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Santa Where's My Stuff
- Artist: Pilley & Ila's Dress
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- Release Date: 12/15/2008
Pilley has appeared as a rock/pop keyboardist in video and television programs on MTV, BET, and PBS. Pilley was the featured keyboardist/talent for MTV's ace award winning show 'TURN IT UP' and WWOR's Super Station program 'SPOTLIGHT CAFE' with Denis Leary, for which she co-wrote both theme songs. She recently performed with Jo Dee Messina for the LIFETIME ACHEIVEMENt awards show on the LIFETIME NETWORK and also appeared on HBO's hit series THE SOPRANO's. Pilley was the co-host /founder of the popular singer/songwriter event sponsored by ASCAP, "The PANTY PARTY". A monthly NYC event, the raucous spectacle sported a cult following of musicians, artists and downtown hipsters featuring NYC's strongest unearthed musical talent. The Panty Party was featured on the cover of New York Magazine as one of NYC's hottest Nighttime events. Pilley was ASCAP's recipient of the Abe Olman Songwriting Award from the National Academy of Popular Music Songwriters' Hall of Fame (featured in several of their showcases) and was a featured performer in ASCAP's showcase at the Sundance Film Festival to rave audiences, sharing the stage with India Arie and Jen Chapin. Pilley is head of A&R for the National Festival MAMAPALOOZA for which she is also a featured artist and also MamaPUBlooza, the new publishing division. She was Music Director for 7 years of the long running NYC hit TONY & TINA'S WEDDING.
|Santa Where's My Stuff
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subset: commoncrawl


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- $75,000 price
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Tired of looking at homes that just don't make the cut.....Then it's time to build. THE VIEW subdivision is just 5 minutes from Winchester Medical Center and is offering building lots for your Dream Home. Bring your own builder and your own plans. Lot is approved for a 4 Bedroom Alternative Septic. No HOA. Reasonable C&R's and underground utilities. Located on a paved, state maintained road.
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Information deemed reliable but not guaranteed.
Updated: 17th May, 2017 4:26 PM.
MCDONALD ROAD Winchester, VA
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text:
The company responsible for the massive Oscars screwup will be back at the awards next year
Published 4:10 pm, Wednesday, March 29, 2017
Kevin Winter/Getty
The Academy of Motion Pictures Arts and Sciences has decided to retain the services of the accounting firm that was responsible for the greatest error in Oscars history.
Following a six-hour meeting, the Academy's board of governors decided Tuesday night that PricewaterhouseCoopers, which has been working with the Academy for 83 years, will be working next year's Oscars, according to The Hollywood Reporter, despite the envelope flub that led to presenters Warren Beatty and Faye Dunaway announcing "La La Land" as best picture instead of the rightful winner, "Moonlight."
But there will be some changes to help make sure a screwup like this never happens again.
According to the trade, new protocols include PwC chairman Tim Ryan taking on a greater oversight role, a third accountant will being seated in the control room to ensure a more immediate response if a mistake were to occur, the accountants taking part in the rehearsals, and all accountants checking their electronic devices before going near the Oscars stage.
The best-picture error occurred when PwC accountant Brian Cullinan was reportedly busy on his phone tweeting a photo of Oscar winner Emma Stone. Meanwhile, he had handed the wrong envelope to Beatty and Dunaway to award the best-picture Oscar.
Cullinan and the other accountant who worked this year's Oscars, Martha Ruiz, will never work the show again.
It turns out Cullinan was specifically told not to use his phone backstage before this year's Oscars. According to THR, Academy CEO Dawn Hudson informed the board that she became aware that Cullinan had used his smartphone and social media while working on past Oscars ceremonies, leading to him being explicitly told not to do so this year.
Cullinan still has his job at PwC.
Join the conversation about this story »
NOW WATCH: The inside story behind the Marvel movie you were never supposed to see
See Also:
- The trailer for Netflix's new JonBenet Ramsey documentary is extremely creepy
- How the next 'Star Wars' movie 'The Last Jedi' will deal with the death of Carrie Fisher
- Ryan Gosling explains why he couldn't stop laughing during the Oscars best-picture fiasco
SEE ALSO: The director behind "The Fifth Element" has waited over a decade to make his latest sci-fi epic


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Bruins Fall 35-17 Against Stanford - Game Recap
Stanford got a 142-yard performance from Stepfan Taylor as a key part of its 35-17 victory over the Bruins on Saturday at Rose Bowl.
Stanford won and also put money in the pockets of their supporters by covering the 3-point spread as favorites. Totals bettors, meanwhile, saw the game go OVER the closing number of 51.5.
Kevin Hogan completed 15 of 22 pass attempts for 160 yards for the Cardinal in the win. He did not throw an interception in the game.
Johnathan Franklin rushed for 65 yards for UCLA, while Jordon James added 8 yards. Brett Hundley threw for 261 yards for the Bruins, while receivers Shaquelle Evans and Joseph Fauria had 86 and 66 yards respectively.
UCLA was outgained by Stanford 381-334 yards in Saturday's match, while the important battle of first downs was won 19-13 by the Cardinal.
The time of possession battle favored Stanford as their offense was on the field for 34:31, longer than the 25:29 of their opponents.


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I read an article the other day that said this South Africa team is the
best ever but I have to say I disagree.
The 1999 team was better - I believe the best team in that tournament - but we messed up in a couple of matches, especially that fateful tied semi-final against Australia.
The current squad is certainly not a bad one, there is certainly a strong first-choice eleven with the majority of guys in good nick.
But the key will be whether the fringe guys in the squad can slot in
seamlessly if there are injuries, in the way that guys did four years ago.
The last four years have been a long road, both for the team and for me.
We had to recover from a heart-breaking loss and I've had my own struggles with injury.
I only really decided that I definitely wanted to make a fourth World Cup a priority was when I was injured in the Newlands Test against Australia last year.
I feel in better condition now than I have for a couple of years. Not having to play in Tests has helped and I've played 22 one-day internationals already this year.
That is a world away from the way I felt after than final ball run-out in
the 1999 semi-final.
There were just no words to describe the feeling in the dressing-room - I thought the world was just going to swallow me up and spit me out after.
One positive to come out of it, though, was that it brought out the best of my character - it tested me under the most extreme conditions and I worked out how to get out of it.
It was with those kind of mental preparations in mind that the whole team went on a mini-boot-camp in the Drakensburg mountains last week.
We were put under pressure to see how we would respond to our mates, but some of the squad were more successful than others.
The first day saw us doing a 12km run through the bush using a compass.
of the team were home in just under an hour but it took Gary Kirsten, Monde
Zondeki and me over three!
The rest of the build-up has slowly gathered momentum, with some of the guys showing a bit of rust after a month off in the first warm-up game.
There is a definitely pressure on us as hosts - this sports-mad country
demands winners - but we have to accept that pressure and thrive on it.
I'll be glad when we can get all of this final preparation out of the way
and get out onto the field against the West Indies on Saturday.
I'm sure the atmosphere at Newlands will be amazing.
I'm not nervous but there's a certain nervous excitement and I just want to get this show on the road.


text:
So I just needed to tell someone! I'm pretty concerned right now that I may lose this baby. I've never worried like this before. My problem is in the last month I have had swine flu, pneumonia and possibly a yeast infection. I've taken Tamiflu, Levaquin, Premarin, and Diflucin (sp?). Basically all of which you shouldn't take while pregnant. I've been having low grade cramping/abdominal pain. Nothing big, but enough with after all these meds has me worried. I was supposed to take another Diflucin in a week but when I called my dr to tell them I was pregnant, they told me not to take the second one and to try and not do a whole lot (hard for a mom of 2 toddlers, lol). Thanks for listening to my ramblings. I'm going to go put my feet up now like they told me too.
Try not to worry about it and stay positive! :) ( I know how hard it is to not worry about something big though)
Lizz Proud teen mommy to Andrew Michael- 18 months- *Age has nothing to do with how good of a parent you can be*
I can understand how you feel. I, unfortunately, lost my April 2010 baby a couple of weeks ago. I hope you are still doing well and I am sending positive thoughts your way :)
Thanks for your thoughts. I am doing better, still periodic cramping but not too bad. My dr just put me on an exercise program because he thinks I was mostly just deconditioned after such a rough summer. So I walk every day now. I can actually breathe again, and it doesn't seem to add to the cramps, YAY!
I'm sending you well wishes and good luck! Staying positive and doing what the docs tell you to do is the best. I have two other little ones as well so I understand how taking it easy is really hard! :)
Quoting WifeNMommy07:
I'm sending you well wishes and good luck! Staying positive and doing what the docs tell you to do is the best. I have two other little ones as well so I understand how taking it easy is really hard! :)
Thank you! I've actually been doing sooo much better, but I still can't shake this feeling that something is wrong. We just had an appt on monday and heard the heartbeat again, so I know it's there and it was a pretty strong and fast beat. I dunno, I think my body is just acting weird this time around. People keep telling me it must mean I'm finally having a boy, hahaha! I still want another girl!


text:
This movie provides a juxtaposition of competing themes. Life is a crapshoot, but we also have a destiny. Karma exists among chaos - kindness is rewarded, but there is also random pain and suffering. Wisdom can be found in the simplest of things. The power of kindness as well as the impact of cruelty really shines through in this movie. Best of all, its a feel good movie that leaves you feeling optimistic about life.
What Dreams May Come
This film is gorgeous with innovative cinematography for its time, but it is also a love story with relationships that endure and conquer. It's an interesting commentary on grief and loss and a reminder that life is fleeting and to appreciate you have. It depicts suicide as a selfish act that spreads destruction like ripples in a pond to everyone around, but also provides hope that no human being is beyond redemption. The meaning of life, love and death is explored all within the context of a movie that leaves you feeling good at the end. If you want to believe in soulmates, this is a good movie to watch.
AI (Artificial Intelligence)
This movie is an interesting commentary on human (and not-so-human) behavior. Themes of rejection, abandonment and isolation are central as well as oppression, discrimination, fear and hatred of what is different. The child's undying quest for mother-love, even when its not reciprocated, is exquisitely and painfully portrayed here. And although the mother does a cruel thing, she isn't villianized. This is not a feel good movie and may leave you with a lingering sadness about the darker side of human nature.
Eternal Sunshine of the Spotless Mind
This is a movie with a complex message about relationships. One might wonder whether to feel hopeful or doomed at the end. Many of us have probably felt like erasing an ex from our memories and it was interesting to watch what might actually happen if we did. It leaves us with so many questions about destiny, free will, and the nature of love. Perhaps the message is "it is better to have loved and lost than never to have loved at all". Not a feel good movie, but thought provoking.
Bastard Out of Carolina
This is an extremely disturbing move and not for sensitive viewers due to stark depictions of poverty and child physical and sexual abuse. It shows the complex forces that allow abuse to surface and escalate, even when others are aware its happening. It shows how a mother might choose not to protect her child and the devastating effects this has on family relationships. It is a story of survival. Viewers may walk away feeling changed and perhaps a little less innocent.
Garden State
This movie depicts how afraid Americans are of strong emotion and how many of us will do almost anything to avoid or escape them. More and more our culture sees emotion as a problem to be fixed. This movie shows the healing power of emotional awareness and expression. It illustrates how meaningless and colorless life can be without emotions and how rich and rewarding it can be when they are acknowledged. The characters are complex and entertaining and you may walk away feeling a little better about life.
Being John Malkovich
This is a movie about walking in the shoes of another person - the closest thing to perfect empathy. But, it turns into a nightmare for some of the characters involved. Issues surrounding gender roles, sexual identity, and privacy are broached. Overall a weird, wonderful film.
About Schmidt
This is a movie that will impact a person in different ways depending on age and station in life. Those in or nearing middle age may find it uncomfortable. Mid-life changes cause Schmidt to review his life and search for meaning. He learns the hard way that the things that were supposed to be important in his life were fleeting or shallow or pointless. His quest for a purpose goes awry, but the movie ends with a message of hope.


text:
Ask a Law Question, Get an Answer ASAP!
Hi Clare,
Thanks for your assistance.
The anniversary of the separation will be two years as of the first week in April 2015.
As she said that she was filing for divorce and had already withdrew £2500 from the then joint account, I decided I was not paying for the divorce, so was pleased that I just needed to wait to read and sign for consent when the paperwork arrived. As it didn't arrive and I was informed 12-14 weeks by here I have twice queried the situation, and all I have received is excuses, just need to know if she has started the process, if she has I am guessing there is nothing I can do, if she hasn't then it maybe my opportunity to reluctantly pay for this myself, so would want the most efficient but cheapest option.
Mark Knibbs
The grounds for divorce were 5 counts, I cant name them all, but basically irreconcilable differences, drifted apart, different future goals etc etc. As I asked what she was stating as grounds so not to be saying anything wrong about my character.
Like I say its just the timescale that this has been going on that concerns me it feels like I am being blagged some what.
Not sure what else to do to see if the divorce is actually being processed, so I can decide my next course of action


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ESL Curriculum and Teaching 2
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Mon-Fri: 10am-9pm
Sat: 10am-8pm
Sunday: 11am-6pm
In Los Angeles, where shopping is a top passion for national and international visitors, Westside Pavilion offers a great selection of retailers to choose from. Top brands beckon at every turn – Nordstrom, Macy's and The Landmark Theatre anchor retailers such as Ann Taylor, Banana Republic, BCBG, H&M, Urban Home and Cotton On. Dining options will please any palette with choices such as Westside Tavern, 6th & Pine, The Wine Bar at Landmark, and Hokkaido.
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USS Skipjack
1958 - 1990
Call Sign: NZHX
Voice Call Sign: Starfire
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|Last updated on 11/18/12


text:
Expedia Verified Reviews
Don't miss out on a lower price on this hotel
Get an overview of this hotelHotel in Roseville with free breakfast and free area shuttle
Popular property highlights
Situated in Roseville, this hotel is within 6 mi (10 km) of University of Minnesota-St. Paul, University of Minnesota-Minneapolis, and Heights Theater. Sky Ride and Sky Glider are also within 6 mi (10 km).
Hotel Features
An indoor pool, a fitness center, and a 24-hour business center are available at this smoke-free hotel. Free buffet breakfast is provided, as well as free WiFi in public areas, free self parking, and a free area shuttle. Other amenities include meeting rooms, dry cleaning, and laundry facilities.
Room Amenities
All 118 rooms provide conveniences like refrigerators and microwaves, plus free WiFi and flat-screen TVs with cable channels. Guests will also find coffee makers, free newspapers, and free local calls.Information missing or incorrect? Tell us! Opens in a new window.
Holiday Inn Express Roseville-St. Paul
Hotel Amenities
Hotel Amenities
Holiday Inn Express Roseville-St. Paul features an indoor pool and a fitness center. A computer station is located on site and wireless Internet access is complimentary. This hotel offers access to a 24-hour business center and meeting rooms. A complimentary breakfast is offered. Event facilities measure 500 square feet (45 square meters). A complimentary area shuttle within 5 mi is available for guests. This business-friendly hotel also offers multilingual staff, complimentary newspapers in the lobby, and laundry facilities. Onsite self parking is complimentary. A total renovation of this property was completed in June 2016.
Holiday Inn Express Roseville-St. Paul is a smoke-free property.
- Free area shuttle
- Conference space size (meters) - 45
- Safe-deposit box at front desk
- Luggage storage
- Elevator/lift
- Fitness facilities
- 24-hour business center
- Conference space size (feet) - 500
- Indoor pool
- 24-hour front desk
- Free breakfast
- Laundry facilities
- Meeting rooms 2
- Total number of rooms - 118
- Free self parking
- Free WiFi
- Number of floors - 6
- Dry cleaning/laundry service
- Number of buildings/towers - 1
- Computer station
- Smoke-free property
- Multilingual staff
- Free newspapers in lobby
Family Friendly Amenities
- Family Hotel
- Indoor pool
- Free Wi-Fi
- Area shuttle (complimentary)
- Laundry facilities
- Refrigerator
- Microwave
- Cribs/infant beds (complimentary)
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking
Room Amenities
- Free cribs/infant beds
- Free WiFi
- Desk
- Premium TV channels
- Air conditioning
- Free newspaper
- Phone
- Private bathroom
- Free toiletries
- Coffee/tea maker
- Free local calls
- Hair dryer
- Daily housekeeping
- Iron/ironing board
- Cable TV service
- Flat-panel TV
- Microwave
- Refrigerator
- Connecting/adjoining rooms available
Where to Eat
Guests are offered a complimentary buffet breakfast.
Nearby Activities
Recreational amenities at the hotel include an indoor pool and a fitness center.
If you have requests for specific accessibility needs, please note them at check-out when you book your room.
- Accessible bathroom
- Roll-in shower
- In-room accessibility
Hotel Policies
Check-in time ends at 2 AM
Check-in time starts at 3 PM
Check-out time is 11 AM
Payment types
Children and extra beds
- Children are welcome.
- Kids stay free! Up to 4 children 17 years old and younger stay free when using existing bedding.
- Rollaway/extra beds are not available.
- Free cribs (infant beds)!
- Pets not allowed
You need to know
Extra-person charges may apply and vary depending on property policy.
Hotel Name
- Holiday Inn Express Paul
- Holiday Inn Express Paul Hotel
- Holiday Inn Express Paul Hotel Roseville-St.
- Holiday Inn Express Roseville-St. Paul
- Roseville-St. Paul
- Holiday Inn Express Roseville-St. Paul Hotel
We should mention
Up to 4 children 17 years old and younger stay free when occupying the parent or guardian's room, using existing bedding. The property has connecting/adjoining rooms, which are subject to availability and can be requested by contacting the property using the number on the booking confirmation.


text:
Angels of Hope Luncheon features Brunello Cucinelli
Updated 1:12 pm, Sunday, December 23, 2012
Some designers lend their current collections to the opening of an envelope; Brunello Cucinelli does not do fashion shows outside of his own during Milan Fashion Week. But thanks to Neiman Marcus's 14-year involvement with Child Advocates, Cucinelli made an exception when he showed looks from his spring 2013 collection at the Angels of Hope Luncheon, whose proceeds benefited the nonprofit. A long time supporter of children's charities - Cucinelli opened a children's hospital in Malawi in 2011 - the maestro of utilitarian femininity showed cropped moto jackets layered over billowing silk tunics and wide leg jeans, and cashmere T-shirts embellished with ostrich feathers, while Adele's "Set Fire to the Rain" boomed in the background. Event chairs Rosemary Schatzman and Phyllis Williams should be beaming for two reasons: scoring such a luncheon show-stopper - and selling 620 tickets during the hectic holidays. Other femmes for whom Christmas came a little early: honorees Kimberly David and Dolly Thomas, as well as Vanessa Sendukas, the lucky duck winner of a $5,000 Cucinelli shopping spree.


text:
[ Printer Friendly Version ] [ Report Abuse ]
Chapter 1 : After The Great Battle
|Rating: Mature
|Chapter Reviews: 4
Background: Font color:
It was right after he defeated Voldemort, everyone was in the Great Hall helping each other, relieved that the war was finally over.
Harry was relieved but he had many thoughts and emotions running through his mind. So he quickly made his way out the Great Hall to the Astronomy Tower. It was a cool night with a light breeze as he stood out on the Astronomy Tower balcony. The realization of all the lives that were lost hit him and he fought hard to not break down.
As he finally pushed those thoughts to the back of his mind, he thought about Ginny. He thought of her many times throughout the search for horcruxes. Now as he thought of her he was troubled. The more he thought about her the more he felt he could not be with her. He loves her yes, but not like he did. It was puppy love, the only thing he really had was lust. Which was normal for every boy his age. What he really wanted to feel, to experience, was love. Something like what his parents had or what Snape felt for his mother.
What he has not realized was that he has felt that for a long time now, for another brilliant witch. He is blind for who his heart really wants.
"Harry?" He heard the voice of Hermione behind him that pulled him from his thoughts.
"Yes" he said, turning around to look at her.
As she stepped closer to him into the moonlight she saw that he looked troubled." I saw you slip out of the Great Hall, so I got away from everyone to follow you. Are you okay Harry?"
"Yes, I'm fine. I just needed some air." He lied as he looked away at the night sky.
"You know Harry, she said. "I have known you for 7 years now; I think I know by now when you're lying. Now what is it Harry? You know you can talk to me." She said as she rubbed his arm.
He did not like to feel vulnerable around people since everyone considered him strong, but he was slowly breaking down in front of her.
"It's just the number of people that died for this, it's slowly killing me." He cried as he began to sink down to the ground crying.
At the sight of this, Hermione held onto him on the ground next to him to let him cry on her shoulder.
"Oh Harry. None of this is your fault, they would fight regardless. It's our world that was in battle, they died fighting for the whole wizarding world and muggle world." She said softly while holding him in a tight embrace. She began to slowly rub his back to calm him down from sobbing.
"But you, the Weasleys, everyone didn't have to fight with me. I would've fought him alone." He cried while sobbing into her shoulder.
"What makes you think we would have left you to fight alone? They love you, I love you. We never would've let you fight alone even if you threatened to hex us all. We would've fought by your side anyway." She said to him while standing him up.
"But if any of you were hurt or killed....
"We would die for you. So it doesn't matter Harry." She said softly while whipping his tears.
He couldn't say anything to that statement; he realized just how right she was.
Then she did something that caught him off guard, and gave him a sweet, soft kiss on the lips and smiled while a small blush came onto her cheeks. "Now, will you please come down to the Great Hall? I'm sure everyone is worried about where you went.
All he did was nod and went to follow her thinking about the feeling that radiated though his entire body when she kissed him.
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UnNews:Transfer of Abu Ghraib prison to Iraqis starts "New Era of Torture"
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Transfer of Abu Ghraib prison to Iraqis starts "New Era of Torture"
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BAGHDAD, Iraq -- The United States military transferred control of the notorious Abu Ghraib prison to Iraqis on Saturday, marking the next transition in phasing out American presence in the country. "We firmly believe Iraqis are fully capable of torturing their citizens properly on their own," announced Lt. Col. Keir Kevin Curry during the transfer ceremony. "Despite sectarian differences, the Shiites, Sunnis, and Kurds all really got together on this one - everyone loves a little torturing," he added.
Iraqi prison officials are confident they have all the necessary torturing skills. "Under Saddam's rule, our main technique was testicle electrocution," explained government spokesman Ali al-Dabbagh, "but the Americans taught us a large variety of other methods in the past few years." Guards were trained in a rigorous program designed by Army military police, guided by star torturer Lynndie England. The training was thoroughly documented with photographs for future reference.
Abu Ghraib was cleaned and restocked before the takeover, and now contains a fresh arsenal of torturing tools. On a tour of the facility, reporters were shown shiny new whips, electrodes, and water boards. The facility even has a new electric chair, powered by a gasoline generator - so it can work even during Baghdad's frequent blackouts. An array of vicious guard dogs was also paraded in front of spectators.
Iraqi Prime Minister Nouri al-Maliki attended the ceremony and said in his speech that the monumental moment in history marked the start of a "New Era of Torture" in Iraq. He promised that Abu Ghraib would maintain its status as "the preeminent torture facility in the world." Joining via videophone, President Bush praised Iraqis for the transfer, saying this was a significant step in withdrawing American influence and promoting Democracy. "Banning gay marriage will be the next step," he added.
At the official moment of transfer, Maj. Gen. Jack Gardner, Commander of Task Force 134, pressed a buzzer that ceremonially administered a mild 0.012 milliAmpere electrical shock to all of the prison's inmates. Iraqi General Hasan al-Baraqua then pressed a second button, which delivered a higher 1.75 Ampere shock, symbolizing the increased power of the Iraqi prison system. An inmate wanting to maintain anonymity later commented that he could "really feel - both figuratively and literally - that changes are coming." He subsequently felt an additional shock of 100 Amperes as punishment for talking to the media.
edit Sources
- AP "Iraqis take over Abu Ghraib prison". "", September 2, 2006


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Cataldo Ambulance Service, Inc. Policy and Procedures Manual
- Sharlene Holt
- 2 years ago
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1 Cataldo Ambulance Service, Inc. Policy and Procedures Manual Revised September 1, 2008
2 FORWARD The following policies and procedures are not intended to be an inclusive record of all company policies, procedures, rules and regulations: others may be implemented at various times and in various forms, at the company s sole discretion. Cataldo Ambulance Service, Inc. is an at-will employer. These policies and procedures should not be considered or construed as a contract or promise of employment, and do not give rise to contractual rights and/or obligations. Neither the employee nor company is obligated to continue their relationship if either party does not wish to do so for any reason, with or without notice. Company operations, business needs, government regulations and environments are continually changing. Therefore, the company reserves the right to alter, amend or discontinue a policy or procedure without advance notice as appropriate in conducting its business. To the extent that any policies or procedures are superseded by applicable law, it is the intent of the company to comply with the Law. Cataldo Ambulance Service, Inc. generally will inform employees of any changes in policies and procedures as soon as possible. Any violation of or failure to comply with these and other company policies will subject the employee to disciplinary action, up to and including dismissal.
3 Cataldo Ambulance Service, Inc Clinical and Educational Services Policy and Procedures Manual Table of Contents Policy CS 100 CS 101 CS 102 CS 103 CS 104 CS 105 CS 106 CS 107 CS 108 CS 109 CS 110 CS 111 CS 112 CS 113 CS 114 CS 115 CS 116 CS 117 CS 118 CS 119 CS 120 CS 121 CS 122 CS 123 CS 124 CS 125 CS 126 CS 127 CS 128 CS 129 CS 130 CS 131 CS 132 CS 133 CS 134 CS 135 CS 136 Subject Hospital Entry Notifications Patient Care Documentation Patient Refusal and Examine / Treat & Release BLS Request for ALS Response Cardiac Monitors Protecting Patients from the Elements Schedule II-IV Medication Accounting and Security Zoll Battery Maintenance Patient Confidentiality/Protected Health Information (HIPAA) Comfort Care/DNR Order Verification Forms Medication Exchanges Medical Control Training Plans Malfunctioning or Failed Patient Care Equipment Statewide Emergency Medical Services Pre-Hospital Treatment Protocols Clinical Practitioner Senior/Junior Policy ALS Inter-Facility Transfers Clinical Investigations ALS to BLS Triage ALS Operations at Special Events/Standbys Hospital Diversions 3 rd Rider Program Transportation of Chair Car Patients / Customers Scene Management of Sudden Deaths Sexual Assault Patients Physio-Control Suction Unit Battery Maintenance Patient Safety Protect-a-caths ALS interventions with Patient Refusal State or Regional Paramedic/Basic Wavier Activating Aero-Medical Response Consent Splitting of Paramedic Crews Transfer of Patient Care Deviation from Protocols MD or RN on Scene Needle/Sharps Safety
4 Policy Subject CS 137 LSP Ventilator-Auto Vent 3000 CS 138 Exposure Control Plan CS 139 Patient Identification CS 140 Attending the Patient CS 141 Patient Point of Entry CS 142 Patient Transportation Screening CS 143 Medication Box Security CS 144 Employee Exposure/Infection Control Medical Records Assess CS 145 Protection from Contaminated Paperwork/Patient Care Reports CS 146 Hazardous Communications Program CS 147 Major Incident Response/Health & Safety Guideline CS 148 Morbidity & Mortality Rounds (M & M s) CS 149 IV Warmer Rotation
5 Cataldo Ambulance Service Inc. Communication Center Policies and Procedures Table of Contents Policy Subject CM 101 AS/ 400 Computer CM 102 Air Ambulance Transports CM 103 Ambulance and Chair Car Rate Schedule CM 104 Chair Car Services CM 105 Municipal Contracts 105 A City of Chelsea 105 B City of Everett 105 C City of Lynn 105 D City of Malden 105 E City of Revere 105 F Town of Saugus 105 G City of Somerville 105 H City of Melrose 105 I City of Peabody CM 106 Clinics & Urgent Care Centers CM 107 Cash on Delivery (COD) Pre-Payment Transports CM 108 Computer Access and Security CM 109 Computer Failures and Troubleshooting CM 110 Customer Service and Interactions CM 111 Incident Support Unit (ISU) CM 112 DPH Hospital Capacity Website CM 113 Hospital Turn Around Time CM 114 Mass Casualty Incidents (MCI s) CM 115 Med Access Program CM 116 Paper Work Processing CM 117 Power or Electric Failure CM 118 Radio Procedures CM 119 Satellite Locations CM 120 Psychiatric Patient Transfer (Section 12 & 303BB) CM 121 Supervisor Responses CM 122 Shift Responsibilities CM 123 Special Trips and Services CM 124 Telephone Procedures CM 125 Vehicle and Fleet Maintenance CM 126 Out of Chute Time CM 127 Paramedic Basic Waiver CM 128 Nursing Care Facilities CM 129 Children s Hospital Boston - Transportation Services CM 130 Communications Security Appendix 1 Emergency ALS & BLS Response Guidelines
6 Policy Subject Appendix 2 Emergency Response by Call Type
7 Cataldo Ambulance Service Inc. Human Resources Policy and Procedures Manual Table of Contents Policy HR 100 HR 101 HR 102 HR 103 HR 104 HR 105 HR 106 HR 107 HR 108 HR HR 109 HR 110 HR 111 HR 112 HR 113 HR 114 HR 115 HR 116 HR 117 HR 118 HR 119 HR 120 HR 121 HR 122 HR 123 HR 124 HR 125 HR 126 HR 127 HR 128 HR 129 HR 130 HR 131 HR 132 HR 133 HR 134 HR 135 Subject Equal Employment Opportunity Harassment Sexual Harassment Employee Records Performance Evaluations Promotions Open Door Policy Compensation & Pay Overtime Allocation of Available Overtime Hours Employment Separation from Employment Standards of Conduct Confidential and Proprietary Information Telecommunications Systems & Equipment Personal Telephone Calls Workplace Security Dress Code Bulletin Boards/Employee Notifications Drug & Alcohol Policy Work Place Safety Company Vehicle Driving Privileges Paid Time-Off (PTO) Taking Time Off Time-Off Requests Holiday Pay Bereavement Pay Tuition Assistance Worker s Compensation Personal Property Family Medical Leave (FMLA) Small Necessities Leave Attendance & Punctuality Employment Status Crew Scheduler / Payroll Processing Shift Assignments and Bidding Violence Prevention
8 Cataldo Ambulance Service, Inc. Operations Division Policy and Procedure Manual Table of Contents Policy OP 100 OP 101 OP 102 OP 103 OP 104 OP 105 OP 106 OP 107 OP 108 OP 109 OP 110 OP 111 OP 112 OP 113 OP 114 OP 115 OP 116 OP 117 OP 118 OP 119 OP 120 OP 121 OP 122 OP 123 OP 124 OP 125 OP 126 OP 127 OP 128 OP 129 OP 130 OP 131 OP 132 OP 133 OP 134 OP 135 OP 136 OP 137 OP 138 Subject Company Vehicle Operations Checklists Cleaning of Quarters Securing of Quarters Smoking in Vehicles and Bases Reporting use of Medications While on Duty Securing Vehicle Keys Removing Equipment from Vehicles Unusual Event Forms/Reports Retrieving Equipment Left on Scene or at a Hospital Equipment Failures Reporting a Vehicle Out of Service Company Vehicles Involved in Motor Vehicle Accident Oxygen Tanks Equipment Requisition Responsibility to Respond, Treat, and Transport Transport of a Dead Body Major Incident Response Guide (Mass Casualty Incidents - MCI) On-Site Accidents/Incidents Crime Scenes Parental Rights to Accompany a Child During Transport Patient Restraint Sanitary Conditions Inspection Authority Staffing of Ambulances Mandated Reporting Child Abuse and Neglect Mandated Reporting Elder Abuse and Neglect Back-up Services and Their Use Stocking of Supplies Hospital/Destination Turn Around Time Patients Transported Under Police Custody Authorized Personnel in Company Bases Uniforms and Personal Appearance Sleeping Key Security & Accountability Use of Cellular Phones Replacing Medical Equipment for Fire Departments Use of Non-Sanctioned products in the Workplace TD BankNorth Garden Event Eligibility
9 CLINICAL and EDUCATIONAL SERVICES Policy #: CS 100 Title: Level: Definitions: Hospital Entry Notifications EMTs and Paramedics To inform all EMS providers of Company, Regional and State Regulations regarding hospital entry notifications. Hospitals will be notified of incoming patients and their medical conditions in a timely and organized manner. Per OEMS Regulations 105 CMR et al, Medical Control contact should be over a recorded line. Entry note: A radio or telephone communication with a hospital emergency department informing the receiving facility of a patient s medical condition and estimated time of arrival. Emergency Response: A request for emergency care and transportation of a sick or ill individual is made via the 911 systems or directly to the dispatch center necessitating a priority response. These are priority 1. Non-Emergency Response: A pre-scheduled transport request for a stable patient that will not require emergent or urgent care on route or upon arrival at the hospital. These are non-priority responses. Procedural Guidelines and Responsibility: I. Entry notification requirements for emergency responses: NOTE: The below refers to Patient Condition as opposed to dispatch response criteria a. Priority 1 Transports: Entry notifications will be made to all hospital for patients transported priority 1 regardless of the dispatch priority. b. Priority 2 Transports: Entry notification will be made to all hospitals (EXCEPT for Mass. General, Children s Hospital in Boston, Beth Israel Deaconess and Brigham and Women s) for priority 2 patients regardless of the dispatch priority c. Priority 3 Transports: Entry notifications will be made to all hospital (EXCEPT for Mass. General, Children s Hospital in Boston, Beth Israel Deaconess and Brigham and Women s) for priority 3 patients II. Entry notification requirements for non-emergency responses:
10 Entry notifications are generally not required for non-emergency prescheduled transports (priority 4) EXCEPT WHEN: The patient s condition has deteriorated en-route necessitating upgrading of the transport priority. Upon arrival at a location for a pre-scheduled transport, the patient s medical condition is determined to require emergent care and transportation. A psychiatric patient has become violent or a psychiatric patient being transported with a section 12 committal in force is a flight risk. III. Contents of an entry notification The contents of an entry notification will vary according to the acuity of the patient, the time available to the EMS provider to make an entry note and the level of certification of the EMS provider. Entry notes should rarely exceed seconds in duration. a. All entry notes shall contain the following elements: Age Sex Chief Complaint(s) Vital Signs, Lung Sounds, SaO2 readings, Blood Glucose readings, and other pertinent physical findings A brief description of treatment provided Estimated time of arrival at the hospital The following additional information shall be included in all entry notes when applicable: If the patient is a minor, whether or not a parent is onboard or has been notified. The patient has a potentially communicable disease that requires hospital staff to take precautions to protect themselves. The patient is originating from the scene of a Hazardous Materials Incident. The patient is chronically ventilator dependent. Hospital Security is needed to contain and control the patient. b. BLS entry notifications of priority 1 patients shall include a short history of the present illness and pertinent past medical history in addition to the standard entry note elements. c. BLS entry notes of priority 2 and 3 patients generally require only the standard information.
11 d. ALS entry notes shall include the standard elements of all entry notes and the following, when applicable: Past Medical History Medications Medication allergies ECG interpretation ALS treatments that have been administered e. Following an entry note, the hospital may have questions regarding the patient s condition. Be prepared to answer them as completely as possible. IV. Radio Entry Note The C-Med radio should be your primary means of entry notifications for priority 1 and 2 transports/patients. All radio traffic is recorded for your protection. Within our operating area we utilize two C-Med systems: a. Northeast C-Med under Region III. This system comprises all the hospitals located north of Boston and includes the cities of Everett, Lynn, Malden, and Saugus. b. Boston C-Med under Region IV. This system comprises all the hospitals in the metro Boston Area and includes the cities of Cambridge, Chelsea, Revere, Somerville, and Winthrop. c. The following is a list of the hospitals that we frequently transport to and their respective C-Med system: Northeast C-Med: Whidden Memorial Hospital - Everett, Northshore Medical Center Lynn & Salem, Lawrence Memorial Hospital Medford, Melrose Wakefield Hospital Melrose, and North Shore Children s Hospital Salem, Beverly Hospital Beverly and Anna Jacques Hospital Newburyport. Boston C-Med: Somerville Hospital Somerville, The Cambridge Hospital Cambridge, Mount Auburn Hospital Cambridge and the following Boston Hospitals; Mass. General Hospital, Children s Hospital, Beth Israel -Deaconess Medical Center Boston Medical Center, and Brigham & Women s Hospital. d. To hail one of the two C-Meds select the proper channel on the radio & state: Northeast or Boston C-Med Cataldo Ambulance 9 Give the C-Med operator at least 15 seconds to answer the radio. If the C-Med operator does not answer repeat this process at least two more times before giving up.
12 d. When un-able to raise C-Med you will contact the dispatcher and inform them that you were unable to contact C-Med and will need to give an entry note through the dispatch center. Keep the entry note brief. Also as soon as practically feasible please complete an Unusual Event Form regarding this situation. V. Telephone Entry Notes. Telephone entry notifications are acceptable as a back up to radio entry notifications for priority 1 and 2 patients or for low acuity (priority 3) patients. REMEMBER: OEMS requires Medical Control and Patient Care notifications to be over a recorded line! Region III prohibits direct telephone entry notifications to hospitals for priority 1 and 2 patients. This restriction does not apply to priority 3 patients. A crew that elects to utilize this method shall contact Northeast CMED at one of the following numbers and request a phone patch: or Region IV does not prohibit direct telephone entry notes; however, few if any hospitals record the entry notes. The information provided via telephone shall be the same information required for radio notifications. Some hospitals require that only a nurse or physician receive an entry notification. Preface your notification with the statement: This is Cataldo Ambulance (unit#) with an ALS or BLS priority 1/2/3 entry notification. The hospital will then ask you to wait while a nurse is summoned or they will simply take the information. (Return to Clinical and Education Table of Contents)
13 CLINICAL and EDUCATIONAL SERVICES Policy #: CS 101 Title: Level: Patient Care Documentation All Field Staff To establish a standard for patient care documentation Employees who are required to document patient care activities and/or patient billing activities will do so in a complete, accurate, and legible fashion using blue or black ink pen only as described in this policy and procedure. Definitions: Contemporaneous Statement means a legal statement signed by one ambulance employee present during the transport to the receiving facility, that, at the time the service was provided, the patient was physically or mentally incapable of signing the PCR and that none of the individuals allowed by Medicare Regulations were available or willing to sign the PCR on behalf of the patient. Med Nec means Medical Necessity Form PCR means Patient Care Report PCS means Physician Certification Statement Associated Policies & Procedures: CS 102 Patient Refusal & Examine/Treat & Release CS 108 Patient Confidentiality / Protected Health Information CS 131 Consent Procedural Guidelines & Responsibility: GENERAL: All documentation should be in black or blue ink and will be legible and any abbreviations will be in accordance with currently accepted medical terminology meaning the abbreviation or term must be published in a legitimate medical dictionary, i.e. Tabors, Mosby s, etc. All PCR s will be filled out completely and accurately including but not limited to all demographic, billing data, and time notations with correlating assessments, treatments, and outcomes. The goal of the narrative section is to Paint a Picture meaning a person who was not involved with the call who reads the narrative should be able to picture in their mind the events, observations, treatments, and outcomes
14 associated with the call, as it is documented on the PCR. This documentation should also be in a chronological order from beginning to end. It MUST be legible! Once the narrative is complete, if there is additional space for medical documentation, the author should line out the remaining spaces so that additions can not be made after completion. All blank or unused medical documentation portions of the PCR should be filled in with the abbreviation N/A indicating Not Applicable. If an error is made while documenting, simply line out the error with a single line and write the correction as close to it as possible and the author shall initial the correction. Do not block out or white out an error. If additional space is required to complete the narrative, use the secondary PCR which has a modified patient information section and remember to fill in the PAGE OF section accordingly. The appropriate copy (Pink Sheet) of the PCR will be left at the receiving hospital/facility (location where the patient was transported to). NOTE this is in compliance with OEMS Regulations: 105 CMR (C)(2) BILLING: All billing information will be filled completed thoroughly and accurately at the time of service and a signature of patient or responsible party obtained. EMERGENCY AMBULANCE SERVICES o If the patient is unable to sign the form then one of the following persons must sign the form: The patient s legal guardian. A relative or other person who receives social security or other governmental benefits on the patient s behalf. A relative or other person who arranges for the patient s treatments or exercises other responsibilities for his/her affairs. A representative of an agency or institution that did not furnish the services for which payment is claimed but furnishes other care, services, or assistance to the patient. If you are unable to obtain a signature from any one of the above, you may get a Contemporaneous Statement signed see Contemporaneous Statement at end of this policy NON EMERGENCY AMBULANCE SERVICES o The Physician Certification Statement / Medical Necessity Form should be completed and signed by the appropriate individual at time of service. For BLS patients, the PCS demographic lines may be completed by the EMT. Sections 1 through 4 must be completed and signed by either a Physician, Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist, Registered Nurse, or Discharge Planner NOTE: Circle the correct designation of the person signing the form.
15 For Chair Car Patients, the Medical Necessity may be signed by a Physician, Physician Designee, Physician Assistant, Nurse Midwife, Dentist, Nurse Practitioner, or Managed-Care Representative. However, the Chair Car Operator must specify the Physician s Name for any Physician Designee signatures. The Advanced Life Support Medical Necessity Form Demographic lines, Section 1, 2, and 3 may be completed by the Paramedic. However, Section 4 must be completed and signed by a Physician. If a patient or responsible party refuses to sign any of the forms, the crew shall document such refusal on the form. PATIENT REFUSAL: Patient Refusals shall be documented in a complete, accurate, and legible fashion including the Risk and Benefits of the refused aspects of care or transport. In the event that treatment was rendered including but not limited to medication administration, Medical Control should be contacted and such contact shall be documented on the PCR including the Physician s name, medical control number, and the name of the Hospital where the Physician was contacted. Refer to CS-102: Patient Refusal and Exam / Treat & Release Contemporaneous Statement MM/DD/YY at : AM/PM patient was picked up at and transported to. Origin of Call Destination I am signing to verify that the above information is accurate to the best of my knowledge. Signature EMT: OEMS #: Facility Representative: Title: Date: (Return to Clinical and Education Table of Contents)
16 CLINICAL and EDUCATIONAL SERVICES Policy #: CS 102 Title: Level: Patient Refusal and Examine/Treat & Release EMT s and Paramedics 1) To define the terms associated with patient refusals and treat/release situations. 2) To specify the documentation necessary for each type of no patient transport call in order to comply with EMS Healthcare Practice Standards and the Commonwealth of Massachusetts Regulations. Every patient contact shall be offered a medical examination, treatment and transport to an appropriate acute care hospital. Should the patient refuse examination, treatment or transport all facts shall be thoroughly documented on the patient care report form including appropriate signatures. Related Policies: CS 101: Patient Care Documentation CS 131: Consent Definitions: Patient Refusal: All persons who are of legal age (at least 18 yrs. of age) or are an Emancipated Minor, or who is the legal responsible party for a patient may refuse all or any portion of medical examination, treatment, or transport. This refusal must be made using the informed consent standard. If at all possible/practical, the refusal should be done using On-line Medical Control. Informed Consent: The patient must comprehend the risks and benefits of his/her decision and agree to accept them. You must explain all the potential benefits of any medical examination, treatment, and transport offered to the patient or his/her responsible party. You must also explain all potential risks of any medical examination, treatment, and transport offered to the patient or his/her responsible party. Against Medical Advice (AMA) Refusal: This phrase is used to describe a patient who presents with signs/symptoms of illness/injury or who experienced
17 an event which has significant mechanism of injury and is refusing all or portions of the medical examination, treatment, or transport AND after the EMT/Paramedic has made efforts to convince the patient of the need for medical examination, treatment, or transport which includes explanation of all risks and benefits AND if possible/practical using On-line Medical Control still refuses such services/procedures. No Need for EMS: This statement is used to describe an unfounded call specifically patient gone prior to arrival of EMS (patient elopement); No patient found. Examine/Treat and Release: This is a situation where the patient was provided a medical examination and treatment but now refuses transportation to an acute care facility for further evaluation and/or treatment. This may be an ALS or BLS patient. Documentation of all findings and treatments shall be done as well as documentation of any risk/benefit discussions and On-line Medical Control conversations. Patient Contact: Whenever you make contact with a potential patient you must document the contact. Patient contact includes any verbal or physical evaluation. Patient Assists: EMS providers are often called upon to assist an individual to their feet or back to bed. This constitutes patient contact and any examination or interventions must be documented on the appropriate patient care report form with appropriate signatures for refusal of further interventions and transport. Procedural Guidelines and Responsibility: Every patient contact shall include an attempt to provide a medical examination, appropriate treatment based on medical examination according to the corresponding Statewide Treatment Protocol, and transport to an acute care facility. Patient Care Documentation will be in compliance with the Statewide Treatment Protocols and CAS Policy CS 101. If a patient refuses any or all medical care, but accepts transportation the following statement shall be included in the narrative: Patient refused (treatment(s) refused) and was advised of the risk of refusal and the benefits of the treatments. If a patient refuses treatment and transportation the following statement shall be included in the narrative:
18 Patient advised to call for assistance should they change their mind or their symptoms return or increase in severity and the patient is further advised to seek medical care through their own healthcare provider. If a patient refuses transportation but has accepted evaluation and treatment (implied or informed consent) and is of appropriate cognitive capacity, the following statement shall be included: The patient has accepted (the above) evaluation and treatment but refuses the recommended transport. The risks and benefits of this decision have been explained to the patient and the patient acknowledges understanding of these risks/benefits. The patient is further advised to seek medical care through their own healthcare provide or call 911 should they change their mind or symptoms return or worsen. Furthermore in the above situation Medical Control should be contacted especially if Medications or evasive procedures were provided to the patient i.e. Albuterol, D50, Glucagon, IV s, etc. (Return to Clinical and Education Table of Contents)
19 Policy #: CS 103 CLINICAL and EDUCATIONAL SERVICES Title: Level: Definitions: BLS Request for ALS EMT s and Paramedics To define Policy and Procedure for Basic Life Support Providers to request Advanced Life Support Services. The patient s need for potential ALS intervention shall be the ONLY factor that is utilized by on-scene Cataldo EMS personnel in determining whether or not to request ALS services. Advanced Life Support (ALS) means the pre-hospital use of medical techniques and skills by qualified personnel who are specially trained and shall include such functions as advanced airway and circulatory maintenance and the management of cardiac disorders. Basic Life Support (BLS) means the pre-hospital use of those techniques and skills included in an EMT-Basic training course which meets the minimum training requirements defined in 105 CMR Procedural Guidelines and Responsibility: Upon assessment of a patient the BLS crew shall determine whether or not the patient may benefit from ALS intervention. Once a determination is made that the patient may benefit from ALS a request for ALS response shall be made by the most expedient means available. The request should usually be made via company radio, however, telephone or through the police or fire department is acceptable. The following information shall be included in the request for ALS: Age and sex of the patient Patient s chief complaint or presenting sign or symptom that may require ALS evaluation. Requested hospital destination. If there will be an extended extrication. Any other pertinent information. (Be brief). Chief Complaints and presenting signs and/or symptoms that typically require ALS evaluation and intervention include but are NOT limited to the following:
20 Active seizure Airway compromise or obstruction Anaphylaxis Cardiac Arrest Chest pain Entrapped patients Heat exhaustion and heat stroke Hypoglycemia (low blood sugar or insulin shock) Impending childbirth / Out of hospital births Multi - system trauma Respiratory arrest Respiratory distress Shock/hypotension Significant burns Unconsciousness or altered mental status BLS crews shall not await the arrival of ALS. Appropriate patient assessment, interventions and packaging shall be completed and transport initiated. It is the responsibility of the dispatcher to determine whether or not ALS resources are available and to allocate those resources. On scene EMS providers are not to determine whether ALS resources are available or not. (Return to Clinical and Education Table of Contents)
21 Policy #: CS 104 CLINICAL and EDUCATIONAL SERVICES Title: Level: Cardiac Monitors EMTs & Paramedics To ensure that the proper preventative maintenance checks are completed and that all paramedic personnel are knowledgeable in the use of cardiac monitors. All paramedics shall have a strong working knowledge of any cardiac monitor that is carried in their assigned vehicle. Related Policies: CS-107: Zoll Battery Maintenance CS-113: Malfunctioning or Failed Patient Care Equipment Procedural Guidelines and Responsibility: Each oncoming paramedic crew shall complete a daily check of the cardiac monitor s functionality and required supplies in accordance with the manufacturers recommendation and the Cataldo Ambulance Service, Inc. checklist. Batteries shall be rotated though the monitor in compliance with the particular manufacturer s recommendations and abilities. (See CS 107). Universal Daily checks shall include inspection of the monitor for foreign substances, obvious damage to monitor, case or cables. Report damage as per CS 113. LifePak 12 s - turn power on and press the options button and select the User test. The user test will automatically check the monitor/ defibrillator and print a Pass/Fail report. Zoll E-Series Monitors turn on the power, connect the defibrillation (Therapy) Cable to the tester turn unit over to Defib, charge the unit to 30 joules, and discharge. You should see a message: Defib Test Ok. If you do not then contact the On-duty Clinical Field Supervisor immediately. (Return to Clinical and Education Table of Contents)
22 CLINICAL and EDUCATIONAL SERVICES Policy #: CS 105 Title: Level: Protecting Patients from the Elements All Field Staff To ensure the protection of our patients/clients from adverse environmental conditions. Every patient/client shall be appropriately covered and removed from elements in a timely manner, with due regard for patient and crew safety. Procedural Guidelines and Responsibility: En route to each call, the ambulance/ chair car shall be prewarmed/cooled as appropriate. Appropriate linen, and other specialty equipment, will accompany the stretcher, stair chair or wheelchair to pick-up or deliver each patient. Additional coverings (such as a towel) shall be used for severe weather (such as rain, sleet, snow, heavy winds) to protect the patients/clients head. The patients/ client s subjective statements of comfort will dictate the level of coverings. Stretchers shall be covered with the transfer sheet to prevent exposure to adverse conditions prior to patient contact. (i.e. stand-bys or prolonged extrication). (Return to Clinical and Education Table of Contents)
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This handy guide is made up of eight convenient minibooks, so you can find what you need in a hurry. And in case you think you've seen it before, this fourth edition is fully updated for all the newest, coolest stuff. Want a guided tour of the Vista operating system and how it differs from XP? Check out minibook #2. Have you heard about Microsoft Works but aren't sure what it's about? Find out in Book #4. Planning to network all the computers in your home? Minibook #8 is just what you need. The entire repertoire includesPC HardwareWindows VistaThe InternetMicrosoft WorksOffice 2007Fun With Movies, Music, and PhotosUpgrading and SuperchargingHome Networking
For all the things you probably do with your PC — browsing the Internet, e-mail, word processing, presentations, spreadsheets, organizing and sharing digital photos and video, downloading music — you'll find you can get right to the point and discover what you want to know, quickly and easily. You'll want to keep PCs All-In-One Desk Reference for Dummies, 4th Edition handy, say on your desk, maybe?
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No doubt Google Chrome is one of the most popular browsers in terms of its speed, instant launching, adding tabs quickly and ultimate browsing experience. Soon it will become the world's most used browser. Various developers are developing interesting and useful Google Chrome extensions which improve our browsing experience. Yesterday I came across an extension which is called Zip Code and I after installing and using it for a while, I found that it's quite helpful especially for those who travel a lot or the post mail delivery people.
It also let you search the following details.
This extension can instantly find you the zip codes for more than 60 countries and will also provide you other details. When you click on the zip code button in your chrome browser it will open a new tab and it automatically detects your IP address and displays your location and details to you. With the search bar, it lets you find any city by zip code. The two main options for searching are:
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It also let you search the following details.
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This is a very useful tool if used properly. The interface is quite user-friendly and it offers you accurate information about zip codes, cities and countries.
Click here to install the extension in your browser. (Open this link in Google Chrome Only)