[DOWNLOAD] Is 230 D Answers
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OBS Adverse Events What Must Be Reported? BBP reporting must occur within three business days of becoming aware of a suspected transmission. Is There a Required Form? The video for mandated reporters who are not a member of an OBS practice, i. Emergency Dept. Please use the latest browser version for the best experience.
IS-230.D: Fundamentals of Emergency Management
The form is updated periodically, therefore best practice is to retrieve the form from the OBS website whenever needed and can be filled out electronically before printing, signing and submitting. Any physician, physician assistant or specialist assistant, or podiatrist directly or indirectly involved in an OBS procedure associated with a reportable adverse event, must file an OBS adverse event report. It is the personal responsibility of each mandated licensee to ensure that an adverse event form has been filed. Any physician, physician assistant or specialist assistant, or podiatrist in a hospital or other setting who becomes aware of an unplanned patient transfer, emergency department visit, unscheduled hospital admission or assignment to observation services, serious or life-threatening event, potential transmission of a blood borne pathogen or patient death after an OBS procedure are responsible to submit an OBS adverse event report within 72 hours of becoming aware of these events.
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In such a case, the reporter may not be able to complete the form in its entirety, but should submit as much information as possible to the Office of Quality and Patient Safety. Are Hospitals Required to Report? Hospitals are not required to report OBS adverse events; but licensees, physicians, physician assistants, specialist assistants, and podiatrists that work in hospitals and become aware of OBS adverse events in hospital and emergency department patients are required to report.
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We encourage hospitals to assist Emergency Department and other physicians, physician assistants, specialist assistants, and podiatrists providing care to OBS patients in hospitals to report OBS adverse events that come to their attention. Hospitals are encouraged to educate their staff about the adverse event reporting requirements. Hospital based licensees may fulfill their reporting requirement if the risk manager, or other hospital designee, compiles the information on the report and the mandated reporter s signs it. Filing the adverse event form remains the personal responsibility of the mandated licensees. When Must Adverse Events be Reported? Office-based surgery adverse events must be reported to the Office of Quality and Patient Safety within three business days of the occurrence, or becoming aware of the occurrence of a bloodborne pathogen. Any physician, physician assistant or specialist assistant, or podiatrist in a hospital or other setting who becomes aware of an adverse event after an OBS procedure are responsible to submit an OBS adverse event report within 72 hours of becoming aware of the event.
FEMA IS-230.D: Fundamentals of Emergency Management Course Summary
If nurses, radiologic technologists or other health care practitioners are involved in an OBS procedure, would they need to complete the adverse event reporting form? Are they required to be listed as "other persons participating in the procedure" or sign the report form? Nurses, radiologic technologists and other practitioners are not required to submit OBS adverse event reports and are not required to sign the adverse event report form.
IS-230d. Fundamentals of Emergency Management (LESSON 1 – Emergency Management Overview)
Is OBS adverse event reporting limited to those patients that undergo a procedure and received at least moderate sedation? When reporting adverse events, is it necessary to call the Department of Health in addition to completing and sending in the form? If a licensee is not certain whether an event is reportable, the licensee can call the Office of Quality and Patient Safety for clarification or proceed with filing an adverse event report. If a licensee fails to file a report in a timely manner, the licensee must provide an explanation on the adverse event report form. Confidentiality and Nondisclosure Are Office Based Surgery adverse event reports confidential? Practice Issues Are there any federal or state guidelines addressing the issue of advance directives in OBS practices? Federal law requires all providers, including physicians in private practice, which would include OBS practices, to ask their patients whether they have any advance directives — mainly a health care proxy.
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If the patient requests information on advance directives, the providers should be prepared to either give them such information or refer them to the DOH Web site which has this information www. The DOH advises persons who have completed a health care proxy form to bring a copy with them if they are having any type of OBS procedure.
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The OBS practice should reiterate this as part of their pre-op instructions. If the patient does not have a completed health care proxy form, and would like to complete one before surgery, the OBS practice should either have the forms routinely available or should download a form from the DOH Web site. The patient can then complete the form and OBS staff can witness the patient's signature. There is no legal prohibition on staff members of a physician practice or an Article 28 facility from witnessing a patient's health care proxy. The only person s who are legally prohibited from acting as witness es are those named as agent s in the proxy form. Sharing Space Are physicians who are not part of or affiliated with an accredited OBS practice permitted to use the physical office space of the accredited OBS practice to perform procedures or provide anesthesia services?
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Only those practitioners who are part of the practice, as defined below, may perform procedures or provide anesthesia services in an accredited OBS office. State Education Law prohibiting the corporate practice of the professions in NYS only allows private physician practices to be legally structured as one of the following: a sole practitioner; professional corporation all of the shareholders, officers and directors must be physicians ; professional limited liability company all of the members and managers must be physicians ; or university faculty practice corporation all of the officers and directors must be physicians ; general partnership all of the partners must be physicians ; or registered limited liability partnership all of the partners must be physicians.
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If a practice is "sharing" their accredited space with a physician or other licensed practitioner, then the practice should be careful to ensure that it is not subject to enforcement action as a scofflaw Article 28 facility. Can an accredited office-based surgery practice be located at the same site as a licensed ambulatory surgery center? The approved operator must have exclusive site control and responsibility for PHL and regulatory compliance by the licensed facility. The operator may not share site control with an entity not licensed under PHL Article 28 such as a private practice. Reimbursement Accreditation status does not require a third party insurer to pay a facility fee. Neither Medicaid nor Medicare pays a facility fee to private physicians' offices for office-based surgery.
Office-Based Surgery (OBS) Frequently Asked Questions (FAQ's) for Practitioners
Professional Misconduct An anesthesiologist is engaged to administer moderate sedation to patients undergoing invasive or surgical procedure s. Yes, the practitioner should determine the accreditation status of a practice prior to administering anesthesia or becoming affiliated with the practice. If practicing in a non- office-based surgery accredited office practice that is performing procedures meeting the definition of office-based surgery, the anesthesiologist and the proceduralists are subject to charges of professional misconduct. Physicians practicing as anesthesiologists in private offices where invasive or surgical procedures involving moderate sedation, deep sedation, major upper or lower extremity nerve blocks, neuraxial or general anesthesia are being performed must practice in an accredited office-based surgery practice unless the procedure is not within the definition of office-based surgery, or the procedure is to be performed in a setting not required to have office-based surgery accreditation i.
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As noted previously, in New York State licensees may conduct the private practice of the professions when they are part of the practice in one of the ways noted above or affiliated with the practice as an employee of the OBS practice or working under a contractual arrangement with the OBS practice that includes all of the required elements identified in FAQ The responsibility of a licensee who learns they or a colleague has or may have participated in an OBS procedure in an office that is not accredited is responsible to notify the DOH Office of Professional Medical Conduct if the practitioner is an MD, Physician Assistant or Specialist Assistant or the State Education Department's Office of Professional Discipline for podiatrists and other licensed professionals that professional misconduct may have knowingly or unknowingly occurred.
This site was created to provide test answers to FEMA Independent Study Program Courses.
While private-sector organizations are important in building resilient communities before an incident occurs, they play a limited role, if any, during an incident. Nonprofit organizations bolster and support government efforts. These organizations collaborate with responders, governments at all levels, and other agencies and organizations.
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Private and nonprofit sectors are encouraged to develop contingency plans and to work with State, tribal, and local planners to ensure that their plans are consistent with other pertinent plans. Government agencies are responsible for protecting the lives and property of their citizens and promoting their well-being. However, the government does not, and cannot, work alone. The primary focus of recovery is on the restoration of physical structures rather than returning economic and business activities to a healthy state.
FEMA IS-230.D: Fundamentals of Emergency Management Course Overview
Recovery is primarily a responsibility of local government. Therefore, the Federal Government provides very limited assistance for recovery under the Stafford Act. Recovery efforts are most effective when jurisdictions wait until responders have completed all response activities. In addition to emergency core functions, the emergency manager directs day-to-day program functions.
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An example of a day-to-day function is: A. Emergency public information C. Public health and medical services D. Direction, control, and coordination Local elected or appointed officials A. Conduct a preliminary damage assessment and submit documentation to FEMA requesting a Federal disaster declaration. Delegate responsibility for emergency management and typically are not involved in the incident response and recovery. Should be present at the Incident Command Post to direct the first responders in executing tactical operations. May need to help shape or modify laws, policies, and budgets to aid preparedness efforts and to improve emergency management and response capabilities. Specific areas of authority and responsibilities for emergency management should be clearly stated in local ordinances and laws. These ordinances and laws should specify a specific line of succession for elected officials and require that departments of government establish lines of succession.
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TRUE Which of the following is an example of a prevention activity? Requiring identification for site access B. Mobilizing search and rescue teams C. Setting up a network of clinics to provide neighborhood-based healthcare access for residents affected by a hurricane D. Passing an ordinance on controlling development in a floodplain While every part of an emergency management program has its own role and function, private citizens are solely responsible for the protection of life and property. TRUE B. FALSE Mission areas are comprised of the capabilities required for executing a function at any time before, during, or after an incident and across all threats and hazards. Four of the five preparedness mission areas are: Prevention, Protection, Response, and Recovery. Which is the fifth mission area?
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In order to use it, ceiling must be more than 4 m 12 ft high. How can I reduce the risk of using hand carts in my workplace? Eliminate pushing and pulling of loads where possible. For example, consider installing conveyor systems, even for short distances. Modifying force limits for pushing, pulling or maneuvering for any given work situation is essential not only for the safety of the operator but also for other workers within the work area.
FEMA IS-230.d: Fundamentals of Emergency Management Answers
Simple actions can be taken to ensure the risks associated with using hand carts are minimized: 1. Workplace characteristics: a. Aisle Conditions: i. Keep aisles clear of clutter. Aisles should be wide enough to allow the worker to stand behind the cart and push. Corners should accommodate the turning radius of the moving cart without stopping and starting. Ramps: i. Use winches for large ramps. Use power assists a battery powered pushing device. If multiple ramps are present, include a hand or foot brake on the cart to help the operator control heavy loads. If multiple ramps are present, consider using powered carts.
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Floor Conditions: i. Keep floors in good repair. Ensure floors are clean, free of debris, dirt, dust, miscellaneous liquids, or spills. If floors are very uneven, consider fixing the floors or using powered carts. Cart Characteristics: a. Use a larger diameter wheel. Increasing the diameter of the wheels generally decreases force requirements.
CR Bard v. Smiths Medical ASD, No. cv - Document (D. Del. ) :: Justia
A wider tread generally increases force requirements. Note: Pneumatic wheels should not be used for heavy loads as they may compress and substantially increase the force requirements. Handles i. Use swivel castors on the same end of the cart as the handle Figure 1. Figure 1 ii. Handles on pallet trucks should be long enough to prevent worker's feet from being struck by body of pallet truck Figure 2. Figure 2 iii. Fixed horizontal handles should be at a height between 91 cm and cm above the floor Figure 3. Figure 3 iv. Vertical handles allow a worker to place hands at comfortable positions for their height usually used for tall or narrow carts Figure 4.
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Figure 4 v. For handles fixed to the cart's surface, the handles should not be more than 46 cm apart. Wider separations increase the load on smaller shoulder muscles. Figure 5 vi. Handles should be thick enough to grip easily - 2. Fixed handles mounted in the horizontal direction should have a minimum length of 20 cm. Cart size i. Large carts longer than 1. Task: a. Risk factors include high pace of work, heavy loads, high exertion, repetition of movements, high force used, long distances, poor flooring, poor path for the cart to travel, and poor footing grip of footwear to the floor.
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Design the work flow and work pace to minimize these factors. Operators should be trained on appropriate body positioning for the type of cart and load being handled. Operators should receive training on how to maneuver heavy loads. Operators should opt to push rather than pull carts wherever possible. Tasks should be designed so that the operator can push the load. Human Factors: a. Design the work pace and work flow to suit as many individuals as possible. Allow operators some control over the work they do. Choose equipment that will suit or be adjusted to as many individuals as possible. Use appropriate footwear for the flooring. Soles that slip will increase the effort needed to move the cart.
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Government information system, which includes 1 this computer or device used to enable access to the government network, 2 this government network, 3 all computers or devices, virtual or otherwise, connected to this government network, and 4 all devices and storage media attached to this government network or to a computer or device on this government network. This information system is provided for U. Government-authorized use only. Unauthorized or improper use or access of this system may result in disciplinary action, as well as civil and criminal penalties.
FEMA ISD: Fundamentals of Emergency Management Course Summary | FEMA Test Answers
By using this information system, you understand and consent to the following: You have no reasonable expectation of privacy when you use this information system. This includes any communications or data transiting, stored on, originated from, or directed to this information system. At any time, and for any lawful government purpose, the government may monitor, intercept, search and seize any communication or data transiting, stored on, originated from, or directed to or from this information system.
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The government may disclose or use any communications or data transiting, stored on, originated from, or directed to or from this information system for any lawful government purpose. You are NOT authorized to process classified information on this information system. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. You will be required to obtain and use the SID to take the exam. If you do not yet have a SID, follow these steps to register one. I agree that completion of this examination will be an individual effort. If so, use your card to access the exam. Notice: Only browsers that support derived credentials will work with PIV card log in. Completion of this examination is an individual effort Organizations are encouraged to establish procedures to ensure completion of the examination is an individual effort.
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CR Bard v. Smiths Medical ASD, No. 1:2021cv01543 - Document 230 (D. Del. 2021)
In this article: news , gear , politics , twitter , mark zuckerberg , google , sundar pichai , misinformation , facebook , congress , jack dorsey Handout. Republicans wanted to talk about child safety. What is clear is that both sides are more than ready to impose new rules on Facebook, Twitter and Google. The issue has taken on a new significance during the coronavirus pandemic and in the wake of the Jan. Mike Doyle said in his opening statement. Only Dorsey would acknowledge any. As with other recent hearings, the format made it nearly impossible to extract meaningful answers. In one particularly memorable exchange , Rep. These companies are not doing enough to protect their users and our democracy. They must be held accountable.
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Anna G. Later, Rep. Kathleen Rice. As the hearing dragged on, lawmakers began to repeat themselves. Inevitably, when a new issue or angle was raised — like when Rep. David McKinley showed Zuckerberg copies of Instagram posts selling prescription pills — the executives had little time to respond in a meaningful way. Over the last couple of years, Congress has convened a number of hearings featuring Big Tech executives, and most of them have played out in a similar fashion. President Joe Biden has indicated he supports a full repeal of Section And both Congress and the White House have signaled an openness to antitrust action against these companies. In Congress, Rep. David Cicilline has said he wants to pass several bills that would curb the dominance of Big Tech. And Joe Biden has tapped two well-known antitrust scholars for key roles at the.
FEMA ISD: Fundamentals of Emergency Management Course Overview | FEMA Test Answers
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