Hypoglycemic Agent Adverse Drug Event Gap Analysis Component of Medication Management Assessment

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Hypoglycemic Agent Adverse Drug Event Gap Analysis Component of Medication Management Assessment"

Transcription

1 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of Mediation Management Assessment Speifi Ation(s) Speifi Ation plan(s) inluding persons responsible and timeline to omplete. Prevention and Mitigation Strategies 1) Systems and proesses for blood gluose monitoring praties The faility has established blood gluose targets for: 1a) Critially ill patients. 1b) Non-ritially ill patients. 1) Pregnant patients with gestational diabetes mellitus (GDM) or pre-existing diabetes. 1d) Neonate/pediatri patients. The faility has established blood gluose monitoring guidelines, (inluding point of are [POC] testing for more rapid rest results), for: 1e) Patients with diabetes. 1f) Patients with hospital-aquired hyperglyemia (without diabetes). 1g) Pregnant women who are eating and have gestational diabetes mellitus or pre-existing diabetes. 1h) Neonate/pediatri patients. 2) Management prourement, storage, preparation, and dispensing praties The faility has proesses in plae to eliminate errors in presribing, dispensing, and administration whih inludes: 2a) Pharmay prepares individual patient-sheduled doses of intermediate or long-ating insulins unless provided as individual patient insulin devies (e.g., pens). 2b) Floor stoks of insulins is minimized or eliminated. 2) Insulin is not available from automated dispensing abinet (ADC) without review of insulin orders by a pharmaist. 2d) If override is allowed for emergent situation, an independent double-hek by two professionals ours upon removal from ADC. 2e) All insulin infusions, onentrated insulin (U-500), and diluted insulins individual patient-speifi doses are prepared in the pharmay. Page 1 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of the Mediation Management Assessment 2012 Minnesota Hospital Assoiation. Used with permission.

2 Speifi Ation(s) Speifi Ation plan(s) inluding persons responsible and timeline to omplete. 2f) The number of standard onentrations used for insulin infusions is limited to one. 2g) An independent double hek is instituted prior to dispensing non-standard onentrations of sub-utaneous insulin (eg. U500 and U10 insulin) and preparations of IV infusions. 3) Management ordering praties 3a) The faility has a proess in plae to streamline formulary to single brand soure for eah insulin type with approved substitutions. 4) Management administration and monitoring The faility has proesses in plae to ensure: 4a) All insulin infusions are administered using an IV pump with free-flow protetion and smart-pump tehnology with appropriately defined max./min. infusion rates, alerts, and override riteria. 4b) An independent double-hek is required before administering all IV insulin. 4) An independent double-hek is required before administering non-standard insulin onentrations (e.g., U-500). 4d) Tuberulin syringes are removed from floor stok so they annot erroneously be used for insulin. Standard praties are established for subutaneous insulin dosing for the following situations: 4e) Non-standard insulin onentrations (e.g., U-500 insulin) 4f) Corretion sale(s) 4g) Basal prandial dosing (arbohydrate/non-arbohydrate) 4h) Pre-operative or pre-proedural protool 4i) Converting from oral agents to insulin Standard insulin infusion protools exist and are in use for: 4j) ICU. 4k) Non-ICU. 4l) Diabeti ketoaidosis (DKA). 4m) Hyperosmolar hyperglyemi state (HHS). 4n) Pregnany. Page 2 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of the Mediation Management Assessment 2012 Minnesota Hospital Assoiation. Used with permission.

3 Speifi Ation(s) Speifi Ation plan(s) inluding persons responsible and timeline to omplete. The faility has a poliy in plae for patients with self-managed subutaneous insulin pumps whih speifies: 4o) Poliy speifies and pratie ensures that patient must be ognitively ompetent and safe to self-administer. Standard praties are established for oral and injetable noninsulin anti-hyperglyemi agents, whih inlude: 4p) Use of oral and injetable non-insulin anti-hyperglyemi agents (gluose-like peptide [GLP]1 analogs and pramlintide) is restrited in aute are settings. (Insulin is the preferred agent.) 4q) Sulfonylurea agents are avoided with NPO (nothing by mouth) patients and patients with inonsistent nutritional intake. 4r) Thiazolidinedione use is avoided in patients with ongestive heart failure (CHF). 4s) Metformin use is avoided in patients who are ritially ill, have a reatinine greater than 1.4 mg/dl females or 1.5 mg/dl males, have reeived IV ontrast or have abnormal reatinine learane. 4t) There is a proess in plae to ensure that protools/poliies order sets are implemented and being used onsistently. 5) Implement appropriate mitigation strategies The faility has a proess in plae for follow up after initial hypoglyemi reation ours whih inludes: 5a) The adjustment of insulin dose. 5b) The implementation of standard blood gluose (BG) monitoring after treatment of hypoglyemia with gluagon or D50 (e.g., 0200 gluose hek, gluose q 1 hr X 3). 5) A plan for ongoing monitoring and dose adjusting to prevent hypoglyemia reourrene. Assessment and Detetion Strategies 6) Systems and proesses to aid in assessment and detetion 6a) The faility s insulin administration reord, gluose monitoring results, and arbohydrate intake are effetively displayed to allow aregivers to aurately and effiiently assess data. The faility implements real-time rules/alerts to flag low blood gluose triggers and hanges in patient ondition predisposing patient to hypoglyemia, whih inlude: 6b) Change in nutrition and/or fluid status admission, aute illness, NPO for surgery, start/stop parenteral nutrition (PN)/ enteral nutrition (EN), inonsistent nutrition in hospital. Page 3 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of the Mediation Management Assessment 2012 Minnesota Hospital Assoiation. Used with permission.

4 Speifi Ation(s) Speifi Ation plan(s) inluding persons responsible and timeline to omplete. 6) Addition or disontinuation of mediation(s) that affet blood gluose. 6d) Disease state aute renal failure (ARF), aute hepati failure, severe sepsis/shok. 6e) Transitions in are/hand-offs. 7) Management assessment of nutrition and fluid status 7a) The faility has a proess in plae to oordinate blood gluose heks, meals, and insulin administration times. The faility has a proess in plae to monitor for mismath between nutritional intake in patients with fixed prandial dosing: 7b) Upon admission. 7) For patients with inonsistent nutritional intake or failure to eat after prandial insulin dose has been given. 7d) At transitions in are. The faility has a proess in plae that requires new insulin orders and BG monitoring for patients on insulin with: 7e) Change in nutrition status (e.g., new NPO status, transition from PN to EN, transition from ontinuous to yli PN or EN). 7f) Disontinuation of total PN (TPN)/dextrose ontaining IV fluid or EN. 8) Management with other mediations affeting blood gluose ontrol The faility has a proess in plae for management of insulin used with other mediations that may affet blood gluose ontrol, whih inludes: 8a) Assessing appropriateness of ontinuation of injetable non-insulin, anti hyperglyemi agents, and oral agents upon admission. 8b) Ensuring that appropriate warnings appear in information systems (e.g., omputerized physiian order entry [CPOE], MAR, pharmay) when mediations that signifiantly alter BG levels or insulin regimen requirements are started or stopped or the dose is inreased (e.g., Cortiosteroid taper, Quinolones Otreotide, antipsyhoti agents, ontinuous renal replaement therapy [CRRT], vasopressors, immunosupressants). 9) Management with disease states affeting blood gluose ontrol The faility has proesses in plae for management of insulin use in the following disease states: 9a) Renal dysfuntion: Use of an algorithm to determine need for redution of weight-based insulin dosing. 9b) Liver dysfuntion: Use of an algorithm to determine need for redution of weight-based insulin dosing. Page 4 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of the Mediation Management Assessment 2012 Minnesota Hospital Assoiation. Used with permission.

5 Speifi Ation(s) Speifi Ation plan(s) inluding persons responsible and timeline to omplete. 9) Malnutrition/low body weight: Use of an algorithm to determine need for redution of weight-based insulin dosing. 9d) Type 1 diabetes: Should have dextrose added to IV fluids if no alori intake. 9e) Hyperkalemia: Insulin should be used to treat hyperkalemia only via the use of a protool that inludes speifi blood sugar monitoring. 10) Management hand-offs and transitions A standard hand-off/transition ommuniation proess is in plae for all patients reeiving insulin whih inludes the following information, at minimum: 10a) Communiation of last blood gluose hek. 10b) Date and time of last insulin dose given. Therapeuti Strategies 11) Systems and proesses for insulin therapeuti strategy praties 11a) The faility has a proess in plae to enourage omanagement of insulin with patients who are apable and willing (e.g., enourage patients to question doses and timing of insulin administration). The faility has insulin management praties in plae, whih inlude: 11b) Mathing insulin prandial dosing to the amount of arbohydrate onsumed. 11) Cheking blood gluose within 30 minutes before meal. 11d) Administering rapid-ating prandial insulin within 30 minutes post first bite. 11e) Avoiding dose staking (e.g., orretive insulin should not be given more frequently than every 4 hours for rapid-ating insulin or every 6 hours for regular insulin). 12) Management hyperglyemia management praties The faility has a proess in plae for management of hyperglyemi patients using basal/bolus insulin, whih inludes: 12a) Intermittent sliding-sale insulin regimens are onsistently used with a basal insulin. 12b) Rapid-ating insulin is the standard hoie of therapy for prandial insulin. 12) Prandial and orretion-sale insulin should be the same type of insulin and given in one injetion when possible. Page 5 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of the Mediation Management Assessment 2012 Minnesota Hospital Assoiation. Used with permission.

6 Speifi Ation(s) Speifi Ation plan(s) inluding persons responsible and timeline to omplete. The faility has a proess in plae for management of hyperglyemi patients using mixed insulin whih inludes: 12d) Dosing ours only before breakfast and before dinner; not at bedtime. 12e) Patients are monitored for noturnal hypoglyemia. 12f) Change to basal/prandial if patient beomes NPO or exhibits inonsistent nutritional intake (e.g., poor appetite). 13) Management hypoglyemia management praties The faility has an established standard order set or protool, approved by medial staff ommittee, in plae for management of hypoglyemi patients whih inludes: 13a) A standard method for management of hypoglyemia, inluding triggers to administer gluose, (e.g., blood gluose value below threshold, signs and symptoms of hypoglyemia) is readily available to aregivers. 13b) Allows nurses to administer hypoglyemia resue agents without prior physiian order. 13) Hypoglyemia resue agents (dextrose, gluagon) are readily aessible throughout the faility where are is provided. Critial Thinking and Knowledge Strategies 14) Implement appropriate ritial thinking and knowledge strategies The faility has a proess in plae whih evaluates staff ompetenies related to hypoglyemi agent use inluding: 14a) Hypoglyemia is always onsidered when a patient reeiving insulin has an altered level of onsiousness for no apparent reason. 14b) Hypoglyemia should not be ruled out as a ause of onfusion or altered behavior based on a apillary BG result; a venous lab result should also be obtained. The faility provides interdisiplinary eduation on hypoglyemi agent therapy, whih inludes: 14) Initial training for new hires and existing staff, inluding protools and guidelines. 14d) Post test inorporating a ase-study approah to demonstrate profiieny; overs topis suh as: frequeny of gluose heks; non-standard insulin onentrations (e.g., U-500 insulin); orretion insulin sale(s); basal insulin dosing; prandial insulin dosing (arbohydrate/non-arbohydrate); pre-operative or pre-proedural protools; onverting from oral agents to insulin. 14e) Plan for targeting gaps in knowledge. 14f) Hypoglyemi agent eduation is provided to diret are staff members when new relevant information is available. Page 6 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of the Mediation Management Assessment 2012 Minnesota Hospital Assoiation. Used with permission.

7 Speifi Ation(s) 15) Provide patient and family eduation Patient Eduation The faility has a proess in plae to eduate patients and families using teah-bak method on diabetes survival skills to ensure safe therapy inluding: 15a) Nutritional management. Speifi Ation plan(s) inluding persons responsible and timeline to omplete. 15b) Self-blood gluose monitoring. 15) Mediation management. 15d) Hyperglyemia and hypoglyemia reognition. 15e) Treatment and prevention. 15f) Exerise. 15g) Sik day guidelines. 15h) Resoures. 15i) Post-disharge follow-up appointment. This Material was adapted by Health Servies Advisory Group, the Mediare Quality Improvement Organization for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands, under ontrat with the Centers for Mediare & Mediaid Servies (CMS), an ageny of the U.S. Department of Health and Human Servies, from material originally prepared by Minnesota Hospital Assoiation. 2012/2013 Minnesota Hospital Assoiation. Used with permission. The ontents presented do not neessarily reflet CMS poliy. Publiation No. AZ-11SOW-C Page 7 Hypoglyemi Agent Adverse Drug Event Gap Analysis Component of the Mediation Management Assessment 2012 Minnesota Hospital Assoiation. Used with permission.

MEDICATION MANAGEMENT ASSESSMENT

MEDICATION MANAGEMENT ASSESSMENT MEDICATION MANAGEMENT ASSESSMENT The Mediation Management Assessment provides evidene-based reommendations/standards for Minnesota hospitals in the development of a omprehensive mediation safety program.

More information

Diabetes Management in Correctional Institutions

Diabetes Management in Correctional Institutions S104 Diabetes Care Volume 37, Supplement 1, January 2014 Diabetes Management in Corretional Institutions Amerian Diabetes Assoiation POSITION STATEMENT At any given time, over 2 million people are inarerated

More information

Diabetes Management in Correctional Institutions

Diabetes Management in Correctional Institutions S104 Diabetes Care Volume 37, Supplement 1, January 2014 Diabetes Management in Corretional Institutions Amerian Diabetes Assoiation POSITION STATEMENT At any given time, over 2 million people are inarerated

More information

Road Map to a Medication Safety Program

Road Map to a Medication Safety Program Road Map to a Mediation Safety Program Mediation Safety 2012 Minnesota Hospital Assoiation The Road Map to a Mediation Safety Program provides evidene-based reommendations/standards for Minnesota hospitals

More information

Road Map to a Perinatal Patient Safety Program

Road Map to a Perinatal Patient Safety Program Road Map to a Perinatal Patient Safety Program Perinatal Safety 2012 Minnesota Hospital Assoiation The Perinatal Patient Safety Road Map provides evidene-based reommendations/standards for Minnesota hospitals

More information

SAFE Care Road Map Keeping Patients Safe Across All Areas of Hospital Care

SAFE Care Road Map Keeping Patients Safe Across All Areas of Hospital Care SAFE Care Road Map Keeping Patients Safe Aross All Areas of Hospital Care SAFE Care 2013 Minnesota Hospital Assoiation The SAFE Care Road Map provides evidene-based reommendations/standards for Minnesota

More information

Executive Summary: Standards of MedicalCareinDiabetesd2012

Executive Summary: Standards of MedicalCareinDiabetesd2012 E X E C U T I V E S U M M A R Y Exeutive Summary: Standards of MedialCareinDiabetesd2012 Current riteria for the diagnosis of diabetes A1C $6.5%. The test should be performed in a laboratory using a method

More information

T he American Diabetes Association

T he American Diabetes Association Introdution T he Amerian Diabetes Assoiation (ADA) has been atively involved in the development and dissemination of diabetes are standards, guidelines, and related douments for many years. These statements

More information

Medical Assistant-Registered Application Packet

Medical Assistant-Registered Application Packet Medial Assistant-Registered Appliation Paket Contents: 1. 651-001...Contents List/SSN Information/Mailing Information...1 page 2. 651-002...Appliation Instrutions Cheklist...2 pages 3. 651-003...Credentialing

More information

UNIQUE CHALLENGES FOR THE YOUNG CHILD. 2834 Diabetes Care Volume 37, October 2014 POSITION STATEMENT

UNIQUE CHALLENGES FOR THE YOUNG CHILD. 2834 Diabetes Care Volume 37, October 2014 POSITION STATEMENT 2834 Diabetes Care Volume 37, Otober 2014 Care of Young Children With Diabetes in the Child Care Setting: A Position Statement of the Amerian Diabetes Assoiation Diabetes Care 2014;37:2834 2842 DOI: 10.2337/d14-1676

More information

State of Maryland Participation Agreement for Pre-Tax and Roth Retirement Savings Accounts

State of Maryland Participation Agreement for Pre-Tax and Roth Retirement Savings Accounts State of Maryland Partiipation Agreement for Pre-Tax and Roth Retirement Savings Aounts DC-4531 (08/2015) For help, please all 1-800-966-6355 www.marylandd.om 1 Things to Remember Complete all of the setions

More information

Florida Blue has got you covered. Choose your plan. Choose your network.

Florida Blue has got you covered. Choose your plan. Choose your network. overed. Choose your plan. Choose your network. When it omes to your health are overage, you an ount on us. attention and extra support are part of every plan. You hoose features that are most important

More information

INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco

INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco CLINICAL RECOGNITION Background: Appropriate inpatient glycemic

More information

Hospital Guidelines: Inpatient Glycemic Management Guidelines

Hospital Guidelines: Inpatient Glycemic Management Guidelines Hospital Guidelines: Inpatient Glycemic Management Guidelines Reviewed Date: 01/2012 Revision Date: 01/2012 Origination Date: 09/2011 Approved by: Date of Approval: Inpatient Glycemic Control Team 01/2012

More information

' R ATIONAL. :::~i:. :'.:::::: RETENTION ':: Compliance with the way you work PRODUCT BRIEF

' R ATIONAL. :::~i:. :'.:::::: RETENTION ':: Compliance with the way you work PRODUCT BRIEF ' R :::i:. ATIONAL :'.:::::: RETENTION ':: Compliane with the way you work, PRODUCT BRIEF In-plae Management of Unstrutured Data The explosion of unstrutured data ombined with new laws and regulations

More information

UNIVERSITY AND WORK-STUDY EMPLOYERS WEB SITE USER S GUIDE

UNIVERSITY AND WORK-STUDY EMPLOYERS WEB SITE USER S GUIDE UNIVERSITY AND WORK-STUDY EMPLOYERS WEB SITE USER S GUIDE September 8, 2009 Table of Contents 1 Home 2 University 3 Your 4 Add 5 Managing 6 How 7 Viewing 8 Closing 9 Reposting Page 1 and Work-Study Employers

More information

Representing Alabama s Public Two-Year College System NUR 204 ROLE TRANSITION FOR THE REGISTERED NURSE. Plan Of Instruction

Representing Alabama s Public Two-Year College System NUR 204 ROLE TRANSITION FOR THE REGISTERED NURSE. Plan Of Instruction Alabama Department of Postseonary Euation Representing Alabama s Publi Two-Year ollege System NUR 204 ROLE TRANSITION FOR THE REGISTERED NURSE Plan Of Instrution Effetive Date: 2006 Version Number: 2006-1

More information

Strategic Plan. Achieving our 2020 vision. Faculty of Health Sciences

Strategic Plan. Achieving our 2020 vision. Faculty of Health Sciences Strategi Plan Ahieving our 00 vision Faulty of Health Sienes Our Values guide our ations Health and Understanding, promoting, and influening the holisti well-eing of self and others Our Vision To e a national

More information

Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS

Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS Managing the Hospitalized Patient on Insulin: Care Transition Catie Prinzing MSN, APRN, CNS Diabetes and Hospitalization People with DM are hospitalized 3x more frequently than patients without diabetes

More information

Give insulin glargine once daily, at the same time of the day.

Give insulin glargine once daily, at the same time of the day. Supplementary Table 1. Insulin Treatment Protocols. 1. Basal Bolus Regimen 1.A. Insulin Orders Discontinue oral antidiabetic drugs and non-insulin injected antidiabetic medication Starting insulin total

More information

Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol

Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol Ruth LaCasse Kalish, RPh Department of Pharmacy Objectives Review the current practice at UConn Health with sliding

More information

Research Data Management ANONYMISATION

Research Data Management ANONYMISATION ANONYMISATION Sensitive Data Sensitive Data is information overing: The raial or ethni origin of the Data Subjet Politial opinions Religious or other beliefs of a similar nature Membership of trade unions

More information

Information Security 201

Information Security 201 FAS Information Seurity 201 Desktop Referene Guide Introdution Harvard University is ommitted to proteting information resoures that are ritial to its aademi and researh mission. Harvard is equally ommitted

More information

Table of Contents. Appendix II Application Checklist. Export Finance Program Working Capital Financing...7

Table of Contents. Appendix II Application Checklist. Export Finance Program Working Capital Financing...7 Export Finane Program Guidelines Table of Contents Setion I General...........................................................1 A. Introdution............................................................1

More information

Type1DiabetesThroughtheLife Span: A Position Statement of the American Diabetes Association

Type1DiabetesThroughtheLife Span: A Position Statement of the American Diabetes Association 2034 Diabetes Care Type1DiabetesThroughtheLife Span: A Position Statement of the Amerian Diabetes Assoiation Jane L. Chiang, 1 M. Sue Kirkman, 2 Lori M.B. Laffel, 3 and Anne L. Peters, 4 on behalf of the

More information

Ten Ways to Prevent Insulin-Use Errors in Your Hospital. ASHP Research and Education Foundation May 14, 2014

Ten Ways to Prevent Insulin-Use Errors in Your Hospital. ASHP Research and Education Foundation May 14, 2014 Ten Ways to Prevent Insulin-Use Errors in Your Hospital ASHP Research and Education Foundation May 14, 2014 To Ask Questions and Adjust the Control Panel Expand or Collapse Type your question here Faculty

More information

Inpatient Treatment of Diabetes

Inpatient Treatment of Diabetes Inpatient Treatment of Diabetes Alan J. Conrad, MD Medical Director Diabetes Services EVP, Physician Alignment Diabetes Symposium November 12, 2015 Objectives Explain Palomar Health goals for inpatient

More information

MEMBER. Application for election MEMBER, NEW GRADUATE. psychology.org.au. April 2015

MEMBER. Application for election MEMBER, NEW GRADUATE. psychology.org.au. April 2015 MEMBER Appliation for eletion MEMBER, NEW GRADUATE April 2015 psyhology.org.au MEMBER Belonging to the Australian Psyhologial Soiety (APS) means you are part of an ative, progressive organisation whih

More information

Income Protection CLAIM FORM

Income Protection CLAIM FORM Inome Protetion CLAIM FORM PLEASE COMPLETE THIS APPLICATION IN BLACK PEN ONLY USING BLOCK LETTERS 1 PERSONAL DETAILS Poliy numer Important notes: a This form must e ompleted in full and returned to PO

More information

Executive Summary: Standards of Medical Care in Diabetesd2014

Executive Summary: Standards of Medical Care in Diabetesd2014 Diabetes Care Volume 37, Supplement 1, January 2014 S5 Exeutive Summary: Standards of Medial Care in Diabetesd2014 EXECUTIVE SUMMARY CURRENT CRITERIA FOR THE DIAGNOSIS OF DIABETES A1C $6.5%. The test should

More information

i e AT 3 of 2014 FOREIGN COMPANIES ACT 2014

i e AT 3 of 2014 FOREIGN COMPANIES ACT 2014 i e AT 3 of 2014 FOREIGN COMPANIES ACT 2014 Foreign Companies At 2014 Index i e FOREIGN COMPANIES ACT 2014 Index Setion Page PART 1 OPENING PROVISIONS 5 1 Short title... 5 2 Commenement... 5 3 Interpretation...

More information

(X2) MULTIPLE CONSTRUCTION A. BUILDING: STREET ADDRESS, CITY, STATE, ZIP CODE 757 WESTWOOD PLAZA LOS ANGELES, CA 90095 E 000 E347

(X2) MULTIPLE CONSTRUCTION A. BUILDING: STREET ADDRESS, CITY, STATE, ZIP CODE 757 WESTWOOD PLAZA LOS ANGELES, CA 90095 E 000 E347 California Deoartment of Publi Health STATEMENT OF DEFCENCES AND PLAN OF CORRECTON NAME OF PROVDER OR SUPPLER RONALD REAGAN UCLA MEDCAL CENTER (X4)1D PREFX. (X1) PROVDER/SUPPLER/CUA DENTFCATON NUMBER:

More information

The D.C. Long Term Disability Insurance Plan Exclusively for NBAC members Issued by The Prudential Insurance Company of America (Prudential)

The D.C. Long Term Disability Insurance Plan Exclusively for NBAC members Issued by The Prudential Insurance Company of America (Prudential) Plan Basis The D.C. Long Term Disability Insurane Plan Exlusively for NBAC members Issued by The Prudential Insurane Company of Ameria (Prudential) What does it over? The D.C. Long Term Disability Insurane

More information

Findings and Recommendations

Findings and Recommendations Contrating Methods and Administration Findings and Reommendations Finding 9-1 ESD did not utilize a formal written pre-qualifiations proess for seleting experiened design onsultants. ESD hose onsultants

More information

Transfer of Functions (Isle of Man Financial Services Authority) TRANSFER OF FUNCTIONS (ISLE OF MAN FINANCIAL SERVICES AUTHORITY) ORDER 2015

Transfer of Functions (Isle of Man Financial Services Authority) TRANSFER OF FUNCTIONS (ISLE OF MAN FINANCIAL SERVICES AUTHORITY) ORDER 2015 Transfer of Funtions (Isle of Man Finanial Servies Authority) Order 2015 Index TRANSFER OF FUNCTIONS (ISLE OF MAN FINANCIAL SERVICES AUTHORITY) ORDER 2015 Index Artile Page 1 Title... 3 2 Commenement...

More information

Agile ALM White Paper: Redefining ALM with Five Key Practices

Agile ALM White Paper: Redefining ALM with Five Key Practices Agile ALM White Paper: Redefining ALM with Five Key Praties by Ethan Teng, Cyndi Mithell and Chad Wathington 2011 ThoughtWorks ln. All rights reserved www.studios.thoughtworks.om Introdution The pervasiveness

More information

Road Map to a Comprehensive Healthcare-Associated Infection (HAI) Prevention Program 2.0

Road Map to a Comprehensive Healthcare-Associated Infection (HAI) Prevention Program 2.0 Road Map to a Comprehensive Healthare-Assoiated Infetion (HAI) Prevention Program 2.0 The HAI Road Map provides evidene-based reommendations/standards for Minnesota hospitals in the development of a omprehensive

More information

There seem to be inconsistencies regarding diabetic management in

There seem to be inconsistencies regarding diabetic management in Society of Ambulatory Anesthesia (SAMBA) Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery Review of the consensus statement and additional

More information

i e AT 21 of 2006 EMPLOYMENT ACT 2006

i e AT 21 of 2006 EMPLOYMENT ACT 2006 i e AT 21 of 2006 EMPLOYMENT ACT 2006 Employment At 2006 Index i e EMPLOYMENT ACT 2006 Index Setion Page PART I DISCRIMINATION AT RECRUITMENT ON TRADE UNION GROUNDS 9 1 Refusal of employment on grounds

More information

Policies and Procedures. Number: 1079

Policies and Procedures. Number: 1079 Policies and Procedures Title: INSULIN ADMINISTRATION SUBCUTANEOUS - ADULT Number: 1079 Authorization: [X] SHR Nursing Practice Committee [X] Medication Use Quality Committee Source: Nursing Date Effective:

More information

Diabetes Management Tube Feeding/Parenteral Nutrition Order Set (Adult)

Diabetes Management Tube Feeding/Parenteral Nutrition Order Set (Adult) Review Due Date: 2016 May PATIENT CARE ORDERS Weight (kg) Known Adverse Reactions or Intolerances DRUG No Yes (list) FOOD No Yes (list) LATEX No Yes ***See Suggestions for Management (on reverse)*** ***If

More information

TRENDS IN EXECUTIVE EDUCATION: TOWARDS A SYSTEMS APPROACH TO EXECUTIVE DEVELOPMENT PLANNING

TRENDS IN EXECUTIVE EDUCATION: TOWARDS A SYSTEMS APPROACH TO EXECUTIVE DEVELOPMENT PLANNING INTERMAN 7 TRENDS IN EXECUTIVE EDUCATION: TOWARDS A SYSTEMS APPROACH TO EXECUTIVE DEVELOPMENT PLANNING by Douglas A. Ready, Albert A. Viere and Alan F. White RECEIVED 2 7 MAY 1393 International Labour

More information

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies

CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies Insulins CLASS OBJECTIVES Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies INVENTION OF INSULIN 1921 The first stills used to make insulin

More information

Melbourne Docklands ESD Guide

Melbourne Docklands ESD Guide Melbourne Doklands ESD Guide Eologially Sustainable Development May 2006 The most signifiant environmental hallenges of our time are global limate hange and fossil fuel dependeny. Rising greenhouse gas

More information

Unit 12: Installing, Configuring and Administering Microsoft Server

Unit 12: Installing, Configuring and Administering Microsoft Server Unit 12: Installing, Configuring and Administering Mirosoft Server Learning Outomes A andidate following a programme of learning leading to this unit will be able to: Selet a suitable NOS to install for

More information

i e AT 6 of 2016 CONSUMER PROTECTION (AMENDMENT) ACT 2016

i e AT 6 of 2016 CONSUMER PROTECTION (AMENDMENT) ACT 2016 i e AT 6 of 2016 CONSUMER PROTECTION (AMENDMENT) ACT 2016 Consumer Protetion (Amendment) At 2016 Index i e CONSUMER PROTECTION (AMENDMENT) ACT 2016 Index Setion Page PART 1 INTRODUCTORY 5 1 Short title...

More information

BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS

BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS C O N T A C T D I A B E T E S S E R V I C E S F O R M O R E I N F O R M A T I O N 8 4 7-9 1 7-6 9 0 7 THIS SLIDE PRESENTATION WAS PREPARED BY SUE DROGOS,

More information

University College Hospital. Sick day rules insulin pump therapy

University College Hospital. Sick day rules insulin pump therapy University College Hospital Sick day rules insulin pump therapy Children and Young People s Diabetes Service Children whose diabetes is well controlled should not experience more illness or infections

More information

Henley Business School at Univ of Reading. Pre-Experience Postgraduate Programmes Chartered Institute of Personnel and Development (CIPD)

Henley Business School at Univ of Reading. Pre-Experience Postgraduate Programmes Chartered Institute of Personnel and Development (CIPD) MS in International Human Resoure Management For students entering in 2012/3 Awarding Institution: Teahing Institution: Relevant QAA subjet Benhmarking group(s): Faulty: Programme length: Date of speifiation:

More information

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions Diabetes Mellitus 1 Chapter 43. Diabetes Mellitus, Self-Assessment Questions 1. A 46-year-old man presents for his annual physical. He states that he has been going to the bathroom more frequently than

More information

Using Live Chat in your Call Centre

Using Live Chat in your Call Centre Using Live Chat in your Call Centre Otober Key Highlights Yesterday's all entres have beome today's ontat entres where agents deal with multiple queries from multiple hannels. Live Chat hat is one now

More information

Customer Reporting for SaaS Applications. Domain Basics. Managing my Domain

Customer Reporting for SaaS Applications. Domain Basics. Managing my Domain Produtivity Marketpla e Software as a Servie Invoiing Ordering Domains Customer Reporting for SaaS Appliations Domain Basis Managing my Domain Managing Domains Helpful Resoures Managing my Domain If you

More information

[ ] POCT glucose Routine, As needed, If long acting insulin is given and patient NPO, do POCT glucose every 2 hours until patient eats.

[ ] POCT glucose Routine, As needed, If long acting insulin is given and patient NPO, do POCT glucose every 2 hours until patient eats. Glycemic Control - Insulin Infusion NOTE: For treatment of Diabetic Ketoacidosis or Hyperglycemic Hyperosmolar Syndrome please go to order set named Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar

More information

Section 5: Type 2 Diabetes

Section 5: Type 2 Diabetes SECTION OVERVIEW Definition and Symptoms Blood Glucose Monitoring Healthy Eating Physical Activity Oral Medication Insulin Sharps Disposal Definition and Symptoms Type 2 diabetes is occurring more frequently

More information

2014 -- H 8166 S T A T E O F R H O D E I S L A N D

2014 -- H 8166 S T A T E O F R H O D E I S L A N D LC000 01 -- H 1 S T A T E O F R H O D E I S L A N D IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 01 A N A C T RELATING TO INSURANCE - ACCIDENT AND SICKNESS INSURANCE POLICIES Introduced By: Representatives

More information

Allergies: Weight: kg Diagnosis:

Allergies: Weight: kg Diagnosis: Page 1 of 4 Allergies: Weight: kg Diagnosis: Service: Attending: Patients with Type 1 diabetes must never be on supplementary insulin alone. Most patients with Type 2 diabetes should have daily regimen

More information

A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration

A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration of nurse A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration 1. Check times for point of care meter blood glucose testing. Pre-Breakfast

More information

Board Building Recruiting and Developing Effective Board Members for Not-for-Profit Organizations

Board Building Recruiting and Developing Effective Board Members for Not-for-Profit Organizations Board Development Board Building Reruiting and Developing Effetive Board Members for Not-for-Profit Organizations Board Development Board Building Reruiting and Developing Effetive Board Members for Not-for-Profit

More information

ru ILllYC UT 3 IMC IrrCRCIYLL3 AND SIMLARITIES BETWEEN CALIFORNIA AND h.tlnols

ru ILllYC UT 3 IMC IrrCRCIYLL3 AND SIMLARITIES BETWEEN CALIFORNIA AND h.tlnols ru ILllYC UT 3 IMC IrrCRCIYLL3 AND SIMLARITIES BETWEEN CALIFORNIA AND h.tlnols Foreward This paper outlines some of the signifiant differenes and similarities between the eletri power environments whih

More information

Clinical Guideline Diabetes management during surgery (adults)

Clinical Guideline Diabetes management during surgery (adults) Clinical Guideline Diabetes management during surgery (adults) Standard 8 of the National Service Framework for Diabetes states that all children, young people and adults with diabetes admitted to hospital,

More information

i e AT 6 of 2001 REHABILITATION OF OFFENDERS ACT 2001

i e AT 6 of 2001 REHABILITATION OF OFFENDERS ACT 2001 i e AT 6 of 2001 REHABILITATION OF OFFENDERS ACT 2001 Rehabilitation of Offenders At 2001 Index i e REHABILITATION OF OFFENDERS ACT 2001 Index Setion Page 1 Rehabilitated persons and spent onvitions...

More information

A Comparison of Service Quality between Private and Public Hospitals in Thailand

A Comparison of Service Quality between Private and Public Hospitals in Thailand International Journal of Business and Soial Siene Vol. 4 No. 11; September 2013 A Comparison of Servie Quality between Private and Hospitals in Thailand Khanhitpol Yousapronpaiboon, D.B.A. Assistant Professor

More information

Jane Jeffrie Seley DNP, MPH, GNP, CDE, BC-ADM, CDTC Diabetes Nurse Practitioner Division of Endocrinology NewYork-Presbyterian Hospital Weill Cornell

Jane Jeffrie Seley DNP, MPH, GNP, CDE, BC-ADM, CDTC Diabetes Nurse Practitioner Division of Endocrinology NewYork-Presbyterian Hospital Weill Cornell Jane Jeffrie Seley DNP, MPH, GNP, CDE, BC-ADM, CDTC Diabetes Nurse Practitioner Division of Endocrinology NewYork-Presbyterian Hospital Weill Cornell Medical College Disclosures Advisory Board Member:

More information

The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care

The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care November 12, 2013 Caroline Isbey RN, MSN, CDE Associate Director Teresa Gomez Associate Project Director Specialist-SSM Carol

More information

Standards of Medical Care in Diabetes 2015

Standards of Medical Care in Diabetes 2015 January 2015 Volume 38, Supplement 1 Standards of Medial Care in Diabetes 2015 S1 S3 S4 S5 S8 Introdution Professional Pratie Committee Standards of Medial Care in Diabetes 2015: Summary of Revisions 1.

More information

A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or

A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dl or 2. Glycated hemoglobin (A1C) >10% or 3. Random plasma glucose consistently >300 mg/dl

More information

Retirement Option Election Form with Partial Lump Sum Payment

Retirement Option Election Form with Partial Lump Sum Payment Offie of the New York State Comptroller New York State and Loal Retirement System Employees Retirement System Polie and Fire Retirement System 110 State Street, Albany, New York 12244-0001 Retirement Option

More information

STANDARDS OF MEDICAL CARE IN DIABETES 2015

STANDARDS OF MEDICAL CARE IN DIABETES 2015 TH E JO U R NA L OF C LI N ICA L A N D A PPL I ED R ESEA RC H A N D EDU CATI O N VOLUME 38 SUPPLEMENT 1 WWW.DIABETES.ORG/DIABETESCARE PP LEME T 1 N SU JANUARY 2015 A M E R I C A N D I A B E T E S A S S

More information

Installation and operating instructions

Installation and operating instructions Dry-installed Sewage Pump Type ABS AFC 50/50-2046 15975180EN (04/2016) Installation and operating instrutions www.sulzer.om 2 Installation and Operating Instrutions (Original Instrutions) Dry-installed

More information

PET INSURANCE GIVING YOUR PETS AS MUCH AS THEY GIVE YOU.

PET INSURANCE GIVING YOUR PETS AS MUCH AS THEY GIVE YOU. PET INSURANCE GIVING YOUR PETS AS MUCH AS THEY GIVE YOU. THEY RE HEALTHIER, YOU RE HAPPIER. ALL PART OF GENERATION BETTER. Give your best mate the best are possible Think of Medibank Pet Insurane like

More information

Diabetes Expert Witness on: Diabetic Hypoglycemia in Nursing Homes

Diabetes Expert Witness on: Diabetic Hypoglycemia in Nursing Homes Diabetes Expert Witness on: Diabetic Hypoglycemia in Nursing Homes Nursing home patients with diabetes treated with insulin and certain oral diabetes medications (i.e. sulfonylureas and glitinides) are

More information

i e AT 1 of 1918 THE REGISTRATION OF BUSINESS NAMES ACT 1918

i e AT 1 of 1918 THE REGISTRATION OF BUSINESS NAMES ACT 1918 i e AT 1 of 1918 THE REGISTRATION OF BUSINESS NAMES ACT 1918 The Registration of Business Names At 1918 Index i e THE REGISTRATION OF BUSINESS NAMES ACT 1918 Index Setion Page 1 Short title... 5 2 Interpretation

More information

PROCEEDS OF CRIME (BUSINESS IN THE REGULATED SECTOR) ORDER 2015

PROCEEDS OF CRIME (BUSINESS IN THE REGULATED SECTOR) ORDER 2015 Proeeds of Crime (Business in the Regulated Setor) Order 2015 Artile 1 Statutory Doument No. 2015/0073 Proeeds of Crime At 2008 PROCEEDS OF CRIME (BUSINESS IN THE REGULATED SECTOR) ORDER 2015 Approved

More information

Classical Electromagnetic Doppler Effect Redefined. Copyright 2014 Joseph A. Rybczyk

Classical Electromagnetic Doppler Effect Redefined. Copyright 2014 Joseph A. Rybczyk Classial Eletromagneti Doppler Effet Redefined Copyright 04 Joseph A. Rybzyk Abstrat The lassial Doppler Effet formula for eletromagneti waves is redefined to agree with the fundamental sientifi priniples

More information

Are you ready to pump?

Are you ready to pump? The decision to use an insulin pump is not an easy one. There is a lot involved with managing diabetes using a pump. Take some time to make this decision. Talk about it with your family and your health

More information

at The Valley Hospital (TVH) for Nursing Students/Nursing Instructors 2012

at The Valley Hospital (TVH) for Nursing Students/Nursing Instructors 2012 at The Valley Hospital (TVH) for Nursing Students/Nursing Instructors 2012 Subject - Insulin Safety Background Insulin known to be high risk medication Can promote serious hypoglycemia if given incorrectly

More information

Deliverability on the Interstate Natural Gas Pipeline System

Deliverability on the Interstate Natural Gas Pipeline System DOE/EIA-0618(98) Distribution Category UC-950 Deliverability on the Interstate Natural Gas Pipeline System May 1998 This report was prepared by the, the independent statistial and analytial ageny within

More information

Main Street. For city officials and staff

Main Street. For city officials and staff Texas Muniipal Retirement System Main Street For ity offiials and staff Volume 17 Number 1 September 2015 TMRS in 2015 In it for the Long Run In July the TMRS Board of Trustees voted to hange the System

More information

Insulin/Diabetes Calculations

Insulin/Diabetes Calculations Insulin/Diabetes Calculations Dr. Aipoalani St Lukes Endocrinology Goals Describe various calculations for insulin dosing Understand importance of the total daily dose (TDD) of insulin Be able to calculate

More information

Rules of Hockey5s including explanations

Rules of Hockey5s including explanations Rules of Hokey5s inluding explanations Effetive from 1 September 2012 Copyright FIH 2012 The International Hokey Federation Rue du Valentin 61 CH 1004, Lausanne Switzerland Telephone: ++41 21 641 0606

More information

Assessment of Glycemia in Diabetes Mellitus : Hemoglobin A 1

Assessment of Glycemia in Diabetes Mellitus : Hemoglobin A 1 Review Artile Assessment of Glyemia in Diabetes Mellitus : Hemoglobin A 1 CD Saudek, Rita R Kalyani, RL Derr Abstrat The monitoring of glyemia is an essential omponent of diabetes are. It may be divided

More information

Suggested Answers, Problem Set 5 Health Economics

Suggested Answers, Problem Set 5 Health Economics Suggested Answers, Problem Set 5 Health Eonomis Bill Evans Spring 2013 1. The graph is at the end of the handout. Fluoridated water strengthens teeth and redues inidene of avities. As a result, at all

More information

Algorithms for Glycemic Management of Type 2 Diabetes

Algorithms for Glycemic Management of Type 2 Diabetes KENTUCKY DIABETES NETWORK, INC. Algorithms for Glycemic Management of Type 2 Diabetes The Diabetes Care Algorithms for Type 2 Diabetes included within this document are taken from the American Association

More information

EMS Air Ambulance License Application Packet

EMS Air Ambulance License Application Packet EMS Air Ambulane Liense Appliation Paket Contents: 1. 530-077... Contents List and Mailing Information...1 Page 2. 530-078... Appliation Instrutions Cheklist...3 Pages 3. 530-076... EMS Air Ambulane Liense

More information

SCHEME FOR FINANCING SCHOOLS

SCHEME FOR FINANCING SCHOOLS SCHEME FOR FINANCING SCHOOLS UNDER SECTION 48 OF THE SCHOOL STANDARDS AND FRAMEWORK ACT 1998 DfE Approved - Marh 1999 With amendments Marh 2001, Marh 2002, April 2003, July 2004, Marh 2005, February 2007,

More information

Intensive Insulin Therapy in Diabetes Management

Intensive Insulin Therapy in Diabetes Management Intensive Insulin Therapy in Diabetes Management Lillian F. Lien, MD Medical Director, Duke Inpatient Diabetes Management Assistant Professor of Medicine Division of Endocrinology, Metabolism, & Nutrition

More information

Computer Networks Framing

Computer Networks Framing Computer Networks Framing Saad Mneimneh Computer Siene Hunter College of CUNY New York Introdution Who framed Roger rabbit? A detetive, a woman, and a rabbit in a network of trouble We will skip the physial

More information

BUSINESS PRACTICE BULLETIN The School Board of Broward County, Florida

BUSINESS PRACTICE BULLETIN The School Board of Broward County, Florida PAGE: 1 OF 16 (ECE) GUIDELINES FOR INFANT, TODDLER AND PRE-K PROGRAMS TOPICS IN BULLETIN: I. GENERAL INFORMATION II. CRITERIA FOR OPENING PROGRAM III. ACCOUNTING AND FINANCIAL MANAGEMENT IV. OPERATIONAL

More information

THE UNIVERSITY OF TEXAS AT ARLINGTON COLLEGE OF NURSING. NURS 6390-004 Introduction to Genetics and Genomics SYLLABUS

THE UNIVERSITY OF TEXAS AT ARLINGTON COLLEGE OF NURSING. NURS 6390-004 Introduction to Genetics and Genomics SYLLABUS THE UNIVERSITY OF TEXAS AT ARLINGTON COLLEGE OF NURSING NURS 6390-004 Introdution to Genetis and Genomis SYLLABUS Summer Interession 2011 Classroom #: TBA and 119 (lab) The University of Texas at Arlington

More information

Chemical Equilibrium. Chemical Equilibrium. Chemical Equilibrium. Chemical Equilibriu m. Chapter 14

Chemical Equilibrium. Chemical Equilibrium. Chemical Equilibrium. Chemical Equilibriu m. Chapter 14 Chapter 14 Chemial Equilibrium Chemial Equilibriu m Muh like water in a U-shaped tube, there is onstant mixing bak and forth through the lower portion of the tube. reatants produts It s as if the forward

More information

Open and Extensible Business Process Simulator

Open and Extensible Business Process Simulator UNIVERSITY OF TARTU FACULTY OF MATHEMATICS AND COMPUTER SCIENCE Institute of Computer Siene Karl Blum Open and Extensible Business Proess Simulator Master Thesis (30 EAP) Supervisors: Luiano Garía-Bañuelos,

More information

ONCE ONLY GLUCAGON and Fast Acting Glucose gel (PGD) For nurse administration under Patient Group Direction (Trust wide PGD in place)

ONCE ONLY GLUCAGON and Fast Acting Glucose gel (PGD) For nurse administration under Patient Group Direction (Trust wide PGD in place) ADULT INSULIN PRERIPTION AND BLOOD GLUCOSE MONITORING CHART Ward CONSULTANT DATE OF ADMISSION Please affix Patient s label here Ward Ward.../...year PATIENT NAME....... DATE OF BIRTH... NHS NUMBER.......

More information

Resident s Guide to Inpatient Diabetes

Resident s Guide to Inpatient Diabetes Resident s Guide to Inpatient Diabetes 1. All patients with diabetes of ANY TYPE, regardless of reason for admission, must have a Hemoglobin A1C documented in the medical record within 24 hours of admission

More information

Introduction. We hope this guide will aide you and your staff in creating a safe and supportive environment for your students challenged by diabetes.

Introduction. We hope this guide will aide you and your staff in creating a safe and supportive environment for your students challenged by diabetes. Introduction Diabetes is a chronic disease that affects the body s ability to metabolize food. The body converts much of the food we eat into glucose, the body s main source of energy. Glucose is carried

More information

Electrician'sMathand BasicElectricalFormulas

Electrician'sMathand BasicElectricalFormulas Eletriian'sMathand BasiEletrialFormulas MikeHoltEnterprises,In. 1.888.NEC.CODE www.mikeholt.om Introdution Introdution This PDF is a free resoure from Mike Holt Enterprises, In. It s Unit 1 from the Eletrial

More information

Henley Business School at Univ of Reading. Chartered Institute of Personnel and Development (CIPD)

Henley Business School at Univ of Reading. Chartered Institute of Personnel and Development (CIPD) MS in International Human Resoure Management (full-time) For students entering in 2015/6 Awarding Institution: Teahing Institution: Relevant QAA subjet Benhmarking group(s): Faulty: Programme length: Date

More information

protection p1ann1ng report

protection p1ann1ng report f1re~~ protetion p1ann1ng report BUILDING CONSTRUCTION INFORMATION FROM THE CONCRETE AND MASONRY INDUSTRIES Signifiane of Fire Ratings for Building Constrution NO. 3 OF A SERIES The use of fire-resistive

More information

Account Contract for Card Acceptance

Account Contract for Card Acceptance Aount Contrat for Card Aeptane This is an Aount Contrat for the aeptane of debit ards and redit ards via payment terminals, on the website and/or by telephone, mail or fax. You enter into this ontrat with

More information

INCOME TAX WITHHOLDING GUIDE FOR EMPLOYERS

INCOME TAX WITHHOLDING GUIDE FOR EMPLOYERS Virginia Department of Taxation INCOME TAX WITHHOLDING GUIDE FOR EMPLOYERS www.tax.virginia.gov 2614086 Rev. 07/14 * Table of Contents Introdution... 1 Important... 1 Where to Get Assistane... 1 Online

More information

Entrepreneur s Guide. Starting and Growing a Business in Pennsylvania FEBRUARY 2015. newpa.com

Entrepreneur s Guide. Starting and Growing a Business in Pennsylvania FEBRUARY 2015. newpa.com Entrepreneur s Guide Starting and Growing a Business in Pennsylvania FEBRUARY 2015 newpa.om The Entrepreneur s Guide: Starting and Growing a Business in Pennsylvania was prepared by the Pennsylvania Department

More information