This book reviews the causes and effects of power outages and establishes treatment system plans that are reliable and resistant to vulnerabilities, in order that water and wastewater utilities can properly respond to these events. Financial and public health risks are addressed to assist facility planners and operators when considering the multi-faceted issues that pertain to standby power options. By providing a basis for the planning that ensures safety and reliability, the book is intended to provide education on the need, costs, and options related to standby power supply.
Of critical importance to all utilities, this report includes a checklist of best management practices for self-assessment for disaster preparedness. This report addresses both natural and human-caused threats or hazards.
The economic prosperity and the well-being of our nation's communities depend on the reliable functioning of critical infrastructures: transportation, banking and finance, information and communications, water supply systems, emergency services, and especially energy (electric power, oil, and natural gas). In the new economy, these infrastructures are increasingly reliant on information technologies and are strongly affected by restructuring and other market forces. They are much more heavily interconnected than ever before, and disruptions in one system can have significant adverse consequences, both locally and regionally. Communities often are not well prepared to deal with widespread infrastructure failures, which could become commonplace in the new millennium. This report, prepared on behalf of the partnership, is a first-of-a-kind effort to compile this type of information on the electric power system in a form that municipal governments can use and adapt to local conditions. ComEd and Harza Engineering Company have provided valuable support for this effort. Argonne National Laboratory's Infrastructure Assurance Center compiled and integrated the planning information.
This manual presents principles, practices, and guidelines which deal with natural disasters, accidents, or intentional acts that have the potential to disrupt water services. Discussions include applications of knowledge and experience about specific systems, determination of vulnerable components of the system, and offers of strategies for improvement of the deficiencies, including alternate policies.
For over 50 years, Berry & Kohn s Operating Room Technique, 13th Edition has been the text of choice for understanding basic surgical principles and techniques. Highly readable, accurate, and comprehensive, it clearly covers the "nuts and bolts" of surgical techniques in a step-by-step format that makes it easy to effectively apply basic principles to clinical practice. Expert author Nancymarie Phillips emphasizes the importance of teamwork throughout, with practical strategies and examples of how cooperation among perioperative caregivers contributes to positive patient care outcomes. With a strong focus on thephysiologic, psychologic, and spiritual considerations of perioperative patients, this updated and expanded new editiongives students the knowledge they need to plan and implement comprehensive, individualized care.Detailed information on the fundamentals of perioperative nursing and surgical technology roles enhances your understanding of basic surgical principles and techniques.Emphasis on teamwork among perioperative caregivers encourages cooperation in attaining positive patient care outcomes.In-depth discussions ofpatients with special needs related to age or health status help you learn how to develop a plan of care tailored to the unique care parameters of all patients.Focus on thephysiologic, psychologic, and spiritual considerations of perioperative patientsgives you the knowledge you need to plan and implement comprehensive, individualized care.Content on perioperative patient care for both inpatient and ambulatory procedureshighlights key considerations for each setting, as well as for individual surgical procedures.Chapter outlines with page numbers, chapter objectives, and key terms and definitionshelp you quickly find important information and focus your study time.New illustrationsreflect new and changing perioperative procedures, and provide you with key safety information like how to maintain a sterile field, gown, and glove.Enhanced TEACH manual and extensive Evolve resources maximize classroom learning. All Evolve materials are highlighted within the text.Step-by-step coverage of the foundations of surgical techniques enables you to effectively apply basic principles to practice.Additional and updated tables and boxes call attention to the most important concepts from the text.References highlight the evidence-based practice approach used throughout the text.Enhanced! A strong safety focus includes increased coverage of malignant hyperthermia, bullying and zero-tolerance policies, airway fire, verbal orders, medications, patient identification, pharmacology for bariatric patients, calculating blood loss, National Patient Safety Goals, and more.NEW! ""Pros and Cons"" boxes provide the positive and negative aspects of specific perioperative practices, allowing nurses to better understand their choices in patient care. Improved!Emphasis on qualitygives you the most current information on magnet status, performing an effective 5-minute assessment, the nurse practitioner as first assistant, accurately marking specimens, patient positioning, surgical conscience, and working with outsiders inside the OR environment.NEW! Coverage of new equipment, including: sponge-counting machines, Lapra-TY, silver-infused dressings, neat suture books, and more.NEW! "Body Spectrum" added to Evolve site to help you review anatomy and physiology."
Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.
In 2004, the WHO Guidelines for Drinking Water Quality recommended that water suppliers develop and implement "Water Safety Plans" (WSPs) in order to systematically assess and manage risks. Since this time, governments and regulators, water suppliers and practitioners have increasingly embraced this approach, but they have also requested further guidance. This much-anticipated workbook answers this call by describing how to develop and implement a WSP in clear and practical terms. Stepwise advice is provided through 11 learning modules, each representing a key step in the WSP development and implementation process: 1. Assemble the WSP team; 2. Describe the water supply system; 3. Identify hazards and hazardous events and assess the risks; 4. Determine and validate control measures, reassess and prioritise the risks; 5. Develop, implement and maintain an improvement/upgrade plan; 6. Define monitoring of the control measures; 7. Verify the effectiveness of the WSP; 8. Prepare management procedures; 9. Develop supporting programmes; 10. Plan and carry out periodic review of the WSP; 11. Revise the WSP following an incident ; Every Module is divided into three sections: 'Overview', 'Examples and Tools', and 'Case studies'. The overview section provides a brief introduction to the Module, including why it is important and how it fits into the overall WSP development and implementation process. It outlines key activities that should be carried out, lists typical challenges that may be encountered, and summarizes the essential outputs to be produced. The examples and tools section provides resources which could be adapted to support the development and implementation of WSPs. These resources include example tables and checklists, template forms, diagrams, or practical tips to help a WSP team address specific challenges. These are often example outputs and methodologies adapted from recent WSP experiences. Each Module concludes with case studies so the reader can benefit from lessons-learned from real-life experiences. They are intended to make WSP concepts more concrete and to help readers anticipate issues and challenges that may arise. The descriptions were drawn from WSP initiatives in Australia, the Latin American and the Caribbean region (LAC), and the United Kingdom.
