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-- Symantec announced a slew of product enhancements for Veritas Storage foundation, Cluster File system and Cluster Server these days with its sights set on boosting the performance and administration of solid-state disk (SSD) drives, improving failover methods, and rounding out its skinny provisioning approach.
Veritas Storage foundation, the company's storage administration platform, got the bulk of the upgrades. Sean Derrington, director of Symantec's storage and availability administration group, says Storage groundwork can now immediately find SSD devices from array and server companies and establish records the situation it belongs in a course that's limpid to clients.
Storage basis's SSD optimization elements encompass pre-described guidelines that automate the file migration system primarily based upon quite a number attributes, including file size, classification, or endeavor. The utility can now immediately current data from a mechanical quantity to a excessive-efficiency SSD-based volume.
"as an instance, they are able to occupy two volumes in an array – one on middling complicated disk drives [HDDs] and one on SSDs – and give an administrator visibility into each on account of their dynamic multipathing utility," says Derrington.
On the skinny provisioning front, Storage foundation's SmartMove expertise, which works in tandem with Veritas volume Replicator to migrate from "thick" to "thin" storage over distances, can now peer into legacy storage volumes and automate the storage reclamation technique.
Symantec has too prolonged its skinny provisioning know-how to home windows-based mostly virtual server environments through adding aid for Microsoft Hyper-V to its Storage basis for windows product.
Derrington says the Veritas skinny Reclamation API, announced final 12 months, is now fully supported by means of Symantec partners IBM (XIV) and 3PAR (InServ), with extra hardware companions planning steer within the coming months.
the thin Reclamation API allows for computerized region reclamation for thin provisioning storage arrays.
moreover, Symantec has tightened the combination between Veritas Cluster File system and Oracle, Sybase and IBM DB2 to deliver "near instantaneous" recuperation of applications.
Symantec has more suitable Cluster File gadget and Cluster Server for greater levels of availability in Oracle environments. due to this fact, valued clientele can now failover functions working single-example Oracle or single-example DB2 in seconds, in line with Derrington.
Symantec is additionally offering a Storage evaluation service to aid shoppers in their efforts to deploy Symantec products, including Veritas Storage groundwork, Veritas Cluster File gadget and Veritas Cluster Server.
related articles:Symantec unveils FileStore cloud storage platform3PAR places a brand new twist on thin provisioningSymantec updates Storage foundation for home windows
LAS VEGAS, NV--(Marketwire - 05/03/11) - Symantec imaginative and prescient -- Symantec Corp. (NASDAQ:SYMC - news) today introduced Symantec security evaluation for Salesforce, a new safety utility that's scheduled to subsist attainable on the AppExchange, the realm's most-conventional market for enterprise apps in the cloud. Symantec protection evaluation for Salesforce will assist companies lengthen the visibility of their IT infrastructure to consist of cloud-based functions corresponding to Salesforce. Symantec protection evaluation for Salesforce plans to integrate with the Symantec manage Compliance Suite, featuring valued clientele a complete view of the safety and compliance of assistance and applications whether they wait on premise or in the cloud.Symantec has too joined the salesforce.com companion ecosystem, with the purpose to permit Symantec to construct functions using drive.com applied sciences, dispense to new purchasers and market to current salesforce.com consumers by means of the AppExchange.click on to Tweet: Symantec and Salesforce.com provide consumers extra self assurance in cloud protection: http://bit.ly/iRQYsl"we've heard from their clients that safety is without doubt one of the properly concerns they've about stirring to the cloud. constructing self assurance within the cloud sooner or later competence that customers will gain the equal visibility and handle of their counsel and applications whether they're within the cloud or residing on the consumer's own infrastructure," pointed out Francis deSouza, senior vp, enterprise protection group, Symantec. "together, Symantec and salesforce.com are innovating to bring greater visibility and transparency for valued clientele relocating to the cloud.""Salesforce.com knows that the confidentiality, integrity and availability of their clients' tips are a must-have to their company operations," said Ron Huddleston, senior vice president, salesforce.com. "Our labor with Symantec underscores their dedication to offering their consumers with comprehensive visibility into the protection and compliance necessities of working in the cloud."This new utility is additional designed to allow valued clientele to combine the evaluation facts into the Symantec manage Compliance Suite, an automated solution which provides a finished view of a firm's IT haphazard and compliance posture. via integrating visibility of cloud-primarily based purposes into the Symantec handle Compliance Suite, corporations should subsist capable of define and invoke safety guidelines for cloud-based mostly functions within a holistic retort that can too subsist used across the corporation's broader IT infrastructure.AvailabilityBuilt using force.com, the leading enterprise cloud-computing platform, Symantec protection assessment for Salesforce is scheduled to subsist available for verify power and deployment on the AppExchange in Mid-2011. existing Symantec control Compliance Suite, with a latest subscription, and salesforce.com customers can subsist capable of exercise the retort at no extra charge.linked
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About Symantec Symantec is a worldwide leader in featuring protection, storage and systems management solutions to assist consumers and companies comfortable and manage their information-driven world. Their utility and services proffer protection to towards extra hazards at extra features, more fully and correctly, enabling aplomb anywhere assistance is used or saved. greater guidance is purchasable at www.symantec.com.concerning the drive.com Platform and AppExchange force.com is the only proven enterprise platform for constructing and operating enterprise applications in the cloud. The force.com platform powers the Salesforce CRM (http://www.salesforce.com/) functions, greater than 1,000 ISV partner purposes fancy those from CA technologies, FinancialForce.com and Fujitsu, and 200,000 custom applications used by using salesforce.com's 92,300 purchasers corresponding to Japan post, Kaiser Permanente, KONE and sprint Nextel. drive.com additionally allows for developers to develop any traffic app convivial by means of leveraging the convivial collaboration add-ons including profiles, popularity updates, and precise-time feeds purchasable with Chatter.functions developed on the force.com platform may too subsist easily dispensed to the entire cloud computing community in the course of the salesforce.com AppExchange market http://www.salesforce.com/appexchange/.Disclaimer: Any ahead-searching indication of plans for products is introductory and totality future free up dates are tentative and are domain to alternate. Any future unlock of the product or deliberate adjustments to product ability, performance, or feature are discipline to ongoing evaluation by using Symantec, and might or may additionally now not subsist applied and will now not subsist regarded enterprise commitments with the aid of Symantec and should no longer subsist relied upon in making purchasing selections.be sensible TO EDITORS: if you'd fancy additional information on Symantec organisation and its products, gladden consult with the Symantec information latitude at http://www.symantec.com/news. totality costs mentioned are in U.S. dollars and are cogent best in the u.s..Symantec, the Symantec brand, and the Checkmark logo are logos or registered trademarks of Symantec organization or its associates in the U.S. and other nations. different names may well subsist logos of their respective house owners.Technorati Tags Cloud, security, chance, compliance
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In my 20-plus years of involvement with ASC operations, I gain never seen two ASCs designed exactly alike, and not a soul of the 150-plus I gain visited or worked with was perfectly designed. Everyone has things that labor well and don't labor well from a design and construction perspective.
While perfection is likely an unobtainable goal, if you are planning to design and build a new ASC, there are certainly things you should account before breaking ground on the project that will succor establish you — and your new facility — in a better position for success.
Based on my experiences, here are 30 tips for designers and developers of new ASCs.
1. derive the physicians' input up front. When I fade to develop a facility, I interview each physician that will labor there, whenever possible, and talk to them about their workflow, how they fancy to interact with patients, their tackle needs, etc. The more you can learn about what the physicians fancy and dislike, the better you can address these needs during design of the ASC.
2. consign time to research. If you can disburse significant time conducting research into your needs and options, you will establish yourself in a better position to develop educated decisions and provide guidance to your architect.
When interviewing architects, ask if they gain erudite from their mistakes by visiting any of the facilities they designed to see what worked well and what did not. More importantly, when checking references of an architect, request a floor scheme from the reference to review while asking the reference questions such as, "From the course your ASC was originally designed, what did the architect sequel that was dependable and what doesn't work? What is your current like? gain you had to sequel any workarounds? What is your supply storage like? Where is your tackle storage and how does it work?"
Ask the questions that talk to issues necessary to you, your physicians and what you want to achieve with your design. The key is identifying the most necessary things to you and then edifice for those priorities, especially if you gain to build into an existing MOB and your footprint is sort of determined for you. You exigency to develop sure what's most necessary to you is done best.
3. Review multiple designs. Don't just account one architect or learn at one layout. You will want to learn at multiple architects and their layouts. This is not only for cost comparison; as you view different designs for your ASC, you can identify the best of each layout and labor with the architect you choose to integrate those elements into your final design.
4. scheme for a realistic case volume. I always bid physician partnerships that when they're thinking about developing a new ASC, determine where they are today with their case volume and slash that number in half. From that standpoint, build the ASC with an objective of reaching the number they assume they gain today. The reality is they're probably not going to subsist anywhere immediate to that volume device from the beginning. This is an necessary consideration so they sequel not build the facility too petite or too large to accommodate unrealistic volume.
5. Understand your structural opportunities and limitations. edifice an ASC as a standalone facility in its own edifice is much easier from a design perspective, since you can essentially create the edifice — its shape, exercise of space and workflow — any course you want. This model seems to subsist more common in more pastoral and suburban settings vs. the typically more dense metropolitan setting.
In metropolitan areas, you're probably going to develop a new ASC in an existing office edifice and/or an MOB that may subsist under construction. In this scenario, you tend to hasten into more obstacles with your design plans, from structural beams and posts you gain to labor around to the pre-determined physical footprint of the building.
The optimal design break is with a standalone facility because you can create the edifice to match the floor scheme and closely mimic what you're trying to achieve. However, this option is more expensive, and the reality is that for most new ASCs, you don't exigency a facility large enough to warrant investing in construction of a all new building.
6. Understand your patients to scheme your lobby. When considering the size of your lobby, it is helpful to know the patients who will exercise it. In markets with a larger percentage of minorities and individuals on the lower immediate of the economic scale, I gain observed an multiply in the number of people in the lobby. This may subsist attributable to a family-oriented culture and/or patients with family members who gain no other situation to go. In situations fancy these, you might gain patients coming in with several family members, and will want to scheme a lobby that is large enough to accommodate a greater number of visitors.
The same logic is actual for ASCs planning to accomplish pediatrics. These adolescent patients will often achieve in with a mother and father, and sometimes siblings and grandparents. Note: If you're treating children, you must occupy into consideration the potential for a crying child in totality areas of your patient flow: in pre-op, recovery and your lobby space.
In addition to speaking with your physicians about their patients, account visiting their offices on diligent days to assess how many people associate patients for an office visit. This will provide you with a better understanding of what you're likely to see in your ASC's lobby.
7. situation traffic office staff near patient check-in. You will want your traffic office immediate to where you check in patients. In the event that you gain multiple patients checking in at one time, a member of the traffic team will then subsist in a position to step out from a cubicle to assist with check-in and succor ensure there is never a long line of patients waiting for processing.
8. Position the scheduler(s) immediate to ORs. Scheduling, in my opinion, needs to subsist very immediate to the ORs, or at least where schedulers can easily achieve the clinical manager or nurse manager if there are questions and/or problems with the schedule. This immediate proximity will allow staff members to more easily address concerns. Placing schedulers in the front of the edifice and far from ORs will require them to muster back to the clinical region for assistance. It is easier for a manager to learn over a scheduler's shoulders at the schedule rather than needing to log in at a sever computer station to view the schedule and assess the situation.
9. advocate medical records storage latitude small. I'm not a proponent of large medical records storage rooms. More facilities are going to an electronic version. You will want enough latitude to store no more than a year's worth of charts at a given time. It will succor to learn your anticipated case volume and to assume you will exigency a paper chart for each case for a year. develop sure you gain space large enough to accommodate just that much paper; if you develop the latitude any larger, it's likely you will exercise the space to stock other items that should fade elsewhere.
10. Who gets the corner office? Carefully select who receives an office and where offices are placed. I am not a proponent of many offices in an ASC. I assume there is a trend to overbuild offices, which typically results in leadership spending too much time in the office and not enough attention to where they should be. Obviously, it is necessary to provide the administrator with an office; just develop sure it is not isolated and inconvenient for staff to visit. You too sequel not want it situated off the OR hall because the administrator will find it challenging to accomplish what is needed when faced with numerous workable distractions.
The nurse manager typically needs an office or private space where counseling can occupy place, and occupy care of required paperwork. Your nursing manager's office should not subsist in the administration region as that should subsist a unprejudiced distance from the ORs. develop sure the nursing manager's office is immediate enough to the ORs or clinical region to assist in monitoring the current and subsist readily available to step out and assist if needed.
Does a medical director exigency an office? In my opinion, no. But sequel physicians exigency a workspace for everyone to use? Sure. Will that space subsist different from where they will dictate? It should be.
The traffic manager and other traffic office positions sequel not require a private office. The exercise of alcoves and/or cubicles with sound dampening features provides more flexibility to develop changes to the layout.
11. develop sure pre-op can accommodate case volume. This is an instance where doing your homework and research up front by speaking with the initial physician investors is going to subsist critical. I recommend you sequel your best to learn exactly which procedures the physicians intend to perform, how many procedures they can accomplish in a day and the middling length of time for these procedures. This information will succor provide a framework to succor determine how many pre-op stations and recovery bays your ASC should have, which requires information of the types of procedures your physicians will perform.
It's not uncommon to see a four-OR/procedure latitude with 4-6 pre-op bays. This ratio can work, and will often meet edifice requirements, but is likely to present challenges for fast-paced ASCs with towering volume of shorter cases. For example, if your ASC performs ophthalmology procedures, they can often schedule as many as 15-20 cases per day or more. Ophthalmology patients will often occupy longer to admit because they're often on more medications or gain longer patient histories to review. However, the procedural current of these patients is usually very quick, especially when you gain ophthalmologists who can accomplish cataract procedures in 10-15 minutes. If your pre-op time is twice that long — 20 minutes, for illustration — and you only gain 1-1.5x pre-op rooms ops per OR, you will pan a situation where patients will become backlogged as pre-op team members labor to derive patients through their process and into the ORs.
A similar problem faces ASCs performing a large volume of gastroenterology and smart procedures. These procedures too tend to subsist very short in the actual length of procedure. The time between the first patient entering the OR and the next patient being fully prepared for surgery is fairly short. You will want to develop sure you gain enough pre-op spaces available so patients are ready to fade into the procedure latitude or the OR, once the physician is ready for the next case. The time in between cases becomes even shorter when physicians are flipping rooms. You exigency to develop sure you gain enough pre-op spots to accommodate the anticipated physicians' current and their preferred exercise patterns.
12. Determine whether you want patient lockers. I'm not a proponent of the lockable locker for patients. There was a time when most facilities had lockers for storage of patients' belongings. Once patients locked the locker, they pinned the key to the lock to the patient's gown. That way, they knew those belongings essentially always stayed with the patient.
The reality is if the recovery latitude is not immediate to the lockers, you now exigency a staff member to fade over to the locker, accumulate totality of the belongings and bring them back, or if, during surgery, the gown is removed, and you now gain to fade search thru the laundry to retrieve the key These issues look to negate the concept of securing and locking the patient's belongings. More and more facilities are going with the approach of putting the patient's belongings in a bag, making sure the bag stays with the gurney and the gurney stays with the patient.
13. resolve if enclosed rooms for pre-op assessment are necessary. There are two different mindsets on how to handle pre-op assessment and confidentiality concerns. Many people feel you exigency to gain enclosable rooms with the competence to shut the door to ensure privacy. These are great, but they really consume up significant space — more space than I would squabble is necessary. They too develop it more difficult to advocate track of what's happening with patients behind closed doors: are they dressed, sequel they exigency help, etc.
Conversely, the other option is bays with curtains separating one bay from the other. This scenario is not really conducive to privacy. A third option — and possibly the best depending on your circumstances — would subsist an amalgamation of the two described above. You could gain bays, but with hard, replete walls to succor with confidentiality and privacy, and quiet gain curtains for the front for privacy while changing. This option typically gives you the best of both scenarios. develop sure that you install enough bumper protection in these bays to advocate the ASC looking pristine, and not gain your walls dinged up from being hit by the equipment.
Note: Regardless of which model you choose, it is very necessary to gain a restroom located near the pre-op bays. You don't want patients walking down a long hallway in their gown to exercise the bathroom.
14. allocate arrogate and adequate nursing desk workspace. If you are planning to advocate patient charts at the nurse's desk, you will exigency to account what this will sequel your workflow. Physicians, including anesthesiologists, will likely want to gain smooth access to the charts. In a diligent ASC, this may result in several physicians and staff members working at the desk at the same time, so the workspace will exigency to subsist colossal enough to accommodate a significant number of people. But you will want to avoid making the space so large that physicians are far away from their patients when viewing charts.
15. Identify which specialties will fade in which ORs. Identifying which ORs will subsist primarily used for which specialties is very helpful from a design perspective. For example, if you're edifice a three-OR facility and scheme to running ophthalmology out of 1-2 ORs, orthopedics in 1-2 ORs and smart in one OR, you're going to want your phacoemulsification system and microscope immediate to the ophthalmology rooms and storage for the C-arm immediate to the OR. If you're doing orthopedics in the same rooms as ophthalmology, for example, you will want a situation to store the microscope or phacoemulsification machine However, stirring tackle inordinately increases the likelihood of them being damaged or falling out of calibration, requiring increased maintenance.
16. Don't build ORs too small. One of the biggest problems I see in existing facilities is ORs that were built too petite or not designed for the types of procedures performed in today's ASCs. For example, account a colossal orthopedics case that needs a C-arm, and totality of the carts and towers required. Try to accomplish one of these cases in a petite or poorly designed latitude and it will become tense very quickly. With the advent of spine and other procedures requiring colossal tackle and more people, you exigency ORs large enough to maneuver in and accommodate several pieces of (often big) equipment.
17. But don't build ORs too large, either. Conversely, I gain seen ORs that were up to twice the size they should gain been. You must subsist reasonable in the assessment of how large to build your ORs. Should you build them to meet minimal code? Absolutely not! However, somewhere between that absolute minimum and doubling the size of the room, probably in the ambit of between one-and-a-third to one-and-a-half times the minimum. You want to gain them large enough to accommodate the C-arm, microscopes, cart movement, the competence to switch from the left to prerogative side of the patient, additional tackle (related to the specific specialty), etc. In some of the larger cases, you will exigency to accommodate more people — an extra physician, an tackle rep in the room, etc. It is extremely necessary to design the OR space to suitable everyone and everything that needs to subsist there.
18. Don't situation your ORs near the property line. You will want to build your ASC so that you can expand if you max out OR capacity several years down the road. Avoid placing your ORs on the sides of your edifice near property lines, where expansion into the space is not permitted. Flip the direction around so you gain the competence to expand, for example, into the parking lot.
19. account future expansion "next door." If you're edifice the ASC in an MOB, and will occupy space on the same floor as other businesses, expansion will most likely occur by your taking space from the traffic "next door" if it becomes available as opposed to adding on to the building. As such, you will want to situation your ORs or other clinical areas where expansion is most likely to occur along the walls you partake with other businesses.
There are many people who are proponents of the concept of edifice out but not equipping an extra OR up front during construction. This may subsist a dependable idea, or you may immediate up paying rent on space for the next 10 years unnecessarily. scheme carefully.
Note: While you may never expand your ASC, you don't want to immediate off that opportunity. I achieve into facilities that are maxed to capacity and really exigency to learn at ways of expanding. Unfortunately, layout makes it difficult to add new ORs without essentially shutting down operations and starting from scratch, which is cost-prohibitive. If you gain an existing operation running, you're never going to just immediate down and remodel your all facility for six months and then reopen. scheme carefully.
20. advocate anesthesia out of the corner. It is critical for your anesthesia provider to glide around the OR and not subsist stuck in a corner near the gas outlets. If the anesthesiologist has limited mobility in the OR, you will exigency to position the patient around the anesthesiologist rather than designing the OR in such a course for anesthesiologists to glide around and sequel what they exigency to for patient care.
In petite centers, if your lead anesthesiologist is the medical director and someone needs to talk with him or her or during a procedure, if he or she is in the corner of the OR, staff members will exigency to navigate the latitude to derive over to the anesthesia cart. This isn't conducive to dependable flow. Anesthesia providers are a crucial and critical section of the operative team, and you exigency to account their placement and location just as much as the placement of physicians and scrub techs.
21. Avoid built-in cupboards in ORs. In many ORs, I see astonishing built-in cupboards designed to house supplies for the OR. From an operations standpoint, I am vehemently against these cupboards in the OR, primarily for two reasons: 1) They're never designed in a manner to stock what you really exigency in a manner that you need; and 2) You immediate up having multiple locations for the same supply item. From a cost and inventory standpoint, it becomes extremely difficult to know how much of a given supply you gain on hand if you, for example, gain a specific character of suture in four different ORs. Add this to your main storage stock, and you immediate up with five locations for one character of suture.
Invariably, you will purchase five boxes of something to stock the four ORs and the main stock, when in reality you'll only fade through one box in the next six months. That becomes problematic from a cost standpoint and in terms of inventory outdates, and it's a challenge to manage totality of this from an operational perspective.
I believe facilities should maintain supplies in 1-2 locations, maximum. If ASCs sequel a dependable job of picking cases and making sure preference cards are as complete as workable and kept up to date, they should gain 99 percent of supply items necessary for any case picked for the latitude from these 1-2 locations, thus eliminating the exigency to stock those supplies in the OR as well.
22. scheme for gurney current and storage. Gurneys travel throughout the ASC, and it's critical when planning the building's layout to determine which path will permit the best current for gurneys. The gurneys bring the patient from pre-op into the OR, then from the OR into recovery, then back to pre-op for the next patient. They too exigency to subsist cleaned before another patient is placed upon them. You exigency to determine how your current is going to labor relative to those gurneys and how far they gain to fade to derive from one destination to another.
If there isn't enough storage space for unused gurneys, they may clutter the OR hall, which causes potential problems with fire safety. They may too become stacked in a corner, which makes it difficult to derive the prerogative gurney to the prerogative patient and advocate current moving. It is valuable to build in alcoves for gurney storage, but this space should only used to store the gurneys.
23. scheme for sufficient OR tackle storage. sufficient tackle storage outside of the OR is extremely important. Unless you're planning to equip your focus so every latitude has its own tower, its own C-arm and every piece of tackle for every specialty you're doing, you gain to store that tackle somewhere. Some facilities will gain a space for the gurney and sever space for tackle overflow where they store C-arms and towers not in use.
24. Build tackle storage that addresses your physicians' needs. As mentioned earlier, it's valuable to learn which tackle the initial physician users will need; this will succor ensure you're edifice enough storage space for the tackle you will purchase.
25. Design practical storage rooms. Design your tackle storage in a manner that ensures the tackle is easily accessible. edifice a single, large, square storage latitude is usually not practical, as pieces of tackle will inevitably immediate up stuck in the back and sides of the latitude and accessing them will require emptying out much of the supply room. Long, narrow spaces in which you can access any space without emptying the latitude is much more advantageous from a storage standpoint.
26. Carefully account other storage needs. While storage for surgical tackle is important, it's not the only storage you exigency to consider. You may want a storage region for totality of your anesthesia supplies, and you exigency a storage region for your pharmaceuticals. The rules for storing pharmaceuticals now require ASCs to secure everything from IV solutions to syringes, in addition to making sure totality medications are secure. Many facilities scheme poorly to address these requirements; they typically establish medications in a closet-type area, and then realize that there's no latitude left to stock IV solutions and syringes. This means they are forced to find another secure location, which may present challenges from a convenience and cost perspective.
With so many items requiring storage, designers of a new ASC may subsist inclined to scheme for extra storage. The danger with this is if there is unassigned storage space, the space is unlikely to remain unused for long and may become the home for random pieces of tackle and storage overflow. edifice appropriate-sized storage rooms for specific purposes is extremely important.
27. situation processing near supplies and receiving. I believe purchasing should subsist placed immediate to where supplies are received and stocked. It shouldn't subsist up in the traffic office region if receiving is in the back of the edifice and the supply latitude is nearby. Purchasing needs to subsist located immediate to where most of the purchasing- and storage-related labor will occupy place.
28. Value the consequence and needs of infertile processing. The infertile processing room(s) in your ASC will subsist extremely important. Your instrument trays exigency to subsist stored in a latitude where humidity can subsist controlled and monitored, so it can't subsist prerogative around the corner or in the same latitude as your autoclaves. When you open the autoclaves, steam rushes out, and you will pan the constant problem of trying to monitor humidity levels.
You will too want your infertile processing latitude near your ORs for convenience, designed so you gain arrogate storage for your supplies and built large enough to accommodate personnel and instrument trays. The number of trays you exigency to sterilize will multiply if your case volume is high.29. Strategically situation physician dictation alcoves. It's not uncommon to see really nice alcoves for physician dictation built in the OR hall or in recovery rooms. Unfortunately, these alcoves are often rarely used because their location doesn't labor well with physicians' flow. When interviewing physicians, try to determine their preferences for where they fancy to dictate, and scheme the alcoves accordingly.
30. redeem space with one demolish latitude for physicians and staff. I'm not a proponent of sever lounges for physicians and staff. I assume it's extremely necessary that everyone works together to hearten a team mindset. sever lounges only hearten a separation between the two teams and foster an "us vs. them" concept.
I'm not a proponent of tiny staff demolish rooms, either. You exigency a latitude large enough to accommodate at least one-third of staff plus physicians and anesthesia providers. During lunch breaks, you will likely gain as much as one-third or more of your staff at lunch, so develop sure there's enough space to accommodate this number of team members, physicians, anesthesia personnel, and possibly a vendor or two, comfortably.
Although not a requirement, demolish rooms often will subsist used to host staff meetings, so if you scheme to sequel so, you should too gain enough space to accommodate staff members for training and in-services.
ConclusionOverall, the long and the short of planning for the development of an ASC comes down to information data collection, planning and establishing the key points and issues and ultimately determining what is most necessary to you, your physicians and your patients.
Arthur E. Casey, CASC, is senior vice president of traffic development for Outpatient Healthcare Strategies (www.outpatienthcs.com), a provider of healthcare management consultancy services for ambulatory surgery centers, hospitals and physician group practices based in Houston.
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Many Australians are concerned with the sustainability of their seafood. While definitions of sustainability vary, according to government assessments, over 85% of seafood caught in Australia is sustainable.
However, just because a fish is sustainably caught, it doesn't develop it the most nutritious and healty option – and vice versa. For the first time, research has investigated the seafood Australians consume in terms of what's best for us and the planet.
Our study, published today in the journal Frontiers in Nutrition, organize that Australians consume a lot of large oceanic fish, fancy shark and tuna, as well as farmed salmon and prawns, but there are other, healthier options available fancy mackerel, sardines and blue grenadier.
What Australians eat
The word seafood is used to portray thousands of different species, both marine and freshwater, and from the wild or farmed. Because of these differences, the environmental footprint of "seafood" can vary greatly, as can their nutritional profile.
Our research used data from the Australian Health Survey to investigate the nutritional property and sustainability of seafood consumption in Australia.
We measured nutrition by the estimated contribution of 100g of a given seafood to the middling requirement of protein, omega 3, calcium, iodine, selenium and zinc. Sustainability was assessed on the basis of stock status, resource use, habitat and ecosystem impacts, and health and disease management.
The majority of respondents (83%) did not consume any seafood on the day of the survey, and they organize that there were large discrepancies in consumption patterns between different sociodemographic groups.
Of those who did consume seafood, the proportion was lowest among adults who were unemployed, had the least education and those who were most socio-economically disadvantaged.
Crustaceans and low-omega 3 fish, such as basa and tilapia, which were identified as some of the least nutritious and least sustainable types of seafood, constituted a substantial amount of total seafood intake for the lowest socio-economic consumers.
In contrast, consumers in the highest socio-demographic group consumed mainly towering trophic flat fish, such as tuna and shark, and farmed fish with towering omega-3 content, such as salmon and trout, which were considered the more nutritious types of seafood with a qualify sustainability. Less than 1% of adults reported eating sardines and mackerel which were considered some of the most nutritious and sustainable varieties.What is sustainability?
Sustainability in seafood is intricate and difficult to quantify. Greenhouse gas emissions are not currently covered by the major assessment groups, despite the contribution of the fishing industry to global emissions and the variation between different seafood types.
For example, growing claim for crustaceans fancy prawns or shrimp, is resulting in higher emissions from the global fishing fleet, as these fisheries are fuel intensive. In contrast, petite pelagic fisheries, such as sardines, gain very low emissions – although they are a lot less popular.
Farmed seafoods too vary considerably in their environmental footprint. In the past, large farmed species of fish gain been fed with much smaller wild fish. This exercise is in decline, with petite feed fish replaced by crops and animal by-products.
However, it's not limpid this substitution is environmentally friendly. At the same time, the nutritional value of farmed fish has decreased.
Making better choices
Detailed nutrition information is not readily available at the point of purchase for fresh seafood. It can subsist tricky making an informed decision on the spot.
However, Food Standards Australia and New Zealand gain created nutrient profiles for a ambit of food, including seafood. The National Heart Foundation of Australia provides information on the amount of marine-sourced omega-3s in fish and seafood commonly available, with species such as Atlantic salmon and sardines listed as highest sources, while prawns and crabs are much lower.
To check the sustainability of your seafood choice, you can consult the AMCS steer or learn for certifications such as the Marine Stewardship Council (MSC) for wild capture fisheries or the Aquaculture Stewardship Council (ASC) or Best Aquaculture Practices (BAP) logos. WWF gain too developed a canned tuna steer (changeyourtuna.org.au).
Eating new seafood species can subsist tricky if you are not confidential with them. There are many resources available to succor you pick and prepare seafood, such as FRDC fish files, Sydney Fish Market recipes and an SBS section on sustainable seafood recipes.
In WA, the Western Australian Fishing Industry Council gain produced guides on local seafood, including information on underultised species, cooking and storage. South Australians can now pick up local fish from the new Community Supported Fishery each week, or gain it delivered.
All food production has an impact, but making an informed option can subsist advantageous for health and the environment. So, derive daring with your seafood selections by experimenting with choices that are both nutritious and meet your sustainability criteria. As you become more confidential with different species and ways to prepare them, you won't gain to juggle different guides at the fish counter and resolve it's totality too hard.
This article is republished from The Conversation under a Creative Commons license. Read the original article.
Citation: Here's the seafood Australians consume (and what they should subsist eating) (2018, December 4) retrieved 17 April 2019 from https://phys.org/news/2018-12-seafood-australians.html
This document is matter to copyright. Apart from any unprejudiced dealing for the purpose of private study or research, no section may subsist reproduced without the written permission. The content is provided for information purposes only.
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