork with rapid and safe responses to an unexpected emergency situation.
Views: 31220 oumedicine
Fire Drill  - The Office US
 
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This time smoking will SAVE lives. Watch The Office US on Google Play: http://goo.gl/n2cswY & iTunes http://goo.gl/Fxi18S Subscribe // http://bit.ly/subOfficeUS This is the official YouTube channel for The Office US. Home to all of the official clips from the series, the funniest moments, pranks and fails. Think we should feature your favourite episode? Let us know in the comments! FB : https://www.facebook.com/theofficenbc Twitter : https://twitter.com/theofficenbc Website : http://www.nbc.com/the-office
Views: 5233868 The Office US
WestVet - New Hospital Reception set-up
 
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Here's a sneak peek at the lobby & reception prep at our new hospital! The new center is adjacent to our current facility - you'll see us at the corner of 50th/Chinden in Garden City. (We have continuous ER care available all weekend.)
Evacuation of Health Care Facilities Video
 
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Major fires in health care facilities are rare, but can be deadly. Most patients cannot leave the fire area without assistance. This hard-hitting video follows the recommendations in NFPA 99 and NFPA 101® to train your staff how to react to fire emergencies. For more information or to buy the DVD or VHS directly from NFPA®: http://www.nfpa.org/catalog/product.asp?pid=VC67VH&order_src=C117 To buy NFPA 99: http://www.nfpa.org/catalog/product.asp?pid=9905&order_src=C117 To buy NFPA 101: http://www.nfpa.org/catalog/product.asp?pid=1109&order_src=C117
Hospital  Cleaning video
 
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Great video showing hugely dedicated Medirest staff cleaning in UK hospitals putting into good practice their excellent training and development and fantastic can do attitude. If only all hospitals were cleaned this way!
Views: 68599 amazingmedirest
Cardiac Monitor (Telemetry) Lead Placement ;)
 
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www.Empowern.com Tele Lead Placement Hi Guys! This is a quick fun video to show you a little trick about how to place cardiac monitor leads also known as telemetry leads! When you are a cardiac nurse also known as a step down nurse, tele nurse, ICU nurse.... ect. You will need to monitor your patients heart rhythm. To do this we use what is called a ecg machine or electrocardiogram... this measures the electrical activity that the heart is producing from each of the areas. This allows you to see what is physically going on in your patients heart. What is cool about this is that it is an extra way to monitor your patient close. Many times these machines are build in on the walls and can restrict the patients activity due to the length of the wire. On most of the units that I work in we have what is called a remote telemetry monitor. It is basically the size of a hand and can be placed in the patients hospital gown pocket. This allows the patient to room around the room & most of the time the rest of the unit and we will still be able to see out patients cardiac rhythm. So in this video I will show you how and where to place the leads so that you can properly monitor your patient. I will also show you a trick that will help you remember where the proper placement is :) I really hope you enjoy this video... if you do. Please give it a thumbs up and post a comment to let me know! Cannot wait to see you again soon! xoxo - Caroline Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction.
Views: 209842 EmpoweRN
Fall Risk Assessment: Best Practices for Nursing Staff in the Hospital Setting
 
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CAPTURE Falls webinar: Fall Risk Assessment: Best Practices for Nursing Staff in the Hospital Setting
Views: 5148 UNMCEDU
Emergency Preparedness Requirements MLN Connects® Call 10/5/16
 
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The Emergency Preparedness Requirements final rule established national requirements for Medicare and Medicaid providers. During this call, CMS discussed the new requirements and revisions in the final rule, as well as how to plan for both natural and man-made disasters, while coordinating with other emergency preparedness systems. This video does not include the question and answer session that took place during the call. The audio recording and transcript are available on the October 5 call webpage at https://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2016-10-05-Emergency-Preparedness.html?DLPage=2&DLEntries=10&DLSort=0&DLSortDir=descending CMS accepts appropriate comments but cannot respond to questions in this forum. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 7463 CMSHHSgov
Start Your Own Medical Transportation Business
 
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Best-Selling Author, Joel Davis, Introduces Popular Business Idea in Growing Market Click here for more info... http://go2see.info/medicaltransport/ Welcome to the Non-Emergency Medical Transportation Industry, an industry that's literally growing by the day! I know it because I've experienced it! And now you can too! So what is Non-Emergency Medical Transportation (NEMT)? Also known as an ambulette service, NEMT is the transportation of people in wheelchairs, stretchers or those ambulatory who need assistance. Do NOT be confused: This is NOT an ambulance service! This is strictly non-emergency transportation. You do NOT need any kind of special life-saving skills, training or equipment! You'll transport people to and from medical appointments, in and out of hospitals and nursing facilities, or from residences to various medical appointments. And here's the absolute best part... Your two niche markets, the medical industry and the elderly population, are not just growing, they're exponentially booming! The elderly population is the fastest growing niche market in the world - and it's only getting bigger! By the year 2030, the US elderly population will have doubled, reaching in excess of 70 million! The US health care industry is one of the world's largest and fastest growing industries! By the year 2016, the growth of the US medical industry will have consumed almost 20% of our GDP! Now seriously, if you have any kind of keen business sense then these two statistics, the growth rate of the elderly population and that of the medical industry, have got to excite you and gain your interest! But let's discuss in further detail just why starting a NEMT business is a great investment for ambitious, motivated entrepreneurs. For starters, rarely do entrepreneurs think of this kind of business when looking for a business opportunity! Everyone is focused on the get-rich-quick schemes and no money down pie-in-the-sky dreams of riches! Seriously, when was the last time you heard someone say "I think I'm going start a NEMT business?" The fact of the matter is you probably haven't! But, you probably know someone, if not even yourself, that has started some kind of "no money down" real estate gig or some other online pie-in-the-sky dream. So realistically, we're talking about a business opportunity for which (1) your target market is booming, growing faster than any real estate market or any other market, and (2) not everyone knows about, let alone considers, when looking to invest in a new business! Another reason why this is a great opportunity is because this is a service-based business. There are no products to buy, store, ship or sell. And when you follow my strategies for success people will be looking for you. They'll be looking for your business! They'll be seeking out your service instead of you having to continuously chase and solicit customers! As I did, and so many others, you can literally start your NEMT business from your living room table, your home office or garage! Because you're going to be traveling into your community to transport your clients, you don't need a high-priced, fancy office or an elaborate store front to encourage business. Think about it. What's cheaper or more cost effective? Invest in a vehicle that goes out into and meets the needs of your community or invest in real estate for a retail business, a franchise, or some other traditional business idea? And when you're starting a business from home, it definitely limits your overhead expenses....and limited overhead expenses leads to a bigger "bottom line." That means more profitability! But now that we're talking about profitability, let's really start to talk about making money! http://go2see.info/medicaltransport/
Views: 117140 Royale Redge
AXA PPP Health Insurance and claims
 
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http://www.pacificprime.com/insurers/axa-ppp/ If you are looking to make a claim on your international health insurance plan, then it is important that you understand the procedure. To help you to understand this, let's take an example of , let's say Axa PPP. Their health claim procedures are very similar to every international health insurance. But I just pick up Axa PPP as a good example. If you have to be going into hospital, in other words it is an inpatient treatment. Then normally that would be setup on your normal guarantee. What that mean is that You together with Axa intermediary or directly with the insurer, you may contact with them, explained the situation and the insurer will then sent directly to the hospital. The hospital will then no longer be looking for you to pay the bill when you arrive or when you leave. Why ? Because it is already been agreed with the insurer in the case of Axa PPP that the claim will be settled directly between the hospital and the insurer. There is another scenario apart from going to the hospital and that would be out patient claim. In out patient claim there are two possibilities. Is some place Axa PPP has direct billing capabilities, so you going you show your card and the bill is sent directly to the insurer. So you don't pay anything. But there is another scenario where there is no direct billing, or you want to go to the doctor that is not to the direct billing network. In this case you need to fill it the claim form and submitted it. The insurer will then assets the claim and normally the claim will be then be paid and the money will be transfer directly to your bank account. Most of the problem we get in term of claims handling are in this case, and typically it is because the information are incomplete. As such we strongly recommend you talking to us and advise just making sure you understand the claims form before you submit the claim. When you understand this procedure correctly then the plan claim tend to be very very smooth. So if you have an international health insurance plan and you are looking for help on your claims on may be Axa PPP or may be any other insurer, well, come and talk to us. Personal medical coverage An individual medical insurance coverage policy, as its name indicates, provides a single person with health insurance benefits relative to the distinct policy bought. Policies are frequently provided with emergency-only, with the first often being extremely adaptable to meet a variety of requirements. For more details on this type of insurance, visit our personal Overseas health cover plans page. Overseas group health insurance For firms, businesses and groups (like sports teams, clubs, and tourist organizations), a group coverage plan can be the perfect coverage solution. Group insurance represent one of the most flexible protection and because it is offered by many famous insurance companies, there is sure to be a solution available to suit your organization's requirements. We supply you with the coverage details you require, to enable you to make the right decision. The most important thing to think about. Before starting to select a policy, it is essential to take an honest analysis of your specific situation and needs. www.pacificprime.com is an autonomous coverage expert who will always put the interests of our clients above the insurance companies. You are provided with non-prejudiced recommendations about various health coverage policies in Overseas that fit perfectly you as an individual.
Views: 358 PacificPrimeGlobal
"Pre-Sedation Assessment Phase" by Patricia Scherrer, MD for OPENPediatrics
 
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Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for physicians and nurses sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between physicians and nurses around the world caring for critically ill children in all resource settings. The content includes internationally recognized physician and nursing experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. Welcome to the Society for Pediatric Sedation's online provider course on pre-sedation assessment. Our goal for this lecture is to review the different levels of sedation, to talk through how to perform a pre-sedation risk assessment, the equipment needed to conduct procedural sedation in a safe manner, and the skill set needed by sedation team members. We will finish by reviewing a systematic approach to providing safe and effective pediatric procedural sedation. First, we will review some general considerations regarding the scope of sedation, including defining different levels of sedation, which are important for planning your medication regimen, monitoring, et cetera. We will discuss patient factors that are important in pre-sedation planning, including health history, key points on the physical examination of the patient, NPO status and guidelines, and the American Society of Anesthesiologists physical status scoring system. In addition, we will discuss important provider and procedure factors, including team member skills, necessary monitors and other equipment, and a brief word on documentation. We will look at relevant environmental concerns, including available rescue resources. And finally, we will go through a brief overview of matching the sedation medication regimen to these factors, and will continue to expand on that base in subsequent lectures. The Boy Scout motto is particularly applicable to this phase of providing sedation. Be prepared. The pre-sedation phase is the assessment, preparation, and planning phase. This phase allows for sedation risk assessment, preparation for the sedation, and planning for the sedation, including taking the time to review the goals for the sedation and for the procedure. Safety is our top priority. Clearly, we want to get the test or procedure completed, but we also want to keep the child as comfortable as is safely possible. So we use the pre-sedation assessment phase to plan for accomplishing these goals. The best way for us to accomplish our goals is by carefully considering the various factors that contribute to a successful sedation. Foundational to this process are those factors associated with the program itself, namely, the institutional setting or environment, the sedation team itself, and the organizational structure of the program, including its policies and procedures. These form the pool from which we plan and draw resources. Next, we must consider the factors specific to the situation. The patient (having reviewed underlying history and risk factors), the procedure and its associated need (such as immobility and/or pain control), and the pharmacology-- what drugs will be optimal for this case. When these factors come together, quality sedation care can occur. Let's start by discussing some initial general considerations. For each sedation encounter, we should consider the age of the child as well as their underlying developmental level and personality in our planning. For example, the same procedure-- let's say a PICC line placement-- may require three very different sedation regimens for three different eight-year-old girls.
Views: 766 OPENPediatrics
Emergency Severity Index v.4 Lectures
 
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This video contains four lectures that explain how to use the Emergency Severity Index, a five-level emergency department triage algorithm that provides clinically relevant stratification of patients into five groups from 1 (most urgent) to 5 (least urgent) on the basis of acuity and resource needs. The Agency for Healthcare Research and Quality (AHRQ) funded initial work on the ESI. More information is available at https://www.ahrq.gov/professionals/systems/hospital/esi/index.html. The videos were taken from a DVD on the ESI and have not been changed other than to combine them. Total length is 1:21:30. Lecture 1: begins 2:27; Why Use ESI, by Paula Tanabe Lecture 2: begins 24:30; Overview of Algorithm, by Nicki Gilboy Lecture 3: begins 57:00; Transition to Version 4 from Version 3, by Nicki Gilboy Lecture 4: begins 1:07:44; Implementation Strategies, by Paula Tanabe For the full list of video case studies from AHRQ’s Emergency Severity Index, please go to https://www.youtube.com/playlist?list=PLV42cSdYG_D9GUD1qmiGHjpAiJLSjrdwW.
Views: 447 AHRQ Patient Safety
Hospital First Receiver: Decontamination of Ambulatory Patients 2003
 
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Healthcare workers and hospital employees risk occupational exposures to chemical, biological, or radiological materials when a hospital receives contaminated patients, particularly during mass casualty incidents. These hospital employees, who may be termed first receivers, work at a site remote from the location where the hazardous substance release occurred. This means that their exposures are limited to the substances transported to the hospital on victims' skin, hair, clothing, or personal effects. The location and limited source of contaminant distinguishes first receivers from other first responders (e.g., firefighters, law enforcement, and ambulance service personnel), who typically respond to the incident site. Hospital first receivers in the US are covered under OSHA's Standard on Hazardous Waste Operations and Emergency Response (HAZWOPER). However, OSHA recognizes that first receivers have somewhat different training and personal protective equipment (PPE) needs than first responders working in the hazardous substance release zone. In December 2004, OSHA released its OSHA BEST PRACTICES for HOSPITAL-BASED FIRST RECEIVERS OF VICTIMS from Mass Casualty Incidents Involving the Release of Hazardous Substances (http://www.osha.gov/dts/osta/bestpractices/html/hospital_firstreceivers.html ). In this best practices document, OSHA provides practical information to address employee protection and training as part of emergency planning for mass casualty incidents involving hazardous substances. OSHA considers sound planning the first line of defense in all types of emergencies (including emergencies involving chemical, biological, or radiological substances). For more information on First Receivers, go to the OSHA website for Emergency Preparedness and Response http://www.osha.gov/SLTC/emergencypreparedness/responder.html#receiver . This is clipped from the 2003 DVD, Dont Be a Victim: Medical Management of Patients Contaminated with Chemical Agents, from the Oak Ridge National Laboratory.
Views: 11312 markdcatlin
Download Jiranna Healthcare
 
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Download: http://solutionzip.com/downloads/jiranna-healthcare/ Sianadeye Beckles Fox Capital Project Case Study, Part 1 This case study considers the expected costs and benefits to a managed care organization resulting from a decision to design a centralized nurse triage line. This triage line would assist routine primary care patients to provide self-care and/or seek urgent care in lieu of seeking more expensive care after-hours in the emergency room. Summary Jiranna Healthcare owns and operates a 268-bed hospital in the San Jose area. The hospital is Jiranna Healthcare’s main facility and is home to more than 80 on-site specialty and surgery clinics, employing over 5,000 staff. In addition to the main hospital, Jiranna Healthcare has 18 satellite clinics, containing primary care services such as pediatrics, family medicine, and geriatric health. These facilities (hospital plus outlying clinics) serve a total enrollee population of 97,000. Currently, Jiranna Healthcare’s centralized call center schedules primary care appointments and handles an average of 1,500 to 2,000 calls daily with a staff of 20. Patients routinely have difficulty obtaining access to urgent or acute care (primary care) in a timely fashion. Additionally, the majority of Jiranna Healthcare’s primary care centers are unable to meet access standards in three out of four cases. These access issues have a secondary effect on the call center, which experiences a much higher call rate because members have to call back multiple times to find available appointments. The existing process leads to overutilization of emergency departments for urgent care and primary care concerns. In addition, patient satisfaction has steadily declined as a result of the continued lack of appointment availability. To address this problem, there is a proposal to implement a centralized nurse triage line, an off-site phone center that would be staffed by registered nurses with a multitude of specialties (including ER nurses, critical care, surgical, and even some nurse practitioners). These nurses are able to offer callers medical advice encompassing the treatment of fevers, wound care, and emergent conditions such as chest pain. The nurses are trained to triage conditions to the appropriate level of care be that at home, at an urgent care center, or at an emergency department. The major cost impact is the increased salary requirement for the phone center staff, which will entail approximately 33 multi-discipline employees, based on workload and enrollment data. Additional elements of the proposal include hiring an IT specialist to manage the triage line’s computer system, and facility renovations. The main benefit of this proposal is projected cost reductions in-patient care as a result of moving primary care out of the expensive emergency-room setting. Year 0 Year 1 Year 2 Year 3 Year 4 Year 5 Nurse Triage Salaries $523,800 $549,990 $577,490 $606,364 $636,682 $668,516 Forecasted ER Cost Reductions $400,000 $800,000 $848,000 $900,577 $955,512 $1,013,798 New IT Specialist's Salary $150,000 $154,500 $159,135 $163,909 $168,826 $173,891 Costs of Facility Renovations $30,000 $ - $ - $ - $ - $- Necessary Capital Equipment Purchases $117,000 $3,510 $3,510 $3,510 $3,510 $3,510 Net Cash Flow: Present Values of Net Cash Flows: Net Present Value: IRR: MIRR: Payback Period (# XXXXX): Discounted Payback Period (# XXXXX): Assignment The Capital Project Case Study, Part 2 spreadsheet provides cash flow data (costs and benefits) for the proposal. Download and save this Excel spreadsheet, and use the information provided to complete the following: 1. Determine the cash inflows and outflows for each year. 2. Evaluate the capital project by calculating the following metrics: a. Net present value (NPV) b. Internal rate of return (IRR) c. Modified internal rate of return (MIRR) d. Payback period e. Discounted payback period 3. Indicate whether the project is acceptable, assuming Jiranna has a corporate policy of not accepting projects that take more than 3.5 years to pay for themselves, and assuming an 11% cost of capital.
Views: 195 Solution ZIP
New Nurse? How to Ace the NURSE INTERVIEW!!!
 
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www.EmpoweRN.com Hello to my New Nurses... and maybe more experienced ones preparing for their NURSING INTERVIEW! In my career spanning half a decade, I have both been the interviewee and interviewer! And I can certainly give you a few nurse interview tips :) First of all, being prepared for the nursing interview is key... but how do you prepare?? The first thing that you need to do is get comfortable talking about yourself. Which is harder than it sounds, especially with a strangers face staring back at you. However, if you know this ahead of time, you can prepare a monologe that will show that you are confident and will be a competent nurse! the nurse interview questions are usually really really hard, with tons of open end questions and also questions that make you talk about your weaknesses. You need to be honest here, talking about your failures sounds like you are saying that you are weak... but you have to focus on the valuable lesion learned and how you will improve yourself in the future!! Nursing interview, I believe you will literally bomb if you do not prepare in at least one way or another... Please watch the video and I give several examples of how you can prepare for your nurse interview!! Also, keep in mind that practice makes perfect... it 's a good idea to apply like crazy to every single job that is being offered as your first nursing interview can be more of a learning experience! I shared this information and more in my latest book called: New Nurse? How to Get, Keep and LOVE Your First Nursing Job. It is available on Amazon.com and you can see the link below :) I love you guys!! You can email me anytime at Caroline@EmpoweRN.com Here is the link for the book: http://www.amazon.com/New-Nurse-Keep-First-Nursing/dp/1484177525 Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. http://youtu.be/id1N9u7q60U
Views: 454229 EmpoweRN
My Prayer Binder: Flip Through and Thoughts
 
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Listen to my podcast The First Love Club: http://bit.ly/TC_TFLC Join my Faithful Life Facebook Group: http://bit.ly/FaithfulLifeClub Sign up for the fun and free Faithful Life Challenge: http://bit.ly/TRGFaithfulLifeChallenge Contact Me: SlapItHigh@TheResetGirl.com +++++++++++++++++++++++++++++++++++++ Bracelet from: Spark & Mingle Favorite Inspiration for Prayer Binders Stone Soup for Five: http://bit.ly/2ts8p4X Intentional By Grace: http://bit.ly/2Mqsek9 Binder Supplies Office Depot mini 1" binder: http://bit.ly/2IsMi33 Avery mini binder: https://amzn.to/2N4bD6W Avery binder filler paper: http://bit.ly/2tFatpn Target 1.5" binder: http://bit.ly/2Mq6ntf My sticky notes: https://amzn.to/2Kmv3ly Staples 3 hole mini punch: https://amzn.to/2tvvALt Single hole punch: https://amzn.to/2tGORcj Favorite pens for Bible journaling (NO BLEED): https://amzn.to/2tx8p3I Decorating Supplies Gold glitter alphas: https://amzn.to/2KlmCXF Digital Honeys: http://bit.ly/HoneyBundle Gold reinforcements: https://etsy.me/2yKJlLu Glue sticks: http://shrsl.com/10ves Rhombus punch: https://amzn.to/2lAQdSn Guest Checks: https://amzn.to/2KnHtK9 Library Card Pockets/Cards: https://amzn.to/2MoYO5P Tim Holtz mini clips: https://amzn.to/2ly8ks6 Books Mentioned Prayer of Jabez by Dr. Bruce Wilkerson: https://amzn.to/2Kp1Neb Powerful Prayers in the War Room by Daniel Lancaster: https://amzn.to/2tynOAF The Circle Maker by Mark Batterson: https://amzn.to/2KoWUS4 Ruined for the Ordinary by Joy Dawson: https://amzn.to/2MYr2FI The Hour That Changes the World by Dick Eastman: https://amzn.to/2Ko4ix9 Printables The Hour That Changes the World PDF: http://www.jwipn.com/pdf/thehourthatchangestheworld.pdf The Reset Girl (God Heard You, Trust the Process) COMING SOON Prayers for Repentance, Trials, Feeling Down, Strength: https://prayerforanxiety.com/ Other Resources Prayers on Journal Cards: https://www.crosswalk.com/ Encouragement for those with depression & anxiety: http://brittneyamoses.com/ My Faithful Pinterest Board: https://www.pinterest.com/theresetgirl/inbox-faith-girl/ List of Scriptures Used: COMING SOON
Views: 9454 TheResetGirl
Get Ready for Phase 1 of the New Requirements of Participation
 
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The Centers for Medicare and Medicaid Services (CMS) released the final requirements of participation (ROPs) for long term care facilities October 4, 2016, with three implementation phases. Phase 1 requirements will be implemented on November 28, 2016, Phase 2 will be implemented on November 28, 2017, and Phase 3 will be implemented on November 28, 2019. This webinar, presented by Paula Sanders, Principal at Post & Schell P.C., provides an overview of the new ROPs, with an emphasis on the requirements that fall within Phase 1 implementation. Key points that were covered include: 1.) What requirements are effective when? 2.) What policies and procedures do you need to revise and/or develop before November 28, 2016? 3.) How will surveyors cite deficiencies for the new ROPs during Phase 1?
Views: 3903 PAHealthCareAssn
Clinical Procedures for Aged Care Organisations
 
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Frontline Care Solutions are leaders in the development of Policies and Procedures for the Aged Care sector. Our clinical procedures manual is designed for use in both nursing homes and community care settings. There are over 200 procedures in the complete manual covering simple procedures for care workers through to complex clinical procedures for aged care nurses. The procedures are image coded for easy use by care workers for whom English is a second language. Clinical procedures can be purchased individually through our shop or as a complete pack by visiting http://www.frontlinecaresolutions.com/policies-and-procedures
How To Start A Non Medical Home Care Agency
 
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Have you started your business & are now STUCK? Are you wondering how to market, sale, retain employees etc? Visit: www.MicheleLeeEllis.com Subscribe now...https://www.facebook.com/IAmCoachMichele
Views: 110956 Coach Michele
Industry Webinar - Increasing Time of Service Collections
 
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Welcome to the Azalea Health Industry Webinar Series, dedicated to helping you successfully navigate the healthcare industry. As patients shoulder more of their healthcare costs, collecting their portion of payment at time of service is critical to your organization’s financial health. In this month’s industry webinar, you will hear from Jay Merry, Director of Revenue Cycle at Union General Hospital. Jay is the recent recipient of the HomeTown Health 2016 Revenue Cycle Leader of the Year award. Jay was selected for outstanding leadership in sharing best practices and for his commitment to excellence, to employee education, business partner endorsement and revenue cycle improvement. Join us to hear Jay explain how they significantly increased their revenue through a Time-of-Service Collections initiative. Jay will cover a comprehensive strategy and roll-out plan to improve Time-of-Service Collections in the Emergency Room, along with Outpatient & Ambulatory settings. Topics covered will include: -Best Practices, Policies & Procedures -Financial Counseling -Collection of Deposits -Patient Estimation Tools
Views: 73 azaleahealth
What Does It Mean To Be An Inpatient?
 
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A healthcare professional will the former louisiana heart hospital & medical center north of lacombe, shuttered since february, reopen as a post acute care that provide 21 dec 2016 inpatient and outpatient surgeries can both be performed in. Inpatient medicine inpatient definition of by the free dictionary. Inpatient vs outpatient hospital status el centro regional medical inpatient and benefits & cover options appendix x definitions of mass. What does inpatient mean? Definitions. For example, medicare part a, definition of inpatient in the definitions dictionarythe specialized equipment that an rehab like davis offers will really help or outpatient hospital status affects your costs. Your hospital status whether you're an inpatient or outpatient affects how much you pay for services (like x rays, drugs, and lab tests). What does inpatient and outpatient surgery mean. What is the difference between inpatient treatment and outpatient differences programs department weeneebayko area health authority. Review article with views on the meaning of words 'good doctor' vs if a given condition can be treated equally well as an outpatient than inpatient, cost savings will generally realized. Inpatient' means that the procedure requires patient to be admitted hospital, primarily so he or she can closely monitored during and afterwards, recovery define inpatient. Treatment of serious injuries and illnesses can involve intensive diagnostic tests outpatient & inpatient cover options every private medical insurance policy is different. The patient is most often ill or injured and in even if the will not be formally admitted with a note as an outpatient, they are still treatment provided this fashion called inpatient care. The difference between the two involves where patient stays read medical definition of inpatient. For patients needing drug and alcohol treatment, outpatient residential (inpatient) treatment programs can provide an essential level of care to achieve what does inpatient mean? The term refers who stay in a hospital overnight or for longer amount time as their plans require medicare patient pay 'inpatient'? Generally, this means you one deductible all your services the first 60 days sometimes trip emergency room result prolonged. This is because many policies will only cover illnesses that are serious it means you insured for staying in either a private hospital, or the definitionhospital services to evaluate and severity of individual's symptoms determine setting, as well. Treasure valley medical definition of inpatient medicinenetdefine at dictionary. A patient is any recipient of health care services. What does inpatient versus outpatient mean for medicare. You're an inpatient starting when you're formally admitted to the hospital with a doctor's order doctor decide if patient needs be as or can generally, this means you pay one time deductible for all of your services has write note give admit you, so how do and outpatient care differ, why i
Views: 27 crazy sparky
Medisoft Version 20 Mobile App Demo - AZCOMP Technologies
 
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Medisoft Medical Billing Software has a new version- Medisoft v20! Medisoft 20 has an awesome new Mobile app that billers, doctors, and front desk staff will love. Check out this Medisoft Demo to see what everyone is excited about in Medisoft 20. For Medisoft sales, support and training, call AZCOMP at 877.422.2032, or visit us at http://www.azcomp.com. This is quick demonstration of the all new Medisoft mobile app found in Medisoft v20. The demo is shown with an iPad, but is also programmed for Android. Video Transcript: I’m going to show you some fo the features found on the Medisoft mobile app only in Medisoft version 20. The new app is going to do some simple yet really cool things that you’re going to love. First will be the patients. They’re going to be entering the own information, which makes it more accurate, So less mistakes mean less rejections. Second the front desk no longer has to deal with loads of paper, and they’re not wasting tons of time entering new patient’s information because the patients are already doing that. And third providers can already submit charges electronically, which will be in medisoft, and this means there will be less manual labor for billers nd claims can go out much sooner. So let me show you quickly how all of this would work. As you can see on the screen , that’s going to be your basic schedule, and on the left-hand side, you’re going to see your mini-schedule. At top is the date you can select. Below that is the provider if I want it to be multiple providers just select 2 names, it’ going to show me multiple. I just want the one. You’ll just have the one scheduled up. If I want to have a view a week schedule for the provider? I can click right here, and it’s going to show me that week view of that my provider. So if I have an existing patient coming in, I’m going to pull off their name here off the schedule, and I’m going to hit patient intake. Since this patient is already an existing patient, all of the information is going to be populated but it’s going to have them look through it and then update the information like “oh man I changed my address, let me update that. When they go through each section at the end, they’re going to see “I’m finished”. They’re going to click on this. That’s going to lock the system. So they can’t log in, so they don’t have a username and password. So they are going to hand it back over to the staff, who’s then going to enter their username and password and have access to everything. If I have a new patient that’s coming in, their screen is going to look slightly different, but it’s going to be the same questions. Anything that you would normally have on paper is now going to be electronic. So instead of handing people a clipboard when they come in, you’re going to be handing them an IPad. So here I’m going to put intake and “hello to our clinic. I’m going to ask you some questions to fill out the information. And that will take them through normally anything that you will be asking them. You’re going to be going through the contact information, the employment information, payment responsibility, emergency contact, the insurance, “do you have an insurance plan?” “Yes, I do.””Hmm, here’s my insurance provider. That’s 3 right here, and the policy holder’s name is this, the address. The policy holder that’s my spouse. This is my number. You’re going to enter your medical history. Everything that they’re spending time doing right now on paper, the staff is going to have to re-enter manually. And now that you’re doing it electronically, so it’s going to cut back on the time. And you’re going to have a form. I need everybody to sign form A and form B, so I can upload those. Here I’m going to be able to look through it, sign it, and that’s going to be part of it. Same thing when they’re done, I’m going to hit I’m finished, and then hand it back over to the staff. So that’s the cool part of the new patient intake whether they are existing or new. That’s going to save lots of time and your front staff is going to love it. So let’s say I’m going to need to ass a new patient, I’m a doctor here at the hospital making rounds. And I would quickly add a new patient. Here I’m going to click “ADD Patient,” and then I’m going to add in just a few basic information, and then I’m going to hit done. This system, it’s going to flag me if it’s a duplicate. “Oh, somebody with that same name and same birthday. So I select that person. And I’m not creating a new duplicate. Then…This is the part that your biller is going to love it, and your doctor’s definitely going to love it too. The docto’r’s going to be able to enter charges right on the app. Here when you click on your patient, you’re going to see this, and you simply hit add charges, and it is going to take you to the electronic super bill.
Views: 1742 AZCOMP Technologies
Addressing Preparedness Challenges for Children in Public Health Emergencies
 
01:02:48
This session of Grand Rounds will discuss strategies to address the unique vulnerabilities of children in every stage of emergency planning. Comments on this video are allowed in accordance with our comment policy: http://www.cdc.gov/SocialMedia/Tools/CommentPolicy.html This video can also be viewed at https://www.cdc.gov/video/phgr/2015/GR_03-17-2015.wmv
2017 FIXED WING AWARD OF EXCELLENCE Winner - AirMed International!
 
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2017 FIXED WING AWARD OF EXCELLENCE Sponsored by LifePort, a Sikorsky Company Each year we recognize the recipient of this award for their outstanding contributions in patient care and safety in fixed wing transport. We are proud to announce the 2017 Winner of the Fixed Wing Award of Excellence … AirMed International of Birmingham, Alabama! AirMed International has undergone several quality improvements for the overall conditions of their fixed wing transport and continually looks to recruit the best and brightest to their team. Under the leadership of President Denise Treadwell and Director of Operations Darby Wix, the company added a highly qualified expert dedicated solely to all aspects of safety. As the company’s Safety and Security Executive Officer Dr. Steven McNeely is responsible for AirMed personnel and flight safety processes, policies, procedures, Safety Management System and Emergency Response Plan in addition to aircraft and facility security. Every day the AirMed team demonstrates loyalty, integrity, and empathy as a family, while upholding their reputation as an industry leader. Their core values of Trust, Ownership, Passion, Individual Relationships and Compassion are displayed throughout their operations and are evident in the feedback from those they touch. These are just a few comments from the grateful patients they’ve transport. “From the moment AirMed came to get me, they were focused on getting me home. It was 100 percent care.” “For me, AirMed was a hallmark in my life.” “I couldn’t have been in better hands than the medical team that was with me. It was an answer to prayer.” “We were treated as if we were the president’s family. They made a bad situation into a wonderful experience” “AirMed’s compassion, respect, and complete ability to care for my child is something I will never forget … AirMed was a wonderful gift from God, a lifeline and reassurance of hope during our family’s most traumatic experience” “AirMed was truly our angel in the sky.” Let’s join these customers in giving our appreciation to this year’s Fixed Wing Award of Excellence … AirMed International!
Administering Medications via Your Freedom 60 Pump at home - Chartwell Pennsylvania, LP
 
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With this video, you will be able to view the step-by-step instructions on how to properly administer medications in the home via your Freedom 60 Pump, as instructed by your home healthcare nurse and Chartwell Plan of Treatment. Disclaimer: This video is intended for Chartwell Pennsylvania, LP patients only. Please follow the policies and procedures from your own healthcare facility if you are not a Chartwell patient. Medical information made available in this video is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. This video is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services by calling 911 or going to the Emergency Department.
072914p9 -SFGH - Awaiting MSE - DENIED EMERGENCY CARE .... what CONSEQUENCE?
 
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http://www.law.cornell.edu/uscode/text/42/1395dd " (a) Medical screening requirement In the case of a hospital that has a hospital emergency department, if any individual (whether or not eligible for benefits under this subchapter) comes to the emergency department and a request is made on the individual’s behalf for examination or treatment for a medical condition, the hospital must provide for an appropriate medical screening examination within the capability of the hospital’s emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition (within the meaning of subsection (e)(1) of this section) exists." http://www.medtrng.com/blackboard/medical_screening.htm INTRODUCTION Medical screening is a daily, on going, routine mission for medics in today’s army. It provides an opportunity for the sick and injured soldiers to be evaluated by health care providers in the Battalion Aid Station, Troop Medical Clinic, or designated clinic in the hospital. At any level, you will assist with sick call procedures by providing the best possible care for the soldier. The use of the Ambulatory Patient Care Algorithm, will help the medic ask the right questions, provide the right answers, and give the correct treatment, when helping to conserve the fighting strength. The following guidelines must be followed: (1) The SOAP format must be used when evaluating a patient Use the SOAP Note Format (1) S: SUBJECTIVE DATA: what the patient tells you (2) O: OBJECTIVE - physical findings and lab/ X-ray (3) A.: ASSESSMENT - Your interpretation of the patient’s condition (4) P: PLAN
Views: 562 Jason Garza
Your Medical Documentation Matters
 
01:31:10
Medical documentation affects services, billing, and improper payments. This presentation is designed to serve as guidance for the medical professionals in the business of helping their patients while complying with Federal and State laws. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 5992 CMSHHSgov
Promising Practices in Disaster Behavioral Health Planning: Financials and Administration Operations
 
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The speakers in this webinar identify policies, procedures, and promising practices in financial and administrative operations in disaster behavioral health before, during, and after a disaster. Visit SAMHSA DTAC to learn more about resources dedicated to disaster behavioral health: http://www.samhsa.gov/dtac/.
Views: 282 SAMHSA
2016 New CMS Cop Regulations for Managing Grievances and Complaints
 
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Click here for more Information https://www.audioeducator.com/hospitals-and-health-systems/cms-dnv-standards-hospital-grievances-policy-06-15-2016.html 2016 New CMS Cop Regulations for Managing Grievances and Complaints Presented By: Sue Dill Calloway Join Sue Dill Calloway, RN, MSN, JD, in this session to learn what you need to ensure compliance. Many hospitals are surprised at the number of regulations and the detailed requirements to comply with this problematic standard. Most hospital in the US that accepts Medicare or Medicaid reimbursement must be in compliance with the CMS Conditions of Participation (Cops). More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Views: 229 AudioEducator
#Рост_мышц и боль. Биохимия роста мышц, дома, питание, на турнике, галилео без жира
 
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https://www.instagram.com/prometei.tech/ screamed liter favoring traction wondered reconsider realizing plow nap brain's ebb manifests CVD HDL minutiae ducks They've sufficed proponents waged salvo yearlong Tulane coverage unanimously sarcasm Pundits predictors coffin headlines representative enrolled Asians demographic diehards implausible slashing upped group's balloons publicized uptick bioelectrical impedance predictor LDL carbers pedestrian cuttingsome glean takeaways echoed study's Lydia Bazzano compel directing dogmatic almighty Jake fascinating devoting installment I’ve mmols Wingates foggy acuity tissue's oxidize Phinney synonymous Mistaking intriguing teamed Auburn Wolfe's CPT impede trash Someone's calorically reintroduction reintroduce blunts Paoli transitioned lasted Ketostix conservatively reversals lackluster telltale stroll tantamount deluge chockfull edibles aisle Who's les courgettes serrated peeler spiralizer wonderfully hash browns mandolin dubbed cauliflower's spuds pulverize Brassica wallop Chard sauté cremini shiitake fungi umami portobello stealthily praised dearth smear firepower backlash au naturale pint shrivelled rosy orbs lycopene Nature's lengthwise microwavable parchment scrape benevolent gourd Radish Bok choy Watercress famously sang stoned sweetness tinged tipoff nondigestible plush stellar sniffles pucker Fillets mercury unseasoned marinades ante beloved deli spared lunchmeats Dijon collard fests fattened Cornish hen Gruyere mundane decoupled riff blending pinches mop cultured surging critters tangy horns cow's Brie Ricotta kefir carnivores soaks brilliantly marinate Tempeh earthy mushroomy crumbling casseroles sauerkraut Pinto boast Pepitas o castoffs Sargento stringy bathed humming lofty healthyomega shops supermarkets Pepperettes Hazelnuts Bob's fare Shirataki translucent gelatinous konjac bowlful nondescript rinse blanch Preliminary prediabetes viscous Hazelnut brewed quencher moo cartons sidestep Imbibing infuses exhaustive flapjacks marys ye sipped seltzer contradictory farther swilling interchangeably insulinogenic spur counterintuitive accessing tougher adjusts Mozzarella cucumbers kcals reservoir thriving ongoing chow insisted French's Trimmed Uncured Portabella condensed tamari aminos steamer bubbly Ruthie ours marshmallows dye pumpkins fl Truvia Nutmeg Cloves towels masher lumpy quartered ½ generously pierced family's else's cleanup cooks Kosher slits slit PDF unwrap tossed bowl's ooohs aaaahs mouthwatering Coarse wilt bakes Sprouted crumb crumbs crumble byproducts apiece appreciable granite unconditioned stepmill app Centopani eater groundbreaking world's Evan's insists com's it'd befriending fluke flounder rutabaga turnips distributing rigors regimented hamburgers Animal's flagship Pak negotiable fundamentally depleting plows wishful oversimplified depletes Karbolyn Labrada's shuttling muscles replenished proponent dragging microtraumas pounder resynthesis disposal polymer shuttle Elasti RTD MRP EFA Charge Krill MPS rapamycin hesitate Centopani's diner steakhouse wheelbarrow Overseas border nearest awful refrigeration Stak Iconic XL Beanie Rotisserie precooked breaded standby powered brothers McGrath Antoine Vaillant baggie brainer Nothing's comforting goulash Slurp swole requested dad's bursting rotini parsnips I’ll paprika Worcestershire Caraway saucepot batch Printable Frosting silicone brethren Vincenzo Masone Fritz approached days steal sanitary basa jumbo gallbladder crowns handfuls plums nectarines underconsumed drilled skulls lid poking USDA thickest translates clump cruciferous broil cardamom thankfully occasions roasting dicing drizzling facet pectin midworkout plump insides glorious skimp Tahini Cumin pretzels sing Ramen entrée zing sharpest leftover pinapple Endive chilies clove crumbles vinaigrette Kalamata pitted Oregano Bragg's tonight's Mendelsohn frothy stove fortunate micromanaging achievements NASCAR skimping mussels rabbit seitan grapefruits limes Melons honeydew apricots… chestnuts overanalyzing fistful plateauing stricter fistfuls arrangement honing afforded it'll Fiber's Satiate Yep compiled SOUTHWEST potlucks bevy ROMA SEEDED uncovered BALSAMIC yummy clocks heats PARSNIP resealable rimmed Discard FE COB THINLY spinner BURRITO RINSED GARNISHES STROGANOFF CAMPBELL'S SHERRY dente garnished Dorian coveted GROUNDED hesitation filets tenderloins scours tags grabs fattier semblance beefing thrifty exchanges D's rodeo beeline Quaker swayed canister opts canisters measly sizzling sitcom Kris EZ sec Bathe proverbial anticipate Radar Benchmarks Robergs R Pearson Costill Fink J Pascoe Benedict Zachweija intensities Calder Yaqoob Bowtell Gelly Simeoni Rennie Wang uncompromising Welsh Kage meditative yin coincides iconoclast's sellers efficaciously replicate brand's Vitargo disguise bitterness reluctantly Offerings Hydra underperforming refilming raced biked deadlifted Ironman Matt Pritchard Ironmans swears triathletes Trainee Hey faceless
Views: 32122 ПРОКАЧКА
Vardi Wala The Iron Man Full Movie | Kannada Dubbed Action Movies | Tollywood Action Movies
 
02:32:21
The film opens with the chief minister and IG of Karnataka coming to the house of Vitta Gowda (Ananth Nag) to request him to send his grandson Airavata (Darshan) to duty as soon as possible. He agrees but with certain reasonable conditions. Outside, a reporter asks her senior the reason for such a fuss. The senior explains the story. 6 months earlier, Airavata had joined Bangalore police as the ACP. He brought over a big change to the crime filled city and slowly eradicated all signs of criminal activity. He brings up new rules that serve the public without consulting higher officials and does these through his own money. These rules cause huge losses to several criminals, mostly to Prathap Kale (Prakash Raj) who immediately calls upon an enmity with Airavata. During this while a reporter Priya (Urvashi Rautela) falls in love with Airavata, and is later shown to be the girl Airavata had saved previously from an accident, hence the reason for love. Despite this, Airavata does not reciprocate her feelings. During the preparations for a government event, Airavata is arrested by the force and is revealed to be a bogus officer. He reveals his story during an open court session. Airavata was a farmer who had gone to Bangalore to solve the problems of a few farmers. His sister Charu (Sindhu Lokanath) gets raped by their workers when she goes to plough the fields. A corrupt cop refused to take the family's complaint which results in Charu's suicide. Their friend Prakasa (Bullet Prakash) kills the inspector and is shot dead in the process. Airavata vows revenge and when Karnataka police gives a job opening in Bangalore, Airavata gets himself posted there by wrong means. The court declares Airavata innocent and sends him back to his village. On the request of the people, Airavata writes the civil service exam and is reposted as ACP. Now the story comes back to the present. The reporter is curious of what will be Airavata's next move. Airavata slowly begins to take down Prathap Kale's empire once more. He also accepts Priya's love. Towards the end, Prathap Kale kidnaps each and every police officer's daughters along with Priya intending to sell them abroad. Airavata arrives in the nook of time and saves them and kills Prathap Kale. At a felicitation ceremony, he submits his resignation form, saying that should crime rise again, then he will join the force once more. The film ends with Airavata and a child (Vineesh Darshan) saluting towards the screen. Watch all the Latest Tollywood Movies, Kannada Comedy Full Movies, Kannada New Action Full Movies 2017, South Indian Action Movies in Hindi only on Cinekorn Movies. Leave a Like and Share if you Loved the Movie and Do Not forget to Subscribe to Our Channel for Latest Hindi Dubbed Movies 2018. YouTube - www.youtube.com/cinekornmovies Google + - https://plus.google.com/u/0/+CINEKORNMovies Facebook - https://www.facebook.com/CinekornEnt Twitter - https://twitter.com/cinekornent Instagram - https://www.instagram.com/cinekornentertainment
Views: 20044855 Cinekorn Movies
Базовые упражнения в тренажерном зале. Базовые упражнения для набора массы
 
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https://www.instagram.com/prometei.tech/ reassured screamed liter favoring traction wondered reconsider realizing plow nap brain's ebb manifests CVD HDL minutiae ducks They've sufficed proponents waged salvo yearlong Tulane coverage unanimously sarcasm Pundits predictors coffin headlines representative enrolled Asians demographic diehards implausible slashing upped group's balloons publicized uptick bioelectrical impedance predictor LDL carbers pedestrian cuttingsome glean takeaways echoed study's Lydia Bazzano compel directing dogmatic almighty Jake fascinating devoting installment I’ve mmols Wingates foggy acuity tissue's oxidize Phinney synonymous Mistaking intriguing teamed Auburn Wolfe's CPT impede trash Someone's calorically reintroduction reintroduce blunts Paoli transitioned lasted Ketostix conservatively reversals lackluster telltale stroll tantamount deluge chockfull edibles aisle Who's les courgettes serrated peeler spiralizer wonderfully hash browns mandolin dubbed cauliflower's spuds pulverize Brassica wallop Chard sauté cremini shiitake fungi umami portobello stealthily praised dearth smear firepower backlash au naturale pint shrivelled rosy orbs lycopene Nature's lengthwise microwavable parchment scrape benevolent gourd Radish Bok choy Watercress famously sang stoned sweetness tinged tipoff nondigestible plush stellar sniffles pucker Fillets mercury unseasoned marinades ante beloved deli spared lunchmeats Dijon collard fests fattened Cornish hen Gruyere mundane decoupled riff blending pinches mop cultured surging critters tangy horns cow's Brie Ricotta kefir carnivores soaks brilliantly marinate Tempeh earthy mushroomy crumbling casseroles sauerkraut Pinto boast Pepitas o castoffs Sargento stringy bathed humming lofty healthyomega shops supermarkets Pepperettes Hazelnuts Bob's fare Shirataki translucent gelatinous konjac bowlful nondescript rinse blanch Preliminary prediabetes viscous Hazelnut brewed quencher moo cartons sidestep Imbibing infuses exhaustive flapjacks marys ye sipped seltzer contradictory farther swilling interchangeably insulinogenic spur counterintuitive accessing tougher adjusts Mozzarella cucumbers kcals reservoir thriving ongoing chow insisted French's Trimmed Uncured Portabella condensed tamari aminos steamer bubbly Ruthie ours marshmallows dye pumpkins fl Truvia Nutmeg Cloves towels masher lumpy quartered ½ generously pierced family's else's cleanup cooks Kosher slits slit PDF unwrap tossed bowl's ooohs aaaahs mouthwatering Coarse wilt bakes Sprouted crumb crumbs crumble byproducts apiece appreciable granite unconditioned stepmill app Centopani eater groundbreaking world's Evan's insists com's it'd befriending fluke flounder rutabaga turnips distributing rigors regimented hamburgers Animal's flagship Pak negotiable fundamentally depleting plows wishful oversimplified depletes Karbolyn Labrada's shuttling muscles replenished proponent dragging microtraumas pounder resynthesis disposal polymer shuttle Elasti RTD MRP EFA Charge Krill MPS rapamycin hesitate Centopani's diner steakhouse wheelbarrow Overseas border nearest awful refrigeration Stak Iconic XL Beanie Rotisserie precooked breaded standby powered brothers McGrath Antoine Vaillant baggie brainer Nothing's comforting goulash Slurp swole requested dad's bursting rotini parsnips I’ll paprika Worcestershire Caraway saucepot batch Printable Frosting silicone brethren Vincenzo Masone Fritz approached days steal sanitary basa jumbo gallbladder crowns handfuls plums nectarines underconsumed drilled skulls lid poking USDA thickest translates clump cruciferous broil cardamom thankfully occasions roasting dicing drizzling facet pectin midworkout plump insides glorious skimp Tahini Cumin pretzels sing Ramen entrée zing sharpest leftover pinapple Endive chilies clove crumbles vinaigrette Kalamata pitted Oregano Bragg's tonight's Mendelsohn frothy stove fortunate micromanaging achievements NASCAR skimping mussels rabbit seitan grapefruits limes Melons honeydew apricots… chestnuts overanalyzing fistful plateauing stricter fistfuls arrangement honing afforded it'll Fiber's Satiate Yep compiled SOUTHWEST potlucks bevy ROMA SEEDED uncovered BALSAMIC yummy clocks heats PARSNIP resealable rimmed Discard FE COB THINLY spinner BURRITO RINSED GARNISHES STROGANOFF CAMPBELL'S SHERRY dente garnished Dorian coveted GROUNDED hesitation filets tenderloins scours tags grabs fattier semblance beefing thrifty exchanges D's rodeo beeline Quaker swayed canister opts canisters measly sizzling sitcom Kris EZ sec Bathe proverbial anticipate Radar Benchmarks Robergs R Pearson Costill Fink J Pascoe Benedict Zachweija intensities Calder Yaqoob Bowtell Gelly Simeoni Rennie Wang uncompromising Welsh Kage meditative yin coincides iconoclast's sellers efficaciously replicate brand's Vitargo disguise bitterness reluctantly Offerings Hydra underperforming refilming raced biked deadlifted Ironman Matt Pritchard Ironmans swears triathletes Trainee Hey faceless
Views: 4626 ПРОКАЧКА
Питание для набора мышечной массы и роста мышц . Как набрать вес худому дрыщу?
 
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https://www.instagram.com/prometei.tech/ reassured screamed liter favoring traction wondered reconsider realizing plow nap brain's ebb manifests CVD HDL minutiae ducks They've sufficed proponents waged salvo yearlong Tulane coverage unanimously sarcasm Pundits predictors coffin headlines representative enrolled Asians demographic diehards implausible slashing upped group's balloons publicized uptick bioelectrical impedance predictor LDL carbers pedestrian cuttingsome glean takeaways echoed study's Lydia Bazzano compel directing dogmatic almighty Jake fascinating devoting installment I’ve mmols Wingates foggy acuity tissue's oxidize Phinney synonymous Mistaking intriguing teamed Auburn Wolfe's CPT impede trash Someone's calorically reintroduction reintroduce blunts Paoli transitioned lasted Ketostix conservatively reversals lackluster telltale stroll tantamount deluge chockfull edibles aisle Who's les courgettes serrated peeler spiralizer wonderfully hash browns mandolin dubbed cauliflower's spuds pulverize Brassica wallop Chard sauté cremini shiitake fungi umami portobello stealthily praised dearth smear firepower backlash au naturale pint shrivelled rosy orbs lycopene Nature's lengthwise microwavable parchment scrape benevolent gourd Radish Bok choy Watercress famously sang stoned sweetness tinged tipoff nondigestible plush stellar sniffles pucker Fillets mercury unseasoned marinades ante beloved deli spared lunchmeats Dijon collard fests fattened Cornish hen Gruyere mundane decoupled riff blending pinches mop cultured surging critters tangy horns cow's Brie Ricotta kefir carnivores soaks brilliantly marinate Tempeh earthy mushroomy crumbling casseroles sauerkraut Pinto boast Pepitas o castoffs Sargento stringy bathed humming lofty healthyomega shops supermarkets Pepperettes Hazelnuts Bob's fare Shirataki translucent gelatinous konjac bowlful nondescript rinse blanch Preliminary prediabetes viscous Hazelnut brewed quencher moo cartons sidestep Imbibing infuses exhaustive flapjacks marys ye sipped seltzer contradictory farther swilling interchangeably insulinogenic spur counterintuitive accessing tougher adjusts Mozzarella cucumbers kcals reservoir thriving ongoing chow insisted French's Trimmed Uncured Portabella condensed tamari aminos steamer bubbly Ruthie ours marshmallows dye pumpkins fl Truvia Nutmeg Cloves towels masher lumpy quartered ½ generously pierced family's else's cleanup cooks Kosher slits slit PDF unwrap tossed bowl's ooohs aaaahs mouthwatering Coarse wilt bakes Sprouted crumb crumbs crumble byproducts apiece appreciable granite unconditioned stepmill app Centopani eater groundbreaking world's Evan's insists com's it'd befriending fluke flounder rutabaga turnips distributing rigors regimented hamburgers Animal's flagship Pak negotiable fundamentally depleting plows wishful oversimplified depletes Karbolyn Labrada's shuttling muscles replenished proponent dragging microtraumas pounder resynthesis disposal polymer shuttle Elasti RTD MRP EFA Charge Krill MPS rapamycin hesitate Centopani's diner steakhouse wheelbarrow Overseas border nearest awful refrigeration Stak Iconic XL Beanie Rotisserie precooked breaded standby powered brothers McGrath Antoine Vaillant baggie brainer Nothing's comforting goulash Slurp swole requested dad's bursting rotini parsnips I’ll paprika Worcestershire Caraway saucepot batch Printable Frosting silicone brethren Vincenzo Masone Fritz approached days steal sanitary basa jumbo gallbladder crowns handfuls plums nectarines underconsumed drilled skulls lid poking USDA thickest translates clump cruciferous broil cardamom thankfully occasions roasting dicing drizzling facet pectin midworkout plump insides glorious skimp Tahini Cumin pretzels sing Ramen entrée zing sharpest leftover pinapple Endive chilies clove crumbles vinaigrette Kalamata pitted Oregano Bragg's tonight's Mendelsohn frothy stove fortunate micromanaging achievements NASCAR skimping mussels rabbit seitan grapefruits limes Melons honeydew apricots… chestnuts overanalyzing fistful plateauing stricter fistfuls arrangement honing afforded it'll Fiber's Satiate Yep compiled SOUTHWEST potlucks bevy ROMA SEEDED uncovered BALSAMIC yummy clocks heats PARSNIP resealable rimmed Discard FE COB THINLY spinner BURRITO RINSED GARNISHES STROGANOFF CAMPBELL'S SHERRY dente garnished Dorian coveted GROUNDED hesitation filets tenderloins scours tags grabs fattier semblance beefing thrifty exchanges D's rodeo beeline Quaker swayed canister opts canisters measly sizzling sitcom Kris EZ sec Bathe proverbial anticipate Radar Benchmarks Robergs R Pearson Costill Fink J Pascoe Benedict Zachweija intensities Calder Yaqoob Bowtell Gelly Simeoni Rennie Wang uncompromising Welsh Kage meditative yin coincides iconoclast's sellers efficaciously replicate brand's Vitargo disguise bitterness reluctantly Offerings Hydra underperforming refilming raced biked deadlifted Ironman Matt Pritchard Ironmans swears triathletes Trainee Hey faceless
Views: 1127 ПРОКАЧКА
The Things They Carried Tim O'Brien (Full Audiobook)
 
06:30:53
A reading of The Things They Carried written by Tim O'Brien and read by Michael DuBon. Playlist with individual chapters and full online text: https://www.youtube.com/playlist?list=PLtUh6fdfnA7KXVAiXTnTugDXSF3VwHj5M Full Text: http://savanna.auhsd.us/view/26051.pdf To donate to my audiobook career so I can continue producing audio to help students and readers, please follow this link: paypal.me/dubonmot Anything helps! Thank you so much. If you have any requests for short stories or poetry, please let me know in the comments.
Views: 5355 Michael DuBon
Chicago Hospitals Set-Up Decontamination Areas in Case of NATO Summit Bio-Terror Attack
 
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05/19/2012 From bioterrorism to heat stroke, the city's hospitals are also prepared for NATO. At Stroger hospital, tents and semi-trucks fill a parking lot outside the main hospital. And at Rush University medical Center, an area right beside the ER can be transformed to triage and treat large crowds in case of a major bio terror event. "This is not a typical ambulance bay," said Lauris Freidenfelds, pointing to the a large space which contains sprinklers overhead and a special eyewash zone. It's where ambulance usually park, but the director of security at Rush says it can quickly be transformed into a decontamination space. The garage contains overhead sprinklers to help dilute any possible chemicals such as tear gas. It also has a special eyewash zone. And it then leads directly into the emergency room. Freidenfields say the staff has gotten special training about crowd management because when people are "waiting to be decontaminated or feel like they're contaminated, they can get into a panic situation.. and get nervous." And in a worst case scenario, doctors and nurses may be at risk themselves.. so the hospital is ready with bio contamination suits that cover every inch of a worker's body, and provide a safe supply of oxygen. The dangers facing protestors, on the other hand, may have more to do with the weather.. as forecasters predict a sunny weekend in the eighties. So at Stroger, the decontamination tents, which look much like the ones used at the Chicago marathon, can act almost like a human car wash: offering a cooling zone with nozzles on the sides and tops that can spray people suffering from the heat.. or wash off people in cases where pepper spray or tear gas may have been used. But despite all the preparations, Dr. Robert Feldman, director of disaster planning for the health system at Stroger Hospital, hopes this weekend is nothing more than one big training exercise. "This is an opportunity for us to be able to setup the equipment, try it out and make sure all the systems work together," Feldman said. "The most likely thing by far is that nothing bad will happen." http://leaksource.wordpress.com/2012/04/28/beware-2012-chicago-nato-summit-false-flag/
Views: 1534 LeakSource2012
Coverage of Helsinki Summit as Vladimir Putin and Donald Trump hold historic meeting
 
04:37:50
After a significant delay in schedule, Mr. Trump and the U.S. delegation have arrived at the Presidential Palace for their day of meetings. The leaders are expected to discuss national security issues as well as the issue of Russian meddling in the 2016 election. Follow live updates: https://www.cbsnews.com/live-news/trump-putin-meeting-us-russia-helsinki-finland-summit-live-updates-today-2018-07-16/ "President Donald J. Trump and President Vladimir Putin of the Russian Federation will meet on July 16, 2018, in Helsinki, Finland. The two leaders will discuss relations between the United States and Russia and a range of national security issues," the White House statement said. Subscribe to the CBS News Channel HERE: http://youtube.com/cbsnews Watch CBSN live HERE: http://cbsn.ws/1PlLpZ7 Follow CBS News on Instagram HERE: https://www.instagram.com/cbsnews/ Like CBS News on Facebook HERE: http://facebook.com/cbsnews Follow CBS News on Twitter HERE: http://twitter.com/cbsnews Get the latest news and best in original reporting from CBS News delivered to your inbox. Subscribe to newsletters HERE: http://cbsn.ws/1RqHw7T Get your news on the go! Download CBS News mobile apps HERE: http://cbsn.ws/1Xb1WC8 Get new episodes of shows you love across devices the next day, stream CBSN and local news live, and watch full seasons of CBS fan favorites like Star Trek Discovery anytime, anywhere with CBS All Access. Try it free! http://bit.ly/1OQA29B --- CBSN is the first digital streaming news network that will allow Internet-connected consumers to watch live, anchored news coverage on their connected TV and other devices. At launch, the network is available 24/7 and makes all of the resources of CBS News available directly on digital platforms with live, anchored coverage 15 hours each weekday. CBSN. Always On.
Views: 65334 CBS News
Cameroon Health Insurance
 
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http://www.pacificprime.com/countries/cameroon/ Living or working in Africa, particularly in a country like Cameroon, can be very exciting for you and your family. However it is very important to have a good health insurance plan. The issue is that in a country like Cameroon, a basic simple operation or a simple cold or flu, the standard healthcare would be fine. But in the event of a serious accident or a serious medical issue then, most people would want to be evacuated to probably Dubai or may be South Africa. A good health insurance plan from an International Health Company such as Bupa, Allianz, Aetna or Cigna is a very good choice. The reason is that these companies are truly international. They are setup up specifically to deal with situation whereby you are going to be evacuated or repatriated to your home country. Health insurance plan from an international health company will have very comprehensive impatient component (in other words going to hospitals). It also gives you the option to have an outpatient part, maternity, that important to you, possibly optical dental, well being and most importantly, evacuation and repatriation. So if you are living or working in Africa or living or working in Cameroon then please, talk to us we will be happy to advise you. Cameroon personal medical insurance coverage Policies are usually available with both emergency-only and comprehensive coverage. For further details on this kinds of coverage, visit individual Cameroon health coverage plans. Cameroon family health insurance The name says it all. With a family policy, several factors play a part to choose the plan, and insurance companies all offer varying benefits to meet the differing coverage needs of the different sizes and kinds of families. Cameroon health cover plans are available in a all-inclusive array of coverage types and benefits are provided by a large variety of insurers. Also, medical charges are rising due to continual improvements in health medical cares , and the availability of high-priced new material and cure. When you know this, it is crucial to have a Cameroon medical policy opened to protect yourself from bearing the cost of these increasing expenses. This is particularly true if you are yourself with a circumstances needing extensive health treatments at a attending physician in a clinic. Though selecting a health insurance policy cover-up tactics in Cameroon, selecting a policy that fit well can be difficult given the plenty of insurances companies available. At www.pacificprime.com, our Cameroon health insurance plans spring from more than 50 coverage companies , so at the moment you decide to purchase a Cameroon health coverage tactics from us, you can expect to be presented with a big quantity of good alternatives all below individual roof. Most of our scheme come guaranteed renewable for life and conclude insurance on a global scale. This allows you to keep your Cameroon procedure with you and keep constant medical protection everywhere in the world. Also advise you on which hospitals in Cameroon are best for giving birth personal interest and advise the accommodations appropriate for the treatment of certain medical issues. You are now an expatriate in Cameroon, it will be no surprise to find yourself transferred out of where you are to another country. By pairing up with top insurance partners from around the world, our hong kong health insurance policies are universally portable and do away with the hassle of finding a new tactics during the moving process. We can send your coverage concerns on each step of your deed, thereby ensuring that you have complete coverage wherever you may limit up.
Views: 165 PacificPrimeGlobal
How a Foiled Active Shooter Attack Prompted UCF to Rethink Security
 
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In March of 2013, a University of Central Florida (UCF) student planned to pull the fire alarm in his residence hall and then shoot his classmates as they were evacuating. Fortunately for the UCF community, however, the shooter’s gun jammed, and his plan was foiled in great part due to the rapid response of UCF’s police department. As officers were closing in on the gunman, he took his own life. Although UCF’s officers did an outstanding job responding to the active shooter threat, the incident also uncovered some weaknesses with the school’s electronic security systems. Officers didn’t know how many shooters were involved in the attack and needed a real-time assessment of the situation, which UCF’s video surveillance system at the time could not provide. Like many universities, hospitals, schools and other organizations, UCF had many types of cameras and cameras systems installed all over campus that didn’t work well together. UCF had the same issue with its access control solutions. Additionally, back in 2013, the IT department was responsible for physical security. Although the IT department understood network technology quite well, it didn’t have a background in security, so important factors such as camera placement, video storage, lighting requirements, frame rate resolution and other issues posed challenges. UCF officials knew they needed to make a change in how they handled physical security, so they hired Joe Souza as the assistant director of security for UCF’s Department of Security and Emergency Management. He and his camera coordinator and access control specialist got to work in addressing the physical security gaps the March 2013 incident uncovered. In my exclusive interview with Souza, he talks about how he and his employees now manage UCF’s physical security technology. He discusses how they developed standards, worked with their IT department and their local integrator so that all of the technology is now properly configured and supported with good policy and procedure. Souza also talks about his own background in physical security and his current job requirements, as well as the skills he was looking for when he was hiring UCF’s camera coordinator and access control specialist.
Views: 431 Robin Hattersley
Implementation of Jordan's Principle:  Addressing Disparities in Services for First Nations Children
 
01:16:00
Synopsis Jordan's Principle is a child-first principle intended to ensure that status First Nations children living on-reserve do not experience delay or disruption of services as a result of jurisdictional disputes between governments or government departments over payment for services. It is named in honour of Jordan River Anderson, a child from Norway House First Nation, who died in hospital after Federal and Provincial governments spent over two years arguing over payment for his at-home care. Jordan's Principle was unanimously passed in the House of Commons in 2007, but the Canadian Paediatric Society reports that neither the Federal government nor any of the Provinces/Territories have fully implemented Jordan's Principle. Moreover, while service providers and First Nations advocates provide anecdotal evidence to suggest there may be many situations in which First Nations children living on-reserve experience delay, disruption, or denial of services normally available to other children, the Federal government indicated in both 2011 and 2012 that it knew of no Jordan's Principles cases. To date, there has been no systematic documentation of the number or nature of cases in which First Nations children living on-reserve experience delay, disruption, or denial of services normally available to other children. Nor has there been any systematic documentation of the structural differences, in processes for accessing or providing services, which might contribute to disparities in services for First Nations children living on-reserve and for other children. In this webinar, we will provide an overview and update on the implementation of Jordan's Principle in Canada. We will discuss the narrow operational definition of Jordan's Principle adopted by the Federal government, review the Canadian Pediatric Society's report card on Jordan's Principle implementation, and assess the implications of a recent court ruling (the Pictou Landing Band Council & Maurina Beadle v. Canada) for the implementation of Jordan's Principle. In addition, we will introduce a research study being conducted by researchers at McGill University, working in partnership with the Canadian Association of Paediatric Health Centres, the Assembly of First Nations, UNICEF Canada, and the Canadian Paediatric Society. The goal of the study is to systematically document differences in processes for accessing or providing health and social services for First Nations children living on-reserve and for other children. Webinar participants will be invited to give feedback on the study design, to consider participating in the study, and to attend a follow-up webinar presenting preliminary research findings. Presenter Bios Vandna Sinha is an assistant professor in the School of Social Work at McGill University. Her research explores the ways that minority and marginalized communities support and care for their members in light of resource limitations, restrictions imposed by social policies and other factors which limit members' quality of life and access to opportunity. She conducts community-engaged research which supports efforts to develop and improve community based health and social services for children and families. Dr. Sinha is principal investigator for the First Nations component of the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2008), working closely with a First Nations advisory committee to oversee the most comprehensive national level study of First Nations child welfare investigations ever completed in Canada. She also collaborates with representatives of diverse minority communities on a number of projects supporting the development, implementation, and evaluation of services for families and children. Lucyna Lach is an Associate Professor in the School of Social Work, McGill University and an Associate Member of the Departments of Pediatrics and Neurology/Neurosurgery in the Faculty of Medicine, McGill University. She has a special interest in health-related quality of life and parenting of children with chronic health conditions and disabilities. Dr. Lach is principal investigator for the Quebec subsample of the pan-Canadian study on Outcome Trajectories in Children with Epilepsy, a study examining determinants of health related quality of life in this population. She is also co-principal investigator of the CIHR Team in PARENTING MATTERS! The Biopsychosocial Context Of Parenting Children With Neurodevelopmental Disorders In Canada. Working closely with parents, clinical and institutional leaders, and policy makers, Dr. Lach hopes to increase awareness of what constitutes parenting, what makes a difference to how parents parent their child, and what difference parenting makes to child outcomes.
Трансформация Эндоморфа на кето диете (кетогенной). Реальный опыт сушки эндоморфа часть 2
 
03:09
https://www.instagram.com/prometei.tech/ reassured screamed liter favoring traction wondered reconsider realizing plow nap brain's ebb manifests CVD HDL minutiae ducks They've sufficed proponents waged salvo yearlong Tulane coverage unanimously sarcasm Pundits predictors coffin headlines representative enrolled Asians demographic diehards implausible slashing upped group's balloons publicized uptick bioelectrical impedance predictor LDL carbers pedestrian cuttingsome glean takeaways echoed study's Lydia Bazzano compel directing dogmatic almighty Jake fascinating devoting installment I’ve mmols Wingates foggy acuity tissue's oxidize Phinney synonymous Mistaking intriguing teamed Auburn Wolfe's CPT impede trash Someone's calorically reintroduction reintroduce blunts Paoli transitioned lasted Ketostix conservatively reversals lackluster telltale stroll tantamount deluge chockfull edibles aisle Who's les courgettes serrated peeler spiralizer wonderfully hash browns mandolin dubbed cauliflower's spuds pulverize Brassica wallop Chard sauté cremini shiitake fungi umami portobello stealthily praised dearth smear firepower backlash au naturale pint shrivelled rosy orbs lycopene Nature's lengthwise microwavable parchment scrape benevolent gourd Radish Bok choy Watercress famously sang stoned sweetness tinged tipoff nondigestible plush stellar sniffles pucker Fillets mercury unseasoned marinades ante beloved deli spared lunchmeats Dijon collard fests fattened Cornish hen Gruyere mundane decoupled riff blending pinches mop cultured surging critters tangy horns cow's Brie Ricotta kefir carnivores soaks brilliantly marinate Tempeh earthy mushroomy crumbling casseroles sauerkraut Pinto boast Pepitas o castoffs Sargento stringy bathed humming lofty healthyomega shops supermarkets Pepperettes Hazelnuts Bob's fare Shirataki translucent gelatinous konjac bowlful nondescript rinse blanch Preliminary prediabetes viscous Hazelnut brewed quencher moo cartons sidestep Imbibing infuses exhaustive flapjacks marys ye sipped seltzer contradictory farther swilling interchangeably insulinogenic spur counterintuitive accessing tougher adjusts Mozzarella cucumbers kcals reservoir thriving ongoing chow insisted French's Trimmed Uncured Portabella condensed tamari aminos steamer bubbly Ruthie ours marshmallows dye pumpkins fl Truvia Nutmeg Cloves towels masher lumpy quartered ½ generously pierced family's else's cleanup cooks Kosher slits slit PDF unwrap tossed bowl's ooohs aaaahs mouthwatering Coarse wilt bakes Sprouted crumb crumbs crumble byproducts apiece appreciable granite unconditioned stepmill app Centopani eater groundbreaking world's Evan's insists com's it'd befriending fluke flounder rutabaga turnips distributing rigors regimented hamburgers Animal's flagship Pak negotiable fundamentally depleting plows wishful oversimplified depletes Karbolyn Labrada's shuttling muscles replenished proponent dragging microtraumas pounder resynthesis disposal polymer shuttle Elasti RTD MRP EFA Charge Krill MPS rapamycin hesitate Centopani's diner steakhouse wheelbarrow Overseas border nearest awful refrigeration Stak Iconic XL Beanie Rotisserie precooked breaded standby powered brothers McGrath Antoine Vaillant baggie brainer Nothing's comforting goulash Slurp swole requested dad's bursting rotini parsnips I’ll paprika Worcestershire Caraway saucepot batch Printable Frosting silicone brethren Vincenzo Masone Fritz approached days steal sanitary basa jumbo gallbladder crowns handfuls plums nectarines underconsumed drilled skulls lid poking USDA thickest translates clump cruciferous broil cardamom thankfully occasions roasting dicing drizzling facet pectin midworkout plump insides glorious skimp Tahini Cumin pretzels sing Ramen entrée zing sharpest leftover pinapple Endive chilies clove crumbles vinaigrette Kalamata pitted Oregano Bragg's tonight's Mendelsohn frothy stove fortunate micromanaging achievements NASCAR skimping mussels rabbit seitan grapefruits limes Melons honeydew apricots… chestnuts overanalyzing fistful plateauing stricter fistfuls arrangement honing afforded it'll Fiber's Satiate Yep compiled SOUTHWEST potlucks bevy ROMA SEEDED uncovered BALSAMIC yummy clocks heats PARSNIP resealable rimmed Discard FE COB THINLY spinner BURRITO RINSED GARNISHES STROGANOFF CAMPBELL'S SHERRY dente garnished Dorian coveted GROUNDED hesitation filets tenderloins scours tags grabs fattier semblance beefing thrifty exchanges D's rodeo beeline Quaker swayed canister opts canisters measly sizzling sitcom Kris EZ sec Bathe proverbial anticipate Radar Benchmarks Robergs R Pearson Costill Fink J Pascoe Benedict Zachweija intensities Calder Yaqoob Bowtell Gelly Simeoni Rennie Wang uncompromising Welsh Kage meditative yin coincides iconoclast's sellers efficaciously replicate brand's Vitargo disguise bitterness reluctantly Offerings Hydra underperforming refilming raced biked deadlifted Ironman Matt Pritchard Ironmans swears triathletes Trainee Hey faceless
Views: 30085 ПРОКАЧКА
DEF CON 23  -  Panel - DEF CON Comedy Inception
 
01:39:25
This year at DEF CON a former FAIL PANEL panelist attempts to keep the spirit alive by playing moderator. Less poetry, more roasting. A new cast of characters, more lulz, and no rules. Nothing is sacred, not the industry, not the audience, not even each other. Our cast of characters will bring you all sorts of technical fail, ROFLCOPTER to back it up. No waffles, but we have other tricks up our sleeve to punish, er, um, show love to our audience, all while raising money of the EFF and HFC. The FAIL PANEL may be dead, but the “giving” goes on. Speaker Bios: Larry Pesce is a Senior Security Analyst with InGuardians. His recent experience includes providing penetration assessment, architecture review, hardware security assessment, wireless/radio analysis, and policy and procedure development for a wide range of industries including those in the financial, retail, and healthcare verticals. Larry is an accomplished speaker, having presented numerous times at industry conferences as well as the co-host of the long running multi-award winning Security Podcast, Paul's Security Weekly. and is a certified instructor with the SANS Institute. Larry is a graduate of Roger Williams University. In his spare time he likes to tinker with all things electronic and wireless. Larry is an amateur radio operator holding his Extra class license and is regularly involved in emergency communications activities. In 1972 a crack commando unit was sent to prison by a military court for a crime they didn't commit. These men promptly escaped from a maximum security stockade.... making the decision to leave Amanda behind. Ms. Berlin is now rumored to have illegitimate children by Saudi Oil barons hidden all over the world in at least 27 countries but this can neither be confirmed nor denied. Amanda Berlin is a Network Security Engineer at Hurricane Labs. She is most well known for being a breaker of hearts, knees, and SJW's. Bringing "Jack of All Trades" back to being sexy, she has worked her fingers to the bone securing ISPs, Healthcare facilities, Artificial Insemination factories, and brothels. Amanda managed the internal phishing campaign at a medium size healthcare facility to promote user education about phishing and hacking through an awards based reporting program. She is a lead organizer for CircleCityCon, volunteers at many other conferences, and enjoys writing and teaching others. Twitter: @InfoSystir Chris Blow is a Senior Technical Advisor with Rook Security. His most recent experience includes: penetration testing, social engineering, red team exercises, policy and procedure guidance focused on HIPAA and PCI DSS, developing security awareness programs, performing HIPAA assessments and serving as a Qualified Security Assessor for the Payment Card Industry. @b10w In reality, his primary duties are to be told by various clients that “security is hard” and to just “accept the risk.” He’s also well-versed in being told to keep vulnerable assets and people “out of scope.” Chris is a graduate of Purdue University in West Lafayette, IN. Besides trying to keep up with all-things-InfoSec, Chris enjoys playing guitar, singing, and DJing. Twitter: @b10w illwill is a rogue blackhat as fuck subcontractor for top secret global governments. He spends his off time enjoying bubble baths, recovering from a debilitating injury as infosystir's former bean fluffer and hand carves realistic thrones made from discarded dildos found dumpster diving behind a porn store in Los Angeles. Dan Tentler likes to break things. He's also an expert on failure. Ask him about it. But ask with scotch. Twitter: @viss @chrissistrunk
Views: 17187 DEFCONConference
Сколько можно скинуть (похудеть) на кефирной диете?
 
02:30
https://www.instagram.com/prometei.tech/ reassured screamed liter favoring traction wondered reconsider realizing plow nap brain's ebb manifests CVD HDL minutiae ducks They've sufficed proponents waged salvo yearlong Tulane coverage unanimously sarcasm Pundits predictors coffin headlines representative enrolled Asians demographic diehards implausible slashing upped group's balloons publicized uptick bioelectrical impedance predictor LDL carbers pedestrian cuttingsome glean takeaways echoed study's Lydia Bazzano compel directing dogmatic almighty Jake fascinating devoting installment I’ve mmols Wingates foggy acuity tissue's oxidize Phinney synonymous Mistaking intriguing teamed Auburn Wolfe's CPT impede trash Someone's calorically reintroduction reintroduce blunts Paoli transitioned lasted Ketostix conservatively reversals lackluster telltale stroll tantamount deluge chockfull edibles aisle Who's les courgettes serrated peeler spiralizer wonderfully hash browns mandolin dubbed cauliflower's spuds pulverize Brassica wallop Chard sauté cremini shiitake fungi umami portobello stealthily praised dearth smear firepower backlash au naturale pint shrivelled rosy orbs lycopene Nature's lengthwise microwavable parchment scrape benevolent gourd Radish Bok choy Watercress famously sang stoned sweetness tinged tipoff nondigestible plush stellar sniffles pucker Fillets mercury unseasoned marinades ante beloved deli spared lunchmeats Dijon collard fests fattened Cornish hen Gruyere mundane decoupled riff blending pinches mop cultured surging critters tangy horns cow's Brie Ricotta kefir carnivores soaks brilliantly marinate Tempeh earthy mushroomy crumbling casseroles sauerkraut Pinto boast Pepitas o castoffs Sargento stringy bathed humming lofty healthyomega shops supermarkets Pepperettes Hazelnuts Bob's fare Shirataki translucent gelatinous konjac bowlful nondescript rinse blanch Preliminary prediabetes viscous Hazelnut brewed quencher moo cartons sidestep Imbibing infuses exhaustive flapjacks marys ye sipped seltzer contradictory farther swilling interchangeably insulinogenic spur counterintuitive accessing tougher adjusts Mozzarella cucumbers kcals reservoir thriving ongoing chow insisted French's Trimmed Uncured Portabella condensed tamari aminos steamer bubbly Ruthie ours marshmallows dye pumpkins fl Truvia Nutmeg Cloves towels masher lumpy quartered ½ generously pierced family's else's cleanup cooks Kosher slits slit PDF unwrap tossed bowl's ooohs aaaahs mouthwatering Coarse wilt bakes Sprouted crumb crumbs crumble byproducts apiece appreciable granite unconditioned stepmill app Centopani eater groundbreaking world's Evan's insists com's it'd befriending fluke flounder rutabaga turnips distributing rigors regimented hamburgers Animal's flagship Pak negotiable fundamentally depleting plows wishful oversimplified depletes Karbolyn Labrada's shuttling muscles replenished proponent dragging microtraumas pounder resynthesis disposal polymer shuttle Elasti RTD MRP EFA Charge Krill MPS rapamycin hesitate Centopani's diner steakhouse wheelbarrow Overseas border nearest awful refrigeration Stak Iconic XL Beanie Rotisserie precooked breaded standby powered brothers McGrath Antoine Vaillant baggie brainer Nothing's comforting goulash Slurp swole requested dad's bursting rotini parsnips I’ll paprika Worcestershire Caraway saucepot batch Printable Frosting silicone brethren Vincenzo Masone Fritz approached days steal sanitary basa jumbo gallbladder crowns handfuls plums nectarines underconsumed drilled skulls lid poking USDA thickest translates clump cruciferous broil cardamom thankfully occasions roasting dicing drizzling facet pectin midworkout plump insides glorious skimp Tahini Cumin pretzels sing Ramen entrée zing sharpest leftover pinapple Endive chilies clove crumbles vinaigrette Kalamata pitted Oregano Bragg's tonight's Mendelsohn frothy stove fortunate micromanaging achievements NASCAR skimping mussels rabbit seitan grapefruits limes Melons honeydew apricots… chestnuts overanalyzing fistful plateauing stricter fistfuls arrangement honing afforded it'll Fiber's Satiate Yep compiled SOUTHWEST potlucks bevy ROMA SEEDED uncovered BALSAMIC yummy clocks heats PARSNIP resealable rimmed Discard FE COB THINLY spinner BURRITO RINSED GARNISHES STROGANOFF CAMPBELL'S SHERRY dente garnished Dorian coveted GROUNDED hesitation filets tenderloins scours tags grabs fattier semblance beefing thrifty exchanges D's rodeo beeline Quaker swayed canister opts canisters measly sizzling sitcom Kris EZ sec Bathe proverbial anticipate Radar Benchmarks Robergs R Pearson Costill Fink J Pascoe Benedict Zachweija intensities Calder Yaqoob Bowtell Gelly Simeoni Rennie Wang uncompromising Welsh Kage meditative yin coincides iconoclast's sellers efficaciously replicate brand's Vitargo disguise bitterness reluctantly Offerings Hydra underperforming refilming raced biked deadlifted Ironman Matt Pritchard Ironmans swears triathletes Trainee Hey faceless
Views: 20673 ПРОКАЧКА
JSGS Public Lecture: Implementing the Duty to Consult
 
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JSGS Public Lecture: Implementing the Duty to Consult: Explaining Similarities and Differences in Provincial Approaches to Aboriginal Consultation Presented by: Dr. Martin Papillon, Associate Professor, School of Political Studies, University of Ottawa Provincial governments in Canada have responded to recent Supreme Court decisions on the constitutional duty to consult Aboriginal peoples with a series of policies outlining their interpretation of this new norm and procedures to implement it. While these policies vary significantly, broadly reflecting the specific economic, political and legal context of Aboriginal-state relations in each province, recent developments suggest a convergence both in the definition and in the implementation of the duty to consult across Canada. This presentation discussed possible explanations for this convergence and its implications for Aboriginal-provincial relations and for policy-making in the Canadian federation more broadly.
Views: 698 jsgspp
Relationships Matter–Tribal Nursing Homes Working with Tribal Governing Boards
 
01:09:25
Learn how tribal nursing homes work with tribal governing boards, establish policy, discuss daily operations, and improve care for the community. Tribes and culture help determine how to cultivate these relationships. Debbie Dyjak, with the Archie Hendricks Sr. Skilled Nursing Facility and the Uniting Nursing Homes in Tribal Excellence (UNITE), will facilitate a panel discussion. Three tribal nursing home administrators and two tribal nursing home board members will share stories and lessons learned about working with tribal governing boards, and discuss effective administrative, management, and communications skills. There will be an audience Q&A at the end of the webinar. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/comment_policy.html As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html
Views: 129 CMSHHSgov
Reimbursement and Coding for SBIRT
 
03:06:58
Presenter: Presenter: Joseph Hurley is president of Primary Care National and the Executive Director of MediCenter Health Systems in Kenai, AK. Mr.Hurley's pioneering work has been centered in the role of team based healthcare, creating successful Screening, Brief Intervention and Referral to Treatment (SBIRT) integration and implementation modules, primary care innovations, five tier 3 certified patient centered medical homes, accountable care organizations, Oregon's Coordinated Care Organizations, and the expansion of the role primary care has in our nation's healthcare reform. This webinar discusses how early SBIRT adopters became SBIRT billing innovators in hospital and clinic settings, how to integrate SBIRT into your EHR and billing system, and how to get paid for SBIRT in hospitals, emergency departments and outpatient hospital practices and clinics. SBIRT enables providers and hospital to treat patients and it allows for coding/billing to operate seamlessly.
Views: 327 TheIRETAchannel
M280A - Serious Reportable Events: Identification and Prevention Part I
 
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http://www.medcominc.com TO ORDER, PLEASE CALL (800) 541-0253 Ensuring and increasing patient safety are primary goals for most every healthcare organization. Large scale efforts such as the Serious Reportable Events in Healthcare list developed by the National Quality Forum (NQF), the Hospital-Acquired Conditions provision of the Centers for Medicare and Medicaid Services (CMS) payment system, and the Joint Commission's "National Patient Safety Goals" have been put in place to make this goal a reality. Each is important in supporting endeavors to ensure patient safety. This program will discuss the first three categories of reportable events from the NQF's Serious Reportable Events in Healthcare list. After watching this program viewers should be able to: • Identify the three standards in the surgical or invasive procedure events category • Identify the three standards in the product or device events category • Identify the three standards in the patient protection events category For more information about this program, please call (800) 877-1443 or go to: http://www.medcomrn.com/index.php/product_category/Safety?preview=Y#M280A
Views: 297 Medcom Trainex
Что такое гликоген? Мышечный и печеночный гликоген
 
01:58
https://www.instagram.com/prometei.tech/ reassured screamed liter favoring traction wondered reconsider realizing plow nap brain's ebb manifests CVD HDL minutiae ducks They've sufficed proponents waged salvo yearlong Tulane coverage unanimously sarcasm Pundits predictors coffin headlines representative enrolled Asians demographic diehards implausible slashing upped group's balloons publicized uptick bioelectrical impedance predictor LDL carbers pedestrian cuttingsome glean takeaways echoed study's Lydia Bazzano compel directing dogmatic almighty Jake fascinating devoting installment I’ve mmols Wingates foggy acuity tissue's oxidize Phinney synonymous Mistaking intriguing teamed Auburn Wolfe's CPT impede trash Someone's calorically reintroduction reintroduce blunts Paoli transitioned lasted Ketostix conservatively reversals lackluster telltale stroll tantamount deluge chockfull edibles aisle Who's les courgettes serrated peeler spiralizer wonderfully hash browns mandolin dubbed cauliflower's spuds pulverize Brassica wallop Chard sauté cremini shiitake fungi umami portobello stealthily praised dearth smear firepower backlash au naturale pint shrivelled rosy orbs lycopene Nature's lengthwise microwavable parchment scrape benevolent gourd Radish Bok choy Watercress famously sang stoned sweetness tinged tipoff nondigestible plush stellar sniffles pucker Fillets mercury unseasoned marinades ante beloved deli spared lunchmeats Dijon collard fests fattened Cornish hen Gruyere mundane decoupled riff blending pinches mop cultured surging critters tangy horns cow's Brie Ricotta kefir carnivores soaks brilliantly marinate Tempeh earthy mushroomy crumbling casseroles sauerkraut Pinto boast Pepitas o castoffs Sargento stringy bathed humming lofty healthyomega shops supermarkets Pepperettes Hazelnuts Bob's fare Shirataki translucent gelatinous konjac bowlful nondescript rinse blanch Preliminary prediabetes viscous Hazelnut brewed quencher moo cartons sidestep Imbibing infuses exhaustive flapjacks marys ye sipped seltzer contradictory farther swilling interchangeably insulinogenic spur counterintuitive accessing tougher adjusts Mozzarella cucumbers kcals reservoir thriving ongoing chow insisted French's Trimmed Uncured Portabella condensed tamari aminos steamer bubbly Ruthie ours marshmallows dye pumpkins fl Truvia Nutmeg Cloves towels masher lumpy quartered ½ generously pierced family's else's cleanup cooks Kosher slits slit PDF unwrap tossed bowl's ooohs aaaahs mouthwatering Coarse wilt bakes Sprouted crumb crumbs crumble byproducts apiece appreciable granite unconditioned stepmill app Centopani eater groundbreaking world's Evan's insists com's it'd befriending fluke flounder rutabaga turnips distributing rigors regimented hamburgers Animal's flagship Pak negotiable fundamentally depleting plows wishful oversimplified depletes Karbolyn Labrada's shuttling muscles replenished proponent dragging microtraumas pounder resynthesis disposal polymer shuttle Elasti RTD MRP EFA Charge Krill MPS rapamycin hesitate Centopani's diner steakhouse wheelbarrow Overseas border nearest awful refrigeration Stak Iconic XL Beanie Rotisserie precooked breaded standby powered brothers McGrath Antoine Vaillant baggie brainer Nothing's comforting goulash Slurp swole requested dad's bursting rotini parsnips I’ll paprika Worcestershire Caraway saucepot batch Printable Frosting silicone brethren Vincenzo Masone Fritz approached days steal sanitary basa jumbo gallbladder crowns handfuls plums nectarines underconsumed drilled skulls lid poking USDA thickest translates clump cruciferous broil cardamom thankfully occasions roasting dicing drizzling facet pectin midworkout plump insides glorious skimp Tahini Cumin pretzels sing Ramen entrée zing sharpest leftover pinapple Endive chilies clove crumbles vinaigrette Kalamata pitted Oregano Bragg's tonight's Mendelsohn frothy stove fortunate micromanaging achievements NASCAR skimping mussels rabbit seitan grapefruits limes Melons honeydew apricots… chestnuts overanalyzing fistful plateauing stricter fistfuls arrangement honing afforded it'll Fiber's Satiate Yep compiled SOUTHWEST potlucks bevy ROMA SEEDED uncovered BALSAMIC yummy clocks heats PARSNIP resealable rimmed Discard FE COB THINLY spinner BURRITO RINSED GARNISHES STROGANOFF CAMPBELL'S SHERRY dente garnished Dorian coveted GROUNDED hesitation filets tenderloins scours tags grabs fattier semblance beefing thrifty exchanges D's rodeo beeline Quaker swayed canister opts canisters measly sizzling sitcom Kris EZ sec Bathe proverbial anticipate Radar Benchmarks Robergs R Pearson Costill Fink J Pascoe Benedict Zachweija intensities Calder Yaqoob Bowtell Gelly Simeoni Rennie Wang uncompromising Welsh Kage meditative yin coincides iconoclast's sellers efficaciously replicate brand's Vitargo disguise bitterness reluctantly Offerings Hydra underperforming refilming raced biked deadlifted Ironman Matt Pritchard Ironmans swears triathletes Trainee Hey faceless
Views: 5131 ПРОКАЧКА
Webinar - Event Reporting
 
57:15
May 19-20, 2010 The importance of reporting and analyzing events and near misses and using the information to prevent recurrence and make system improvements is reviewed. Approaches to implementing an effective reporting system, including the continued trend toward computerized systems, are presented. Strategies for implementing solutions to problems identified through event reporting and other risk identification techniques are reviewed. The presentation also covers: • Event reporting, investigation, and analysis in a "just culture" • Internal processes for communicating and responding to the occurrence of an event • Examples of successful event reporting outcomes • ECRI Institute sample policies, forms, and tools included in the Event Reporting Toolkit, available at the Clinical Risk Management services Web site
Views: 3751 HRSAtube
Кленбутерол в спорте. Польза, или вред? Побочки от кленбутерола
 
04:10
https://www.instagram.com/prometei.tech/ reassured screamed liter favoring traction wondered reconsider realizing plow nap brain's ebb manifests CVD HDL minutiae ducks They've sufficed proponents waged salvo yearlong Tulane coverage unanimously sarcasm Pundits predictors coffin headlines representative enrolled Asians demographic diehards implausible slashing upped group's balloons publicized uptick bioelectrical impedance predictor LDL carbers pedestrian cuttingsome glean takeaways echoed study's Lydia Bazzano compel directing dogmatic almighty Jake fascinating devoting installment I’ve mmols Wingates foggy acuity tissue's oxidize Phinney synonymous Mistaking intriguing teamed Auburn Wolfe's CPT impede trash Someone's calorically reintroduction reintroduce blunts Paoli transitioned lasted Ketostix conservatively reversals lackluster telltale stroll tantamount deluge chockfull edibles aisle Who's les courgettes serrated peeler spiralizer wonderfully hash browns mandolin dubbed cauliflower's spuds pulverize Brassica wallop Chard sauté cremini shiitake fungi umami portobello stealthily praised dearth smear firepower backlash au naturale pint shrivelled rosy orbs lycopene Nature's lengthwise microwavable parchment scrape benevolent gourd Radish Bok choy Watercress famously sang stoned sweetness tinged tipoff nondigestible plush stellar sniffles pucker Fillets mercury unseasoned marinades ante beloved deli spared lunchmeats Dijon collard fests fattened Cornish hen Gruyere mundane decoupled riff blending pinches mop cultured surging critters tangy horns cow's Brie Ricotta kefir carnivores soaks brilliantly marinate Tempeh earthy mushroomy crumbling casseroles sauerkraut Pinto boast Pepitas o castoffs Sargento stringy bathed humming lofty healthyomega shops supermarkets Pepperettes Hazelnuts Bob's fare Shirataki translucent gelatinous konjac bowlful nondescript rinse blanch Preliminary prediabetes viscous Hazelnut brewed quencher moo cartons sidestep Imbibing infuses exhaustive flapjacks marys ye sipped seltzer contradictory farther swilling interchangeably insulinogenic spur counterintuitive accessing tougher adjusts Mozzarella cucumbers kcals reservoir thriving ongoing chow insisted French's Trimmed Uncured Portabella condensed tamari aminos steamer bubbly Ruthie ours marshmallows dye pumpkins fl Truvia Nutmeg Cloves towels masher lumpy quartered ½ generously pierced family's else's cleanup cooks Kosher slits slit PDF unwrap tossed bowl's ooohs aaaahs mouthwatering Coarse wilt bakes Sprouted crumb crumbs crumble byproducts apiece appreciable granite unconditioned stepmill app Centopani eater groundbreaking world's Evan's insists com's it'd befriending fluke flounder rutabaga turnips distributing rigors regimented hamburgers Animal's flagship Pak negotiable fundamentally depleting plows wishful oversimplified depletes Karbolyn Labrada's shuttling muscles replenished proponent dragging microtraumas pounder resynthesis disposal polymer shuttle Elasti RTD MRP EFA Charge Krill MPS rapamycin hesitate Centopani's diner steakhouse wheelbarrow Overseas border nearest awful refrigeration Stak Iconic XL Beanie Rotisserie precooked breaded standby powered brothers McGrath Antoine Vaillant baggie brainer Nothing's comforting goulash Slurp swole requested dad's bursting rotini parsnips I’ll paprika Worcestershire Caraway saucepot batch Printable Frosting silicone brethren Vincenzo Masone Fritz approached days steal sanitary basa jumbo gallbladder crowns handfuls plums nectarines underconsumed drilled skulls lid poking USDA thickest translates clump cruciferous broil cardamom thankfully occasions roasting dicing drizzling facet pectin midworkout plump insides glorious skimp Tahini Cumin pretzels sing Ramen entrée zing sharpest leftover pinapple Endive chilies clove crumbles vinaigrette Kalamata pitted Oregano Bragg's tonight's Mendelsohn frothy stove fortunate micromanaging achievements NASCAR skimping mussels rabbit seitan grapefruits limes Melons honeydew apricots… chestnuts overanalyzing fistful plateauing stricter fistfuls arrangement honing afforded it'll Fiber's Satiate Yep compiled SOUTHWEST potlucks bevy ROMA SEEDED uncovered BALSAMIC yummy clocks heats PARSNIP resealable rimmed Discard FE COB THINLY spinner BURRITO RINSED GARNISHES STROGANOFF CAMPBELL'S SHERRY dente garnished Dorian coveted GROUNDED hesitation filets tenderloins scours tags grabs fattier semblance beefing thrifty exchanges D's rodeo beeline Quaker swayed canister opts canisters measly sizzling sitcom Kris EZ sec Bathe proverbial anticipate Radar Benchmarks Robergs R Pearson Costill Fink J Pascoe Benedict Zachweija intensities Calder Yaqoob Bowtell Gelly Simeoni Rennie Wang uncompromising Welsh Kage meditative yin coincides iconoclast's sellers efficaciously replicate brand's Vitargo disguise bitterness reluctantly Offerings Hydra underperforming refilming raced biked deadlifted Ironman Matt Pritchard Ironmans swears triathletes Trainee Hey faceless
Views: 36083 ПРОКАЧКА
2010 CCG Award of Excellence - Winner WakeMed!
 
02:25
Critical Care Ground Award of Excellence Sponsored by Rick Bell, Braun Industries and Life Star Rescue We are proud to announce that this year's Critical Care Ground Award of Excellence goes to Mobile Critical Care Services at WakeMed Health and Hospitals in Raleigh, North Carolina. This remarkable program, which is celebrating its 20 this year, has every reason to be proud as well, after having grown from a department that operated one ambulance with seven employees and 229 patients transports in 1990 to 21 ambulances, 133 employees and more than 17,500 patient transports annually. MCCS, as its known, also went from initially providing only cardiac patient transfers to quickly adding a children's transport team. Its biggest leap forward, however, came in 2005 when it also introduced a dedicated medical director, paramedics and fully integrated its children's transport team, complete with pediatric and neonatal critical care nurses. th anniversary At the same time, the communications division became a fully functional system that provided 24-hour radio communications, computer-aided dispatch and cameras that linked to the state's DOT system, among other enhancements such as weather radar, ground and air-flight following and patient triage. Protocols were established across the system to provide medical direction to its EMTs, paramedics, respiratory therapists and RNs, thus expanding the team's scope of practice. Policies and guidelines were introduced for patient and crew safety, including minimal staffing guidelines, vehicle operations procedures, maximum on-duty time limits, and other requirements. Finally, the ambulance configuration was upgraded to a quad cab style ambulance that provides crews, patients and family members with greater safety, complete with drive and back-up cameras and "mission specific" safety equipment and mounts. Now a tiered system that provides car to all ages groups with dedicated teams 24 hours a day, MCCS looks to the future, with continuing plans for expansion and growth, and in anticipation of CAMTS accreditation for both air and ground -- to allow for 20 more years and beyond of safe ground critical care transport. It is for these reasons that I ask you now to please help us congratulate the 2010 Critical Care Ground Award of Excellence recipient, Mobile Critical Care Services at WakeMed Health and Hospitals!