Orion EM-1 Crew Module Adapter Move to Clean Room

NASA Image and Video Library

2016-11-29

Inside the Neil Armstrong Operations and Checkout Building high bay at NASA's Kennedy Space Center in Florida, Lockheed Martin technicians secure a protective cover around the Orion crew module adapter (CMA) for Exploration Mission 1 (EM-1) for its move to a clean room. The CMA will undergo propellant and environmental control and life support system tube installation and welding. The adapter will connect the Orion crew module to the European Space Agency-provided service module. The Orion spacecraft will launch atop NASA’s Space Launch System rocket on EM-1, its first deep space mission, in late 2018.

Orion EM-1 Crew Module Adapter Move to Clean Room

NASA Image and Video Library

2016-11-29

Inside the Neil Armstrong Operations and Checkout Building high bay at NASA’s Kennedy Space Center in Florida, a Lockheed Martin technician secures a protective cover around the Orion crew module adapter (CMA) for Exploration Mission 1 (EM-1) for its move to a clean room The CMA will undergo propellant and environmental control and life support system tube installation and welding. The adapter will connect the Orion crew module to the European Space Agency-provided service module. The Orion spacecraft will launch atop NASA’s Space Launch System rocket on EM-1, its first deep space mission, in late 2018.

Orion EM-1 Crew Module Adapter Move to Clean Room

NASA Image and Video Library

2016-11-29

Inside the Neil Armstrong Operations and Checkout Building high bay at NASA’s Kennedy Space Center in Florida, Lockheed Martin technicians secure a protective cover around the Orion crew module adapter (CMA) for Exploration Mission 1 (EM-1) for its move to a clean room. The CMA will undergo propellant and environmental control and life support system tube installation and welding. The adapter will connect the Orion crew module to the European Space Agency-provided service module. The Orion spacecraft will launch atop NASA’s Space Launch System rocket on EM-1, its first deep space mission, in late 2018.

Orion EM-1 Crew Module Adapter Move to Clean Room

NASA Image and Video Library

2016-11-29

Inside the Neil Armstrong Operations and Checkout Building high bay at NASA’s Kennedy Space Center in Florida, Lockheed Martin technicians are preparing the Orion crew module adapter (CMA) for Exploration Mission 1 (EM-1) for the move into a clean room. The CMA will undergo propellant and environmental control and life support system tube installation and welding. The adapter will connect the Orion crew module to the European Space Agency-provided service module. The Orion spacecraft will launch atop NASA’s Space Launch System rocket on EM-1, its first deep space mission, in late 2018.

Technicians prepare to close hatches on Gemini 11 spacecraft during countdown

NASA Technical Reports Server (NTRS)

1966-01-01

Technicians in the White Room atop Pad 19 prepare to close hatches on the Gemini 11 spacecraft during prelaunch countdown. Inside the spacecraft are Astronauts Charles Conrad Jr., command pilot, and Richard F. Gordon Jr., pilot. There is a humorous sign stating 'This is ABSOLUTELY your Last Chance' being held by one of the technicians.

A technician works adjacent to the Apollo 11 spacecraft atop the white room.

NASA Technical Reports Server (NTRS)

1969-01-01

A technician can be seen working atop the white room across from the escape tower of the Apollo 11 spacecraft a few days prior to the launch of the Saturn V moon rocket. The towering 363-foot Saturn V was a multi-stage, multi-engine launch vehicle standing taller than the Statue of Liberty. Altogether, the Saturn V engines produced as much power as 85 Hoover Dams

Curiosity at Center of Attention During Test

NASA Image and Video Library

2010-07-29

Technicians and engineers in clean-room garb monitor the first drive test of NASA Curiosity rover, on July 23, 2010. Technicians and engineers conducted the drive test at the Jet Propulsion Laboratory in Pasadena, Calif.

Technicians prepare to close hatches on Gemini 12 spacecraft

NASA Technical Reports Server (NTRS)

1966-01-01

Technicians prepare to close the hatches of the Gemini 12 spacecraft in the White Room atop Pad 19 after insertion of Astronauts James A. Lovell Jr. (leading), command pilot, and Edwin E. Aldrin Jr., pilot.

Technicians close hatches on Gemini 11 spacecraft during countdown

NASA Technical Reports Server (NTRS)

1966-01-01

Technicians in the White Room atop Pad 19 prepare to close hatches on the Gemini 11 spacecraft during prelaunch countdown. Inside the spacecraft are Astronauts Charles Conrad Jr., command pilot, and Richard F. Gordon Jr., pilot.

Technicians position the transport cradle as a crane lowers SOFIA's primary mirror assembly into place prior to finish coating of the mirror at NASA Ames

NASA Image and Video Library

2008-04-18

Technicians at the NASA Dryden Aircraft Operations Facility in Palmdale, Calif., removed the German-built primary mirror assembly from the Stratospheric Observatory for Infrared Astronomy, or SOFIA, April 18, 2008 in preparation for the final finish coating of the mirror. A precision crane lifted the more than two-ton mirror assembly from its cavity in the rear fuselage of the highly modified Boeing 747SP. The assembly was then secured in its transport dolly and moved to a clean room where it was prepared for shipment to NASA Ames Research Center at Moffett Field near Mountain View, Calif. where it would receive its aluminized finish coating before being re-installed in the SOFIA aircraft.

Technicians with ropes carefully guide the primary mirror assembly as a crane slowly moves it toward its transport cradle after removal from the SOFIA aircraft

NASA Image and Video Library

2008-04-18

Technicians at the NASA Dryden Aircraft Operations Facility in Palmdale, Calif., removed the German-built primary mirror assembly from the Stratospheric Observatory for Infrared Astronomy, or SOFIA, April 18, 2008 in preparation for the final finish coating of the mirror. A precision crane lifted the more than two-ton mirror assembly from its cavity in the rear fuselage of the highly modified Boeing 747SP. The assembly was then secured in its transport dolly and moved to a clean room where it was prepared for shipment to NASA Ames Research Center at Moffett Field near Mountain View, Calif. where it would receive its aluminized finish coating before being re-installed in the SOFIA aircraft.

Delta XTE Spacecraft Solar Panel Deployment, Hangar AO at Cape Canaveral Air Station

NASA Technical Reports Server (NTRS)

1995-01-01

The footage shows technicians in the clean room checking and adjusting the deployment mechanism of the solar panel for XTE spacecraft. Other scenes show several technicians making adjustments to software for deployment of the solar panels.

Operational evaluation of rapid diagnostic testing for Ebola Virus Disease in Guinean laboratories

PubMed Central

Aho, Josephine; Franklin, Kristyn; Likofata, Jacques; Kamgang, Jean Baptiste; Keita, Sakoba; Koivogui, Lamine; Magassouba, N’Faly; Martel, Lise D.; Dahourou, Anicet George

2017-01-01

Background Rapid Diagnostic Tests (RDTs) for Ebola Virus Disease (EVD) at the point of care have the potential to increase access and acceptability of EVD testing and the speed of patient isolation and secure burials for suspect cases. A pilot program for EVD RDTs in high risk areas of Guinea was introduced in October 2015. This paper presents concordance data between EVD RDTs and PCR testing in the field as well as an assessment of the acceptability, feasibility, and quality assurance of the RDT program. Methods and findings Concordance data were compiled from laboratory surveillance databases. The operational measures of the laboratory-based EVD RDT program were evaluated at all 34 sentinel sites in Guinea through: (1) a technical questionnaire filled by the lab technicians who performed the RDTs, (2) a checklist filled by the evaluator during the site visits, and (3) direct observation of the lab technicians performing the quality control test. Acceptability of the EVD RDT was good for technicians, patients, and families although many technicians (69.8%) expressed concern for their safety while performing the test. The feasibility of the program was good based on average technician knowledge scores (6.6 out of 8) but basic infrastructure, equipment, and supplies were lacking. There was much room for improvement in quality assurance of the program. Conclusions The implementation of new diagnostics in weak laboratory systems requires general training in quality assurance, biosafety and communication with patients in addition to specific training for the new test. Corresponding capacity building in terms of basic equipment and a long-term commitment to transfer supervision and quality improvement to national public health staff are necessary for successful implementation. PMID:29190713

Operational evaluation of rapid diagnostic testing for Ebola Virus Disease in Guinean laboratories.

PubMed

VanSteelandt, Amanda; Aho, Josephine; Franklin, Kristyn; Likofata, Jacques; Kamgang, Jean Baptiste; Keita, Sakoba; Koivogui, Lamine; Magassouba, N'Faly; Martel, Lise D; Dahourou, Anicet George

2017-01-01

Rapid Diagnostic Tests (RDTs) for Ebola Virus Disease (EVD) at the point of care have the potential to increase access and acceptability of EVD testing and the speed of patient isolation and secure burials for suspect cases. A pilot program for EVD RDTs in high risk areas of Guinea was introduced in October 2015. This paper presents concordance data between EVD RDTs and PCR testing in the field as well as an assessment of the acceptability, feasibility, and quality assurance of the RDT program. Concordance data were compiled from laboratory surveillance databases. The operational measures of the laboratory-based EVD RDT program were evaluated at all 34 sentinel sites in Guinea through: (1) a technical questionnaire filled by the lab technicians who performed the RDTs, (2) a checklist filled by the evaluator during the site visits, and (3) direct observation of the lab technicians performing the quality control test. Acceptability of the EVD RDT was good for technicians, patients, and families although many technicians (69.8%) expressed concern for their safety while performing the test. The feasibility of the program was good based on average technician knowledge scores (6.6 out of 8) but basic infrastructure, equipment, and supplies were lacking. There was much room for improvement in quality assurance of the program. The implementation of new diagnostics in weak laboratory systems requires general training in quality assurance, biosafety and communication with patients in addition to specific training for the new test. Corresponding capacity building in terms of basic equipment and a long-term commitment to transfer supervision and quality improvement to national public health staff are necessary for successful implementation.

Clean Room in the Zero Gravity Research Facility

NASA Image and Video Library

1968-07-21

A technician prepares a test sample in the Zero Gravity Research Facility clean room at the National Aeronautics and Space Administration (NASA) Lewis Research Center. The Zero Gravity Research Facility contained a drop tower which provided five seconds of microgravity during freefall in its 450-foot deep vacuum chamber. The facility has been used for a variety of studies relating to the behavior of fluids and flames in microgravity. During normal operations, a cylindrical 3-foot diameter and 11-foot long vehicle was used to house the experiments, instrumentation, and high speed cameras. The 4.5-foot long and 1.5-foot wide rectangular vehicle, seen in this photograph, was used less frequently. A 3-foot diameter orb was used for the special ten-second drops in which the package was pneumatically shot to the top of the tower then dropped. The facility also contained a control room, shop offices, tool and equipment rooms, and this clean room. The 242.5-foot long and 19.5-foot wide clean room was equipped with specialized cleaning equipment. In the 1960s the room was rated as a class 10,000 clean room, but I was capable of meeting the class 100 requirements. The room included a fume hood, ultrasonic cleaner, and a laminar flow station which operated as a class 100 environment. The environment in the clean room was maintained at 71° F and a relative humidity of 45- percent.

Apparel for Cleaner Clean Rooms

NASA Technical Reports Server (NTRS)

1983-01-01

In the 1960s NASA pioneered contamination control technology, providing a base from which aerospace contractors could develop control measures. NASA conducted special courses for clean room technicians and supervisors, and published a series of handbooks with input from various NASA field centers. These handbooks extended aerospace experience to the medical, pharmaceutical, electronics, and other industries where extreme cleanliness is important. American Hospital Supply Company (AHSC) felt that high technology products with increasingly stringent operating requirements in aerospace, electronics, pharmaceuticals and medical equipment manufacturing demanded improvement in contamination control techniques. After studying the NASA handbooks and visiting NASA facilities, the wealth of information gathered resulted in Micro-clean non-woven garments and testing equipment and procedures for evaluating effectiveness.

Crew resource management: using aviation techniques to improve operating room safety.

PubMed

Ricci, Michael A; Brumsted, John R

2012-04-01

Since the publication of the Institute of Medicine report estimating nearly 100,000 deaths per year from medical errors, hospitals and physicians have a renewed focus upon error reduction. We implemented a surgical crew resource management (CRM) program for all operating room (OR) personnel. In our academic medical center, 19,000 procedures per year are performed in 27 operating rooms. Mandatory CRM training was implemented for all peri-operative personnel. Aviation techniques introduced included a pre-operative checklist and brief, post-operative debrief, read and initial files, and various other aviation-based techniques. Compliance with conduct of the brief/debrief was monitored as well as wrong-site surgeries and retained foreign body events. The malpractice insurance database for claims was also queried for the period prior to and after training. Initial training was accomplished for 517 people, including all anesthesiologists, surgeons, nurses, technicians, and OR assistants. Pre-operative briefing increased from 6.7 to 99% within 4 mo. Wrong site surgeries and retained foreign bodies decreased from a high of seven in 2007 to none in 2008, but, after 14 mo without additional training, these rose to five in 2009. Malpractice expenses (payouts and legal fees) totaled $793,000 (2003-2007), but have been zero since 2008. CRM training and implementation had an impact on reducing the incidence of wrong site surgery and retained foreign bodies in our operating rooms. However, constant reinforcement and refresher training is necessary for sustained results. Though no one technique can prevent all errors, CRM can effect culture change, producing a safer environment.

For Students: A Model Courtoom

ERIC Educational Resources Information Center

Morisseau, James J.

1973-01-01

Describes a model courtroom in which law school students at the University of the Pacific in Sacramento, California, can conduct practice trials. The courtroom design is circular and new features include an extensive security system, videotaping equipment, a press room, a technicians room, and an isolation room. (Author/DN)

47 CFR 97.505 - Element credit.

Code of Federal Regulations, 2010 CFR

2010-10-01

... but within the grace period for renewal) FCC-granted Technician or Technician Plus Class operator (including a Technician Class operator license granted before February 14, 1991) license grant: Element 2. (4) An expired FCC-issued Technician Class operator license document granted before March 21, 1987...

47 CFR 97.201 - Auxiliary station.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Technician, Technician Plus, General, Advanced or Amateur Extra Class operator license may be an auxiliary station. A holder of a Technician, Technician Plus, General, Advanced or Amateur Extra Class operator...

What Does A Clean Room Look Like at the National Ignition Facility? (360)

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

2017-03-31

Inside this Clean Room, engineering technicians use mechatronics to fabricate targets for NIF experiments. The goal is to improve our understanding of the universe and ensure the nation's nuclear stockpile.

47 CFR 97.9 - Operator license grant.

Code of Federal Regulations, 2010 CFR

2010-10-01

... grants are: Novice, Technician, Technician Plus (until such licenses expire, a Technical Class license granted before February 14, 1991, is considered a Technician Plus Class license), General, Advanced, and... grant. (b) The person named in an operator license grant of Novice, Technician, Technician Plus, General...

Application of Six Sigma methodology to a cataract surgery unit.

PubMed

Taner, Mehmet Tolga

2013-01-01

The article's aim is to focus on the application of Six Sigma to minimise intraoperative and post-operative complications rates in a Turkish public hospital cataract surgery unit. Implementing define-measure-analyse-improve and control (DMAIC) involves process mapping, fishbone diagrams and rigorous data-collection. Failure mode and effect analysis (FMEA), pareto diagrams, control charts and process capability analysis are applied to redress cataract surgery failure root causes. Inefficient skills of assistant surgeons and technicians, low quality of IOLs used, wrong IOL placement, unsystematic sterilisation of surgery rooms and devices, and the unprioritising network system are found to be the critical drivers of intraoperative-operative and post-operative complications. Sigma level was increased from 2.60 to 3.75 subsequent to extensive training of assistant surgeons, ophthalmologists and technicians, better quality IOLs, systematic sterilisation and air-filtering, and the implementation of a more sophisticated network system. This article shows that Six Sigma measurement and process improvement can become the impetus for cataract unit staff to rethink their process and reduce malpractices. Measuring, recording and reporting data regularly helps them to continuously monitor their overall process and deliver safer treatments. This is the first Six Sigma ophthalmology study in Turkey.

Operation room tool handling and miscommunication scenarios: an object-process methodology conceptual model.

PubMed

Wachs, Juan P; Frenkel, Boaz; Dori, Dov

2014-11-01

Errors in the delivery of medical care are the principal cause of inpatient mortality and morbidity, accounting for around 98,000 deaths in the United States of America (USA) annually. Ineffective team communication, especially in the operation room (OR), is a major root of these errors. This miscommunication can be reduced by analyzing and constructing a conceptual model of communication and miscommunication in the OR. We introduce the principles underlying Object-Process Methodology (OPM)-based modeling of the intricate interactions between the surgeon and the surgical technician while handling surgical instruments in the OR. This model is a software- and hardware-independent description of the agents engaged in communication events, their physical activities, and their interactions. The model enables assessing whether the task-related objectives of the surgical procedure were achieved and completed successfully and what errors can occur during the communication. The facts used to construct the model were gathered from observations of various types of operations miscommunications in the operating room and its outcomes. The model takes advantage of the compact ontology of OPM, which is comprised of stateful objects - things that exist physically or informatically, and processes - things that transform objects by creating them, consuming them or changing their state. The modeled communication modalities are verbal and non-verbal, and errors are modeled as processes that deviate from the "sunny day" scenario. Using OPM refinement mechanism of in-zooming, key processes are drilled into and elaborated, along with the objects that are required as agents or instruments, or objects that these processes transform. The model was developed through an iterative process of observation, modeling, group discussions, and simplification. The model faithfully represents the processes related to tool handling that take place in an OR during an operation. The specification is at various levels of detail, each level is depicted in a separate diagram, and all the diagrams are "aware" of each other as part of the whole model. Providing ontology of verbal and non-verbal modalities of communication in the OR, the resulting conceptual model is a solid basis for analyzing and understanding the source of the large variety of errors occurring in the course of an operation, providing an opportunity to decrease the quantity and severity of mistakes related to the use and misuse of surgical instrumentations. Since the model is event driven, rather than person driven, the focus is on the factors causing the errors, rather than the specific person. This approach advocates searching for technological solutions to alleviate tool-related errors rather than finger-pointing. Concretely, the model was validated through a structured questionnaire and it was found that surgeons agreed that the conceptual model was flexible (3.8 of 5, std=0.69), accurate, and it generalizable (3.7 of 5, std=0.37 and 3.7 of 5, std=0.85, respectively). The detailed conceptual model of the tools handling subsystem of the operation performed in an OR focuses on the details of the communication and the interactions taking place between the surgeon and the surgical technician during an operation, with the objective of pinpointing the exact circumstances in which errors can happen. Exact and concise specification of the communication events in general and the surgical instrument requests in particular is a prerequisite for a methodical analysis of the various modes of errors and the circumstances under which they occur. This has significant potential value in both reduction in tool-handling-related errors during an operation and providing a solid formal basis for designing a cybernetic agent which can replace a surgical technician in routine tool handling activities during an operation, freeing the technician to focus on quality assurance, monitoring and control of the cybernetic agent activities. This is a critical step in designing the next generation of cybernetic OR assistants. Copyright © 2014 Elsevier B.V. All rights reserved.

STS-99 Atlantis, Shuttle Radar Topography Mission (SRTM) in the MPPF with Technicians working

NASA Technical Reports Server (NTRS)

1999-01-01

The primary objective of the STS-99 mission was to complete high resolution mapping of large sections of the Earth's surface using the Shuttle Radar Topography Mission (SRTM), a specially modified radar system. This videotape shows technicians in clean room suits working on the SRTM in the Multi-Payload Processing Facility (MPPF).

Gemini 9 crew in spacecraft with technicians closing hatches

NASA Technical Reports Server (NTRS)

1966-01-01

Technicians prepare to close the hatches on the Gemini 9-A spacecraft in the White Room atop Pad 19 after insertion of Astronauts Thomas P. Stafford (left) and Eugene A. Cernan. Liftoff was at 8:39 a.m., June 3, 1966. Humorous sign from backup crew, James A. Lovell Jr. and Edwin E. Aldrin Jr., was taped to the spacecraft.

Orion Crew Module Move

NASA Image and Video Library

2017-11-17

Technicians in clean-room suits attach a crane to the Orion crew module for Exploration Mission-1 for its move to the thermal chamber in the Neil Armstrong Operations and Checkout Building high bay at NASA's Kennedy Space Center in Florida. Orion will be lifted out of a test stand and lowered onto another stand to for the move. The crew module will undergo a thermal cycle test to assess the workmanship of critical hardware and structural locations. The test also demonstrates crew module subsystem operations in a thermally stressing environment to confirm no damage or anomalous hardware conditions as a result of the test. The Orion spacecraft will launch atop NASA's Space Launch System rocket on its first uncrewed integrated flight.

GOES-S Spacecraft Mate to PLA

NASA Image and Video Library

2018-02-05

In a clean room at Astrotech Space Operations in Titusville, Florida, technicians and engineers monitor progress as NOAA's Geostationary Operational Environmental Satellite-S, or GOES-S, is mated to its payload attach fitting. It soon will be moved to Space Launch Complex 41 at Cape Canaveral Air Force Station for mounting atop the Atlas V rocket that will boost the satellite to orbit. GOES-S is the second in a series of four advanced geostationary weather satellites that will significantly improve the detection and observation of environmental phenomena that directly affect public safety, protection of property and the nation's economic health and prosperity. GOES-S is slated to launch March 1, 2018 aboard a United Launch Alliance Atlas V rocket.

GOES-S Encapsulation

NASA Image and Video Library

2018-02-07

In a clean room at Astrotech Space Operations in Titusville, Florida, technicians and engineers monitor progress as NOAA's Geostationary Operational Environmental Satellite-S, or GOES-S, is encapsulated in its payload fairing. It soon will be moved to Space Launch Complex 41 at Cape Canaveral Air Force Station for mounting atop the Atlas V rocket that will boost the satellite to orbit. GOES-S is the second in a series of four advanced geostationary weather satellites that will significantly improve the detection and observation of environmental phenomena that directly affect public safety, protection of property and the nation's economic health and prosperity. GOES-S is slated to launch March 1, 2018 aboard a United Launch Alliance Atlas V rocket.

The Operating Technician's Role in Video Distance Learning.

ERIC Educational Resources Information Center

Olesinski, Raymond L.; And Others

Operating technicians play a number of roles in video, or televised, distance learning programs, the most obvious being the operation and support of the technology itself. Very little information exists, however, about the non-technical activities of technicians that may influence the instruction process. This paper describes these activities…

Job-Oriented Basic Skills (JOBS) Program for the Acoustic Sensor Operations Strand.

ERIC Educational Resources Information Center

U'Ren, Paula Kabance; Baker, Meryl S.

An effort was undertaken to develop a job-oriented basic skills curriculum appropriate for the acoustic sensor operations area, which includes members of four ratings: ocean systems technician, aviation antisubmarine warfare operator, sonar technician (surface), and sonar technician (submarine). Analysis of the job duties of the four ratings…

KSC-2011-1059

NASA Image and Video Library

2011-01-07

CAPE CANAVERAL, Fla. -- Finishing touches adorn the second-floor conference room of the Propellants North Administrative and Maintenance Facility at NASA's Kennedy Space Center in Florida. Artwork for the conference room was produced by Greg Lee, a graphics specialist with Abacus Technology Corp., with input from the facility's future occupants. The environmentally friendly facility is slated to be NASA's second Platinum-rated by the U.S. Green Building Council's (USGBC) Leadership in Environmental and Energy Design (LEED) certification system. It will be the space agency's first net-zero facility, which means it will produce enough energy onsite from renewable sources to offset what it requires to operate. The facility consists of a two-story administrative building to house managers, mechanics and technicians who fuel spacecraft at Kennedy, and a single-story shop to store cryogenic fuel transfer equipment. Photo credit: NASA/Frankie Martin

KSC-2011-1061

NASA Image and Video Library

2011-01-07

CAPE CANAVERAL, Fla. -- Finishing touches adorn the second-floor conference room of the Propellants North Administrative and Maintenance Facility at NASA's Kennedy Space Center in Florida. Artwork for the conference room was produced by Greg Lee, a graphics specialist with Abacus Technology Corp., with input from the facility's future occupants. The environmentally friendly facility is slated to be NASA's second Platinum-rated by the U.S. Green Building Council's (USGBC) Leadership in Environmental and Energy Design (LEED) certification system. It will be the space agency's first net-zero facility, which means it will produce enough energy onsite from renewable sources to offset what it requires to operate. The facility consists of a two-story administrative building to house managers, mechanics and technicians who fuel spacecraft at Kennedy, and a single-story shop to store cryogenic fuel transfer equipment. Photo credit: NASA/Frankie Martin

KSC-2011-7020

NASA Image and Video Library

2011-09-06

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, a technician performs a torque bolt stress test on NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP). Technicians will perform many tests and checkouts on the satellite system to prepare it for launch. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-7021

NASA Image and Video Library

2011-09-06

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, technicians perform a torque bolt stress test on NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP). Technicians will perform many tests and checkouts on the satellite system to prepare it for launch. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

Orion EM-1 Crew Module Adapter Move to Clean Room

NASA Image and Video Library

2016-11-29

Inside the Neil Armstrong Operations and Checkout Building high bay at NASA's Kennedy Space Center in Florida, Lockheed Martin technicians secure a protective cover around the Orion crew module adapter (CMA) for Exploration Mission 1 (EM-1) for its move to a clean. The CMA will undergo propellant and environmental control and life support system tube installation and welding. The adapter will connect the Orion crew module to the European Space Agency-provided service module. The Orion spacecraft will launch atop NASA’s Space Launch System rocket on EM-1, its first deep space mission, in late 2018.

KSC-2009-2977

NASA Image and Video Library

2009-05-06

CAPE CANAVERAL, Fla. – A technician works at installing a new window in the Launch Control Center's Firing Room 1 at NASA's Kennedy Space Center in Florida. The firing room will support the future Ares rocket launches as part of NASA's Constellation Program. Future astronauts will ride to orbit on Ares I, launched from Kennedy's Launch Pad 39B. The Launch Control Center firing rooms face the launch pads. Photo credit: NASA/Jack Pfaller

Integrating robotic partial nephrectomy to an existing robotic surgery program.

PubMed

Yuh, Bertram; Muldrew, Shantel; Menchaca, Anita; Yip, Wesley; Lau, Clayton; Wilson, Timothy; Josephson, David

2012-04-01

As more centers develop robotic proficiency, progressing to a successful robot-assisted partial nephrectomy (RAPN) program depends on a number of factors. We describe our technique, results, and analysis of program setup for RAPN. Between 2005 and 2011, 92 RAPNs were performed following maturation of a robotic prostatectomy program. Operating rooms and supply rooms were outfitted for efficient robotic throughput. Tilepro and intraoperative ultrasound were used for all cases. Training and experiential learning for surgeons, anesthesia and nursing staff was a high priority. An onsite robotic technician helped troubleshoot, prepare the room and staff prior to starting surgery, and provide assistance with different robotic models. Average operative time decreased over time from 235 min to 199 min (p = .03). Warm ischemia time decreased from 26 minutes to 23 minutes (p = .02) despite an increased complexity of tumors and operations on multiple tumors. Median estimated blood loss was 150 mL. Average length of hospital stay was 3 days (range 1-9). Average size of lesions was 2.7 cm (range 0.7-8.6). Final pathology demonstrated 71 (77%) malignant lesions and 21 (23%) benign lesions. The addition of a robot-assisted partial nephrectomy program to an institutional robotic program can be coordinated with several key steps. Outcomes from an operational, oncologic, and renal functional standpoint are acceptable. Despite increased complexity of tumors and treatment of multiple lesions, operative and warm ischemia times showed a decrease over time. An organizational model that involves the surgeons, anesthesia, nursing staff, and possibly a robotic technical specialist helps to overcome the learning curve.

Remote autopsy services: A feasibility study on nine cases.

PubMed

Vodovnik, Aleksandar; Aghdam, Mohammad Reza F; Espedal, Dan Gøran

2017-01-01

Introduction We have conducted a feasibility study on remote autopsy services in order to increase the flexibility of the service with benefits for teaching and interdepartmental collaboration. Methods Three senior staff pathologists, one senior autopsy technician and one junior resident participated in the study. Nine autopsies were performed by the autopsy technician or resident, supervised by the primary pathologist, through the secure, double encrypted video link using Jabber Video (Cisco) with a high-speed broadband connection. The primary pathologist and autopsy room each connected to the secure virtual meeting room using 14″ laptops with in-built cameras (Hewlett-Packard). A portable high-definition web camera (Cisco) was used in the autopsy room. Primary and secondary pathologists independently interpreted and later compared gross findings for the purpose of quality assurance. The video was streamed live only during consultations and interpretation. A satisfaction survey on technical and professional aspects of the study was conducted. Results Independent interpretations of gross findings between primary and secondary pathologists yielded full agreement. A definite cause of death in one complex autopsy was determined following discussions between pathologists and reviews of the clinical notes. Our satisfaction level with the technical and professional aspects of the study was 87% and 97%, respectively. Discussion Remote autopsy services are found to be feasible in the hands of experienced staff, with increased flexibility and interest of autopsy technicians in the service as a result.

STS-103 MS Smith and MS Clervoy prepare to enter orbiter from White Room

NASA Technical Reports Server (NTRS)

1999-01-01

In the White Room, STS-103 Mission Specialists Steven L. Smith and Jean-Francois Clervoy, in their orange launch and entry suits, are getting ready to enter Space Shuttle Discovery. Assisting them are closeout crew members (from left) United Space Alliance (USA) Mechanical Technician Rene Arriens, NASA Quality Assurance Specialist Danny Wyatt, USA Orbiter Vehicle Closeout Chief Travis Thompson and USA Mechanical Technician Vinny Defranzo. The White Room is an environmental chamber at the end of the orbiter access arm on the fixed service structure. It provides entry to the orbiter crew compartment. The mission, to service the Hubble Space Telescope, is scheduled to lift off at 7:50 p.m. EST Dec. 19 on mission STS-103, servicing the Hubble Space Telescope. Objectives for the nearly eight-day mission include replacing gyroscopes and an old computer, installing another solid state recorder, and replacing damaged insulation in the telescope. Discovery is expected to land at KSC Monday, Dec. 27, at about 5:24 p.m. EST.

[Occupational exposure risk to body fluids in the Felix Bulnes Hospital during eleven years].

PubMed

Villarroel, Julia; Bustamante, M Cecilia; Manríquez, Iván; Bertoglia, M Paz; Mora, María; Galarce, Natalie

2012-06-01

Accidents with risk of occupational exposure to body fluids constitute more of a third of labor accidents. To describe the annual incidence of accidents with exposure to body fluids in the Felix Bulnes Hospital from 1998 to 2008. A retrospective analysis of reports from the Infection Control Committee. During 11 years, there were 415 accidents with exposure to body fluids, with the cumulative incidence of 3,4% (range 1.3% to 6%). Sharp instrument accidents accounted for 92,5% of cases. The main health care providers affected were the paramedical technicians and the students. The highest frequency of accidents occurred in the obstetrical operating rooms (20%) and in the central operating rooms (17%). There were no cases of seroconversion and no exposure to HCV or HBV. The estimated costs were USD $35638,6 or USD $271 per 1000 staff per year. The incidence increased during the first years of the study and then remained stable since 2001, despite efforts in training personnel. Many factors contribute to the development of these accidents, such as lack of experience, type of clinical benefit and even daytime working hours.

Musculoskeletal injuries resulting from patient handling tasks among hospital workers.

PubMed

Pompeii, Lisa A; Lipscomb, Hester J; Schoenfisch, Ashley L; Dement, John M

2009-07-01

The purpose of this study was to evaluate musculoskeletal injuries and disorders resulting from patient handling prior to the implementation of a "minimal manual lift" policy at a large tertiary care medical center. We sought to define the circumstances surrounding patient handling injuries and to identify potential preventive measures. Human resources data were used to define the cohort and their time at work. Workers' compensation records (1997-2003) were utilized to identify work-related musculoskeletal claims, while the workers' description of injury was used to identify those that resulted from patient handling. Adjusted rate ratios were generated using Poisson regression. One-third (n = 876) of all musculoskeletal injuries resulted from patient handling activities. Most (83%) of the injury burden was incurred by inpatient nurses, nurses' aides and radiology technicians, while injury rates were highest for nurses' aides (8.8/100 full-time equivalent, FTEs) and smaller workgroups including emergency medical technicians (10.3/100 FTEs), patient transporters (4.3/100 FTEs), operating room technicians (3.1/100 FTEs), and morgue technicians (2.2/100 FTEs). Forty percent of injuries due to lifting/transferring patients may have been prevented through the use of mechanical lift equipment, while 32% of injuries resulting from repositioning/turning patients, pulling patients up in bed, or catching falling patients may not have been prevented by the use of lift equipment. The use of mechanical lift equipment could significantly reduce the risk of some patient handling injuries but additional interventions need to be considered that address other patient handling tasks. Smaller high-risk workgroups should not be neglected in prevention efforts.

Technician Consistency in Specular Microscopy Measurements: A "Real-World" Retrospective Analysis of a United States Eye Bank.

PubMed

Rand, Gabriel M; Kwon, Ji Won; Gore, Patrick K; McCartney, Mitchell D; Chuck, Roy S

2017-10-01

To quantify consistency of endothelial cell density (ECD) measurements among technicians in a single US eye bank operating under typical operating conditions. In this retrospective analysis of 51 microscopy technicians using a semiautomated counting method on 35,067 eyes from July 2007 to May 2015, technician- and date-related marginal ECD effects were calculated using linear regression models. ECD variance was correlated with the number of specular microscopy technicians. Technician mean ECDs ranged from 2386 ± 431 to 3005 ± 560 cells/mm. Nine technicians had statistically and clinically significant marginal effects. Annual mean ECDs adjusted for changes in technicians ranged from 2422 ± 433 to 2644 ± 430 cells/mm. The period of 2007 to 2009 had statistically and clinically significant marginal effects. There was a nonstatistically significant association between the number of technicians and ECD standard deviation. There was significant ECD variability associated with specular microscopy technicians and with the date of measurement. We recommend that eye banks collect data related to laboratory factors that have been shown to influence ECD variability.

The SOFIA primary mirror assembly is cautiously lifted from its cavity in the modified 747 by a crane in preparation for finish coating operations at NASA Ames

NASA Image and Video Library

2008-04-18

Technicians at the NASA Dryden Aircraft Operations Facility in Palmdale, Calif., removed the German-built primary mirror assembly from the Stratospheric Observatory for Infrared Astronomy, or SOFIA, April 18, 2008 in preparation for the final finish coating of the mirror. A precision crane lifted the more than two-ton mirror assembly from its cavity in the rear fuselage of the highly modified Boeing 747SP. The assembly was then secured in its transport dolly and moved to a clean room where it was prepared for shipment to NASA Ames Research Center at Moffett Field near Mountain View, Calif. where it would receive its aluminized finish coating before being re-installed in the SOFIA aircraft.

KSC-04pd1465

NASA Image and Video Library

2004-07-12

KENNEDY SPACE CENTER, FLA. - Technicians at Astrotech Space Operations in Titusville, Fla., work on the back side of the MESSENGER spacecraft, mating it with the Payload Assist Module, the Boeing Delta II third stage, below. The white panel seen here is the heat-resistant, ceramic cloth sunshade that will enable MESSENGER to operate at room temperature. MESSENGER (Mercury Surface, Space Environment, Geochemistry and Ranging) is scheduled to launch Aug. 2 aboard a Boeing Delta II rocket from Pad 17-B, Cape Canaveral Air Force Station, Fla. It will return to Earth for a gravity boost in July 2005, then fly past Venus twice, in October 2006 and June 2007. It is expected to enter Mercury orbit in March 2011. MESSENGER was built for NASA by the Johns Hopkins University Applied Physics Laboratory in Laurel, Md.

TESS Spacecraft Move to Clean Room

NASA Image and Video Library

2018-02-12

Technician dressed in clean room suits move NASA's Transiting Exoplanet Survey Satellite (TESS) on a test stand to a clean room tent inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite will be processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. TESS is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

TESS Spacecraft Move to Clean Room

NASA Image and Video Library

2018-02-12

Technician dressed in clean room suits move NASA's Transiting Exoplanet Survey Satellite (TESS) on a test stand into a clean room tent inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite will be processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. TESS is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

Nuclear Technology Series. Course 7: Reactor Operations.

ERIC Educational Resources Information Center

Center for Occupational Research and Development, Inc., Waco, TX.

This technical specialty course is one of thirty-five courses designed for use by two-year postsecondary institutions in five nuclear technician curriculum areas: (1) radiation protection technician, (2) nuclear instrumentation and control technician, (3) nuclear materials processing technician, (4) nuclear quality-assurance/quality-control…

Containment testing of isolation rooms.

PubMed

Rydock, J P; Eian, P K

2004-07-01

Results from the tracer containment testing of four 'state-of-the-art' airborne infection isolation rooms, in a new hospital, are presented. A testing technician exited an isolation room several minutes after a small quantity of tracer gas was injected over the patient bed in that room. Easily measurable tracer gas concentrations were then found in the anterooms outside the patient rooms and corridor outside the isolation room suites. Containment factors for the isolation rooms and dilution factors in the anterooms and corridor were calculated, based on the measured tracer concentrations. These results indicate the desirability of evidence-based design standards and guidelines for assessing performance of airborne infection isolation rooms. The study also demonstrates that the tracer testing procedure yields comparable results for equivalent isolation room suites, suggesting good reproducibility of the testing method.

Lowering SAM Instrument into Curiosity Mars Rover

NASA Image and Video Library

2011-01-18

In this photograph, technicians and engineers inside a clean room at NASA Jet Propulsion Laboratory, Pasadena, Calif., position NASA Sample Analysis at Mars SAM above the mission Mars rover, Curiosity, for installing the instrument.

Installing SAM Instrument into Curiosity Mars Rover

NASA Image and Video Library

2011-01-18

In this photograph, technicians and engineers inside a clean room at NASA Jet Propulsion Laboratory, Pasadena, Calif., position NASA Sample Analysis at Mars SAM above the mission Mars rover, Curiosity, for installing the instrument.

Dawn Spacecraft Processing

NASA Image and Video Library

2007-04-10

In clean room C of Astrotech's Payload Processing Facility, technicians dressed in "bunny suits," or clean-room attire, begin working on the Dawn spacecraft. Dawn's mission is to explore two of the asteroid belt's most intriguing and dissimilar occupants: asteroid Vesta and the dwarf planet Ceres. The Dawn mission is managed by JPL, a division of the California Institute of Technology in Pasadena, for NASA's Science Mission Directorate in Washington, D.C.

A loose bolt delays loading of Endeavour's external tank

NASA Technical Reports Server (NTRS)

2000-01-01

This loose bracket, observed hanging down from the side of the White Room at Launch Pad 39B, delayed loading of Endeavour's external tank by several hours to allow technicians to remove it. A 'U' bolt connects the bracket to a fire suppression water line attached to the exterior of the White Room. The loose bolt could have possibly created a debris hazard.

KSC-2011-1058

NASA Image and Video Library

2011-01-07

CAPE CANAVERAL, Fla. -- Finishing touches adorn the second-floor conference room of the Propellants North Administrative and Maintenance Facility at NASA's Kennedy Space Center in Florida. The environmentally friendly facility is slated to be NASA's second Platinum-rated by the U.S. Green Building Council's (USGBC) Leadership in Environmental and Energy Design (LEED) certification system. It will be the space agency's first net-zero facility, which means it will produce enough energy onsite from renewable sources to offset what it requires to operate. The facility consists of a two-story administrative building to house managers, mechanics and technicians who fuel spacecraft at Kennedy, and a single-story shop to store cryogenic fuel transfer equipment. Photo credit: NASA/Frankie Martin

Gemini 7 backup crew seen in white room during Gemini 7 simulation activity

NASA Image and Video Library

1965-11-27

S65-61837 (27 Nov. 1965) --- The Gemini-7 backup crew seen in the White Room atop Pad 19 during Gemini-7 simulation flight activity. McDonnell Aircraft Corporation technicians assist in the exercise. Astronaut Edward H. White II (in foreground) is the Gemini-7 backup crew command pilot; and astronaut Michael Collins (right background) is the backup crew pilot. Photo credit: NASA

A loose bolt delays loading of Endeavour's external tank

NASA Technical Reports Server (NTRS)

2000-01-01

A closeup reveals the loose bracket, observed hanging down from the side of the White Room at Launch Pad 39B, that delayed loading of Endeavour's external tank by several hours to allow technicians to remove it. A 'U' bolt connects the bracket to a fire suppression water line attached to the exterior of the White Room. The loose bolt could have possibly created a debris hazard.

KSC-2012-3223

NASA Image and Video Library

2012-06-07

CAPE CANAVERAL, Fla. – Using a black light, technicians closely inspect a solar panel on one of NASA's twin Radiation Belt Storm Probes inside the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida. The technicians are dressed in clean-room attire known as “bunny suits.” Black-light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. Launch is targeted for Aug. 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-3220

NASA Image and Video Library

2012-06-07

CAPE CANAVERAL, Fla. – Working in near-darkness inside the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, technicians use black lights to inspect a solar panel on one of NASA's twin Radiation Belt Storm Probes. The technicians are dressed in clean-room attire known as “bunny suits.” Black-light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. Launch is targeted for Aug. 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-3221

NASA Image and Video Library

2012-06-07

CAPE CANAVERAL, Fla. – Using a black light, technicians closely inspect a solar panel on one of NASA's twin Radiation Belt Storm Probes inside the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida. The technicians are dressed in clean-room attire known as “bunny suits.” Black-light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. Launch is targeted for Aug. 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-3219

NASA Image and Video Library

2012-06-07

CAPE CANAVERAL, Fla. – Using a black light, technicians closely inspect a solar panel on one of NASA's twin Radiation Belt Storm Probes inside the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida. The technicians are dressed in clean-room attire known as “bunny suits.” Black-light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. Launch is targeted for Aug. 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-3222

NASA Image and Video Library

2012-06-07

CAPE CANAVERAL, Fla. – Working in near-darkness inside the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, technicians use black lights to inspect a solar panel on one of NASA's twin Radiation Belt Storm Probes. The technicians are dressed in clean-room attire known as “bunny suits.” Black-light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. Launch is targeted for Aug. 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

Mobile gastrointestinal and endoscopic surgery in rural Ecuador: 20 years' experience of Cinterandes.

PubMed

Shalabi, H T; Price, M D; Shalabi, S T; Rodas, E B; Vicuña, A L; Guzhñay, B; Price, R R; Rodas, E

2017-12-01

Five billion people worldwide do not have timely access to surgical care. Cinterandes is one of the only mobile surgical units in low- and middle-income countries. This paper examines the methodology that Cinterandes uses to deliver mobile surgery. Founding and core staff were interviewed, four missions were participated in, and internal documents and records were analysed between 1 May and 1 July 2014. Cinterandes performed 7641 operations over the last 20 years (60% gastrointestinal/laparoscopic), travelling 300,000 km to remote areas of Ecuador. The mobile surgery programme was initiated by a local Ecuadorian surgeon in 1980. Funding was acquired from businesses, private hospitals, and individuals, to fund a low-cost surgical truck, simple equipment, and running costs. The mobile surgical unit is a 24-foot modified Isuzu truck containing a preparation room with general equipment storage and running water, together with an operating room including the operating table, anaesthetic and surgical equipment. Mission structure includes: patient identification by a network of local medical personnel in remote regions; pre-operative assessment at 1 week by core team via teleconsultations; four-day surgical missions; post-operative recovery in tents or a local clinic; post-operative follow-up care by local personnel and remote teleconsultations. The permanent core team includes seven members; lead surgeon, lead anaesthetist, operating-room technician, medical coordinator, driver, general coordinator, and receptionist. Additional support members include seven regular surgeons, residents, medical students, and volunteers. Surgery is a very effective way to gain the trust of the community, due to immediate results. Trust opens doors to other programmes (e.g. family medicine). Surgery can be incorporated with all other aspects of health care, which can in turn be incorporated with all other aspects of human development, education, food production and nutrition, housing, work and productivity, communication, and recreation.

Management aspects of Gemini's base facility operations project

NASA Astrophysics Data System (ADS)

Arriagada, Gustavo; Nitta, Atsuko; Adamson, A. J.; Nunez, Arturo; Serio, Andrew; Cordova, Martin

2016-08-01

Gemini's Base Facilities Operations (BFO) Project provided the capabilities to perform routine nighttime operations without anyone on the summit. The expected benefits were to achieve money savings and to become an enabler of the future development of remote operations. The project was executed using a tailored version of Prince2 project management methodology. It was schedule driven and managing it demanded flexibility and creativity to produce what was needed, taking into consideration all the constraints present at the time: Time available to implement BFO at Gemini North (GN), two years. The project had to be done in a matrix resources environment. There were only three resources assigned exclusively to BFO. The implementation of new capabilities had to be done without disrupting operations. And we needed to succeed, introducing the new operational model that implied Telescope and instrumentation Operators (Science Operations Specialists - SOS) relying on technology to assess summit conditions. To meet schedule we created a large number of concurrent smaller projects called Work Packages (WP). To be reassured that we would successfully implement BFO, we initially spent a good portion of time and effort, collecting and learning about user's needs. This was done through close interaction with SOSs, Observers, Engineers and Technicians. Once we had a clear understanding of the requirements, we took the approach of implementing the "bare minimum" necessary technology that would meet them and that would be maintainable in the long term. Another key element was the introduction of the "gradual descent" concept. In this, we increasingly provided tools to the SOSs and Observers to prevent them from going outside the control room during nighttime operations, giving them the opportunity of familiarizing themselves with the new tools over a time span of several months. Also, by using these tools at an early stage, Engineers and Technicians had more time for debugging, problem fixing and systems usage and servicing training as well.

Astronaut John Young during final suiting operations for Apollo 10 mission

NASA Technical Reports Server (NTRS)

1969-01-01

A technician attaches hose from test stand to spacesuit of Astronaut John W. Young, Apollo 10 command module pilot, during final suiting operations for the Apollo 10 lunar orbit mission. Another technician makes adjustment behind Young.

14 CFR 147.3 - Certificate required.

Code of Federal Regulations, 2010 CFR

2010-01-01

... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS General § 147.3 Certificate required. No person may operate as a certificated aviation maintenance technician school without, or in violation of, an aviation maintenance technician school certificate issued under this part. [Doc. No. 15196...

KSC-2010-1058

NASA Image and Video Library

2010-01-07

CAPE CANAVERAL, Fla. – In the control room at the Astrotech Space Operations facility in Titusville, Fla., test conductors from ASTROTECH and Kennedy Space Center monitor data received from the clean room as technicians sample the monomethylhydrazine propellant that will be loaded aboard the Solar Dynamics Observatory, or SDO. The hydrazine fuel is being sampled for purity before it is loaded aboard the spacecraft. The technicians are dressed in self-contained atmospheric protective ensemble suits, or SCAPE suits, as a safety precaution in the unlikely event that any of the highly toxic chemical should escape from the storage tank. The nitrogen tetroxide oxidizer was loaded earlier in the week which is customarily followed by loading of the fuel. Propellant loading is one of the final processing milestones before the spacecraft is encapsulated in its fairing for launch. SDO is the first mission in NASA's Living With a Star Program and is designed to study the causes of solar variability and its impacts on Earth. The spacecraft's long-term measurements will give solar scientists in-depth information to help characterize the interior of the Sun, the Sun's magnetic field, the hot plasma of the solar corona, and the density of radiation that creates the ionosphere of the planets. The information will be used to create better forecasts of space weather needed to protect the aircraft, satellites and astronauts living and working in space. Liftoff aboard an Atlas V rocket is targeted for Feb. 9 from Launch Complex 41 on Cape Canaveral Air Force Station. For information on SDO, visit http://www.nasa.gov/sdo. Photo credit: NASA/Jack Pfaller

KSC-2010-1057

NASA Image and Video Library

2010-01-07

CAPE CANAVERAL, Fla. – In the control room at the Astrotech Space Operations facility in Titusville, Fla., a team of Kennedy Space Center spacecraft fueling specialists and engineers monitors data received from the clean room as technicians sample the monomethylhydrazine propellant that will be loaded aboard the Solar Dynamics Observatory, or SDO. The hydrazine fuel is being sampled for purity before it is loaded aboard the spacecraft. The technicians are dressed in self-contained atmospheric protective ensemble suits, or SCAPE suits, as a safety precaution in the unlikely event that any of the highly toxic chemical should escape from the storage tank. The nitrogen tetroxide oxidizer was loaded earlier in the week which is customarily followed by loading of the fuel. Propellant loading is one of the final processing milestones before the spacecraft is encapsulated in its fairing for launch. SDO is the first mission in NASA's Living With a Star Program and is designed to study the causes of solar variability and its impacts on Earth. The spacecraft's long-term measurements will give solar scientists in-depth information to help characterize the interior of the Sun, the Sun's magnetic field, the hot plasma of the solar corona, and the density of radiation that creates the ionosphere of the planets. The information will be used to create better forecasts of space weather needed to protect the aircraft, satellites and astronauts living and working in space. Liftoff aboard an Atlas V rocket is targeted for Feb. 9 from Launch Complex 41 on Cape Canaveral Air Force Station. For information on SDO, visit http://www.nasa.gov/sdo. Photo credit: NASA/Jack Pfaller

Needle Stick Injuries, Sharp Injuries and other Occupational Exposures to Blood and Body Fluids among Health Care Workers in a general hospital in Sarajevo, Bosnia and Herzegovina.

PubMed

Musa, Sanjin; Peek-Asa, Corinne; Young, Tracy; Jovanovic, Nina

2014-01-01

Health Professional exposures of health care workers (HCW) to potentially infective blood and body fluids presents a serious health threat, including hepatitis B, hepatitis C and HIV transmission. This study was conducted to assess the risk for and reporting of needle stick injuries, sharp injuries and other occupational exposures of health care workers in a large healthcare center in Sarajevo. This cross-sectional survey was conducted in May 2013. The study target population included all hospital health care workers who had a high potential for exposure. The estimated sample size was 48 physicians, 132 nurses/technicians and 30 auxiliary personnel. During their career, 124 (63.3%) HCW reported exposures to blood and body fluids. In total, needle stick injuries (66.1%) were the most common source of exposure, followed by contact with intact skin (12.1%) and cut with sharp object (11.3%). Only 43 (35.5%) reported any of these exposures to health authorities during their career. The odds of exposure to needle stick injuries and other occupational exposures to blood and bodily fluids were significantly higher among medical nurses/technicians (AOR=4.98, 95%CI=1.52-16,1) and auxiliary (AOR=4.30, 95% CI=1.07-17.34) personnel when compared to physicians. HCW in the operation room, intervention ambulance and laboratory (AOR=3.73, 95%CI=1.43-9.72) had higher odds of exposure than workers in the ambulatory departments. Needle stick Injuries, Sharp Injuries and other Occupational Exposures to Blood and Body Fluids among health care workers are underestimated hazard. Especially, for HCW who work in operation room/interventional ambulance. There is a need for preventive programs for HCW and further work on the establishment of an effective surveillance system.

Developing a Program for Water/Wastewater Technology.

ERIC Educational Resources Information Center

Valentine, Ivan E.; And Others

1979-01-01

Describes a water/wastewater technician program that provides: (1) entry-level skills for individuals seeking employment as water/wastewater technicians, (2) upgrading courses for operators and technicians already employed, and (3) instruction for those who are preparing for Colorado state water/wastewater certification. (LRA)

KSC-07pd0865

NASA Image and Video Library

2007-04-11

KENNEDY SPACE CENTER, FLA. -- In clean room C of Astrotech's Payload Processing Facility, technicians dressed in "bunny suits," or clean-room attire, begin working on the Dawn spacecraft. Dawn's mission is to explore two of the asteroid belt's most intriguing and dissimilar occupants: asteroid Vesta and the dwarf planet Ceres. The Dawn mission is managed by JPL, a division of the California Institute of Technology in Pasadena, for NASA's Science Mission Directorate in Washington, D.C. Photo credit: NASA/George Shelton

A loose bolt delays loading of Endeavour's external tank

NASA Technical Reports Server (NTRS)

2000-01-01

This view shows the pipe (center top) leading toward Endeavour from the side of the White Room at Launch Pad 39B. A loose bracket observed hanging down from the pipe delayed loading of Endeavour's external tank by several hours to allow technicians to remove it. A 'U' bolt connects the bracket to a fire suppression water line attached to the exterior of the White Room. The loose bolt could have possibly created a debris hazard.

Occupational Conversion Index: Enlisted/Officer/Civilian

DTIC Science & Technology

1993-09-01

14A/B OMA Integrated Weapons Technician AT 7975 APQ-126 FLR IMA Technician AT 7976 C-8!85 ASCU IMA Tecnnician AT 7978 APM-446 Radar System Test...Operator/Maintainer AT 6705 CASS Test Station Inter Main, Calibratiort/Adv Maint Technician AT 7923 ASCU & Tactical Computer SSE IMA Technician...GENERAL ARMY 93F Field Artillery Meteorological Crewmember NAVY AG Aerographer’s Mate AG 7412 Analyst-Forecaster MARINE CORPS 0847 a Artillery

NASA's New 'Plant Thermometer' Undergoes Inspection

NASA Image and Video Library

2018-06-11

A technician inspects NASA's ECOSTRESS instrument in a clean room at Kennedy Space Center in Florida. ECOSTRESS measures the temperature of plants, which shows how they are regulating their water use in response to heat stress. https://photojournal.jpl.nasa.gov/catalog/PIA22509

[Role expectations of various professional groups in the operating theatre].

PubMed

Gfrörer, R; Bernard, U; Schaper, C; Bauer, M; Schüpfer, G K

2007-11-01

Clearly defined professional roles have the advantage that team members know what they are expected to do and what their expectations of other professional groups are. For the definition of roles a distinct number of interactions between persons are a prerequisite. In a typical operations room (OR) team members are not constantly involved and are often exchanged. Interactions between personnel are not strong enough to fulfil the designing process of role shaping. In this study the possible substitution of defined roles by a distinct professional culture in an OR was studied. Using a shortened form of the SYMLOG questionnaire, 179 persons working in the ORs of 2 Swiss hospitals were interviewed. The three main professional groups in the OR setting were represented in this cohort: anaesthesia personnel (physicians and nurses), surgeons and operating room technicians and nurses. The SYMLOG questionnaire allows the rating of sympathy, influence and goal orientation of the professional groups. Surgeons and anaesthetists had the strongest influence and higher ratings for goal orientation. In comparison, the influence of members of the nursing profession was less valued. All three professional groups rated themselves higher than in the perception of the other professional groups. It is concluded that in this analysis the role definition was not clear. Optimization is therefore possible which could reduce conflict potential and contribute to a higher productivity.

NHEXAS PHASE I MARYLAND STUDY--STANDARD OPERATING PROCEDURE FOR TRAINING OF FIELD TECHNICIANS (G07)

EPA Science Inventory

The purpose of this SOP is to describe the method used for training field technicians. The SOP outlines the responsibilities of the Field Technician (FT) and the Field Coordination Center Supervisor (FCC-S) before, during, and after sampling at residences, and the training syste...

Quality of Communication in Robotic Surgery and Surgical Outcomes.

PubMed

Schiff, Lauren; Tsafrir, Ziv; Aoun, Joelle; Taylor, Andrew; Theoharis, Evan; Eisenstein, David

2016-01-01

Robotic surgery has introduced unique challenges to surgical workflow. The association between quality of communication in robotic-assisted laparoscopic surgery and surgical outcomes was evaluated. After each gynecologic robotic surgery, the team members involved in the surgery completed a survey regarding the quality of communication. A composite quality-of-communication score was developed using principal component analysis. A higher composite quality-of-communication score signified poor communication. Objective parameters, such as operative time and estimated blood loss (EBL), were gathered from the patient's medical record and correlated with the composite quality-of-communication scores. Forty robotic cases from March through May 2013 were included. Thirty-two participants including surgeons, circulating nurses, and surgical technicians participated in the study. A higher composite quality-of-communication score was associated with greater EBL (P = .010) and longer operative time (P = .045), after adjustment for body mass index, prior major abdominal surgery, and uterine weight. Specifically, for every 1-SD increase in the perceived lack of communication, there was an additional 51 mL EBL and a 31-min increase in operative time. The most common reasons reported for poor communication in the operating room were noise level (28/36, 78%) and console-to-bedside communication problems (23/36, 64%). Our study demonstrates a significant association between poor intraoperative team communication and worse surgical outcomes in robotic gynecologic surgery. Employing strategies to decrease extraneous room noise, improve console-to-bedside communication and team training may have a positive impact on communication and related surgical outcomes.

Development of Curricula for Nuclear Radiation Protection, Nuclear Instrumentation, and Nuclear Materials Processing Technologies. Final Report.

ERIC Educational Resources Information Center

Hull, Daniel M.

A study was conducted to assist two-year postsecondary educational institutions in providing technical specialty courses for preparing nuclear technicians. As a result of project activities, curricula have been developed for five categories of nuclear technicians and operators: (1) radiation protection technician, (2) nuclear instrumentation and…

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CODING: TECHNICIAN WALK-THROUGH QUESTIONNAIRE (UA-D-35.0)

EPA Science Inventory

The purpose of this SOP is to define the coding strategy for the Technician Walk-Through Questionnaire. This questionnaire was developed for use during the Arizona NHEXAS project and the "Border" study. Keywords: data; coding; technician walk-through questionnaire.

The Nationa...

NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CLEANING: TECHNICIAN WALK-THROUGH QUESTIONNAIRE (UA-D-36.0)

EPA Science Inventory

The purpose of this SOP is to define the steps involved in cleaning the electronic data generated from data entry of the Technician Walk-Through Questionnaire. It applies to electronic data corresponding to the Technician Walk-Through Questionnaire that was scanned and verified ...

Gemini 6 prime crew in white room atop Pad 19 during Gemini 6 countdown

NASA Technical Reports Server (NTRS)

1965-01-01

NASA and McDonnell technicians assist the Gemini 6 prime crew into the spacecraft in the White Room atop Pad 19 during the Gemini 6 prelaunch countdown. Astronaut Walter M. Schirra Jr., command pilot, is on left; and Astronaut Thomas P. Stafford, is on the right. Between the two is a note attached to the capsule which reads 'Good Luck from 2nd Shift'. Liftoff was at 8:37 a.m., December 15, 1965.

14 CFR 147.33 - Records.

Code of Federal Regulations, 2010 CFR

2010-01-01

... CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.33 Records. (a) Each certificated aviation maintenance technician school shall keep a current record of each student enrolled...

14 CFR 147.43 - Inspection.

Code of Federal Regulations, 2010 CFR

2010-01-01

... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.43 Inspection. The Administrator may, at any time, inspect an aviation maintenance technician school to determine its...

14 CFR 147.38 - Maintenance of curriculum requirements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.38 Maintenance of curriculum requirements. (a) Each certificated aviation maintenance technician...

A technician leaves the 'white room,' the access point for entering the Space Shuttle Discovery during post-flight processing at NASA DFRC in California

NASA Image and Video Library

2005-08-14

A technician leaves the 'white room', the access point for entering the Space Shuttle Discovery during post-flight processing in the Mate-Demate Device (MDD) at NASA's Dryden Flight Research Center in California. The gantry-like MDD structure is used for servicing the shuttle orbiters in preparation for their ferry flight back to the Kennedy Space Center in Florida, including mounting the shuttle atop NASA's modified Boeing 747 Shuttle Carrier Aircraft. Space Shuttle Discovery landed safely at NASA's Dryden Flight Research Center at Edwards Air Force Base in California at 5:11:22 a.m. PDT, August 9, 2005, following the very successful 14-day STS-114 return to flight mission. During their two weeks in space, Commander Eileen Collins and her six crewmates tested out new safety procedures and delivered supplies and equipment the International Space Station. Discovery spent two weeks in space, where the crew demonstrated new methods to inspect and repair the Shuttle in orbit. The crew also delivered supplies, outfitted and performed maintenance on the International Space Station. A number of these tasks were conducted during three spacewalks. In an unprecedented event, spacewalkers were called upon to remove protruding gap fillers from the heat shield on Discovery's underbelly. In other spacewalk activities, astronauts installed an external platform onto the Station's Quest Airlock and replaced one of the orbital outpost's Control Moment Gyroscopes. Inside the Station, the STS-114 crew conducted joint operations with the Expedition 11 crew. They unloaded fresh supplies from the Shuttle and the Raffaello Multi-Purpose Logistics Module. Before Discovery undocked, the crews filled Raffeallo with unneeded items and returned to Shuttle payload bay. Discovery launched on July 26 and spent almost 14 days on orbit.

Multi-Cultural Competency-Based Vocational Curricula. Fiberglass Technician. Multi-Cultural Competency-Based Vocational/Technical Curricula Series.

ERIC Educational Resources Information Center

Hepburn, Larry; Shin, Masako

This document, one of eight in a multi-cultural competency-based vocational/technical curricula series, is on fiberglass technician. This program covers 12 instructional areas: orientation, safety, introduction to fiberglass-reinforced plastics, hand lay-up, introduction to equipment operation, chopper operation, gel-coat equipment, finish and…

14 CFR 147.39 - Display of certificate.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.39 Display of certificate. Each holder of an aviation maintenance technician school certificate and ratings...

In Perspective. Colombo Plan Staff College for Technician Education: First Two Years.

ERIC Educational Resources Information Center

Colombo Plan Staff Coll., Singapore.

This brochure explains the basic structures, content, and methodologies, which have been established by the Colombo Plan Staff College for Technician Training for its activities in its first two years of operation. The role of a variety of technicians is explained, along with their importance in developing countries. The problems of technician…

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR CODING: TECHNICIAN WALK-THROUGH QUESTIONNAIRE (UA-D-35.0)

EPA Science Inventory

The purpose of this SOP is to define the coding strategy for the Technician Walk-Through Questionnaire. This questionnaire was developed for use during the Arizona NHEXAS project and the Border study. Keywords: data; coding; technician walk-through questionnaire.

The U.S.-Mexi...

U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR CLEANING: TECHNICIAN WALK-THROUGH QUESTIONNAIRE (UA-D-36.0)

EPA Science Inventory

The purpose of this SOP is to define the steps involved in cleaning the electronic data generated from data entry of the Technician Walk-Through Questionnaire. It applies to electronic data corresponding to the Technician Walk-Through Questionnaire that was scanned and verified ...

TESS Spacecraft Move to Clean Room

NASA Image and Video Library

2018-02-12

Technicians dressed in clean room suits move NASA's Transiting Exoplanet Survey Satellite (TESS) on a test stand inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite will be processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. TESS is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

TESS Spacecraft Move to Clean Room

NASA Image and Video Library

2018-02-12

Technicians dressed in clean room suits move NASA's Transiting Exoplanet Survey Satellite (TESS) secured on a test stand inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite will be processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. TESS is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

14 CFR 147.41 - Change of location.

Code of Federal Regulations, 2010 CFR

2010-01-01

... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.41 Change of location. The holder of an aviation maintenance technician school certificate may not make any change in...

Intraoperative Magnetic Resonance Imaging for Cranial and Spinal Cases Using Preexisting "C" Shaped Three Side Open 0.2 Tesla Magnetic Resonance Imaging.

PubMed

Tewari, Vinod Kumar; Tripathi, Ravindra; Aggarwal, Subodh; Hussain, Mazhar; Das Gupta, Hari Kishan

2017-01-01

The existing Intraoperative MRI (IMRI) of developed countries is too costly to be affordable in any developing country and out of the reach of common and poor people of developing country at remote areas. We have used the pre-existing (refurbished) 3 side open "C" shaped 0.2 Tesla MRI for IMRI in a very remote area. In this technique the 0.2 Tesla MRI and the operating theatre were merged. MRI table was used as an operation table. We have operated 36 cases via IMRI from November 2005 to till date. First case operated was on 13 th nov 2005. Low (0.2) Tesla open setup costs very low (around Rs 40 lakhs) so highly affordable to management and thus to patients, used for diagnostic and therapeutic purposes both, the equipments like Nitrous, oxygen and suction is outside the MRI room so no noise inside operative room, positioning the patient didn't take much time due to manual adjustments, no special training to nurses and technicians required because of low (0.2) Tesla power of magnet and same instruments and techniques, sequencing took only 1.31 mints per sequence and re registration is not required since we always note down the two orthogonal axis in x and y axis in preoperative imaging and we were able to operate on posterior fossa tumors as well because of no head fixation except with leucoplast strap. Moreover the images we got intraoperative are highly acceptable. Three side open 0.2 Tesla MRI system, if used for intraoperative guidance, is highly affordable and overcomes the limitations of western setup of IMRI. Postoperative MRI images were highly acceptable and also highly affordable too.

49 CFR Appendix E to Part 227 - Use of Insert Earphones for Audiometric Testing

Code of Federal Regulations, 2010 CFR

2010-10-01

... RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION OCCUPATIONAL NOISE EXPOSURE Pt. 227, App. E Appendix.... B. Technicians who conduct audiometric tests must be trained to insert the earphones correctly into... audiometer. IV. Background Noise Levels Testing shall be conducted in a room where the background ambient...

Power Product Equipment Technician: Outboard-Engine Systems and Service. Teacher Edition [and] Student Edition.

ERIC Educational Resources Information Center

Hilley, Robert

This curriculum guide contains teacher and student materials for a course on outboard-engine boat systems and service for power product equipment technician occupations. The course contains the following four units of instruction: (1) Outboard-Engine Design and Identification; (2) Operation and Service of Engine-Support Systems; (3) Operation and…

Nuclear Technology Series. Radiation Protection Technician. A Suggested Program Planning Guide. Revised June 80.

ERIC Educational Resources Information Center

Center for Occupational Research and Development, Inc., Waco, TX.

This program planning guide for a two-year postsecondary radiation protection technician program is designed for use with courses 17-22 of thirty-five included in the Nuclear Technology Series. The purpose of the guide is to describe the nuclear power field and its job categories for specialists, technicians, and operators; and to assist planners,…

Initial experience with a nuclear medicine viewing workstation

NASA Astrophysics Data System (ADS)

Witt, Robert M.; Burt, Robert W.

1992-07-01

Graphical User Interfaced (GUI) workstations are now available from commercial vendors. We recently installed a GUI workstation in our nuclear medicine reading room for exclusive use of staff and resident physicians. The system is built upon a Macintosh platform and has been available as a DELTAmanager from MedImage and more recently as an ICON V from Siemens Medical Systems. The workstation provides only display functions and connects to our existing nuclear medicine imaging system via ethernet. The system has some processing capabilities to create oblique, sagittal and coronal views from transverse tomographic views. Hard copy output is via a screen save device and a thermal color printer. The DELTAmanager replaced a MicroDELTA workstation which had both process and view functions. The mouse activated GUI has made remarkable changes to physicians'' use of the nuclear medicine viewing system. Training time to view and review studies has been reduced from hours to about 30-minutes. Generation of oblique views and display of brain and heart tomographic studies has been reduced from about 30-minutes of technician''s time to about 5-minutes of physician''s time. Overall operator functionality has been increased so that resident physicians with little prior computer experience can access all images on the image server and display pertinent patient images when consulting with other staff.

Hospital management practices and availability of surgery in sub-Saharan Africa: a pilot study of three hospitals.

PubMed

Funk, Luke M; Conley, Dante M; Berry, William R; Gawande, Atul A

2013-11-01

Sub-Saharan Africa has a high surgical burden of disease but performs a disproportionately low volume of surgery. Closing this surgical gap will require increased surgical productivity of existing systems. We examined specific hospital management practices in three sub-Saharan African hospitals that are associated with surgical productivity and quality. We conducted 54 face-to-face, structured interviews with administrators, clinicians, and technicians at a teaching hospital, district hospital, and religious mission hospital across two countries in sub-Saharan Africa. Questions focused on recommended general management practices within five domains: goal setting, operations management, talent management, quality monitoring, and financial oversight. Records from each interview were analyzed in a qualitative fashion. Each hospital's management practices were scored according to the degree of implementation of the management practices (1 = none; 3 = some; 5 = systematic). The mission hospital had the highest number of employees per 100 beds (226), surgeons per operating room (3), and annual number of operations per operating room (1,800). None of the three hospitals had achieved systematic implementation of management practices in all 14 measures. The mission hospital had the highest total management score (44/70 points; average = 3.1 for each of the 14 measures). The teaching and district hospitals had statistically significantly lower management scores (average 1.3 and 1.1, respectively; p < .001). It is possible to meaningfully assess hospital management practices in low resource settings. We observed substantial variation in implementation of basic management practices at the three hospitals. Future research should focus on whether enhancing management practices can improve surgical capacity and outcomes.

Practicality of intraoperative teamwork assessments.

PubMed

Phitayakorn, Roy; Minehart, Rebecca; Pian-Smith, May C M; Hemingway, Maureen W; Milosh-Zinkus, Tanya; Oriol-Morway, Danika; Petrusa, Emil

2014-07-01

High-quality teamwork among operating room (OR) professionals is a key to efficient and safe practice. Quantification of teamwork facilitates feedback, assessment, and improvement. Several valid and reliable instruments are available for assessing separate OR disciplines and teams. We sought to determine the most feasible approach for routine documentation of teamwork in in-situ OR simulations. We compared rater agreement, hypothetical training costs, and feasibility ratings from five clinicians and two nonclinicians with instruments for assessment of separate OR groups and teams. Five teams of anesthesia or surgery residents and OR nurses (RN) or surgical technicians were videotaped in simulations of an epigastric hernia repair where the patient develops malignant hyperthermia. Two anesthesiologists, one OR clinical RN specialist, one educational psychologist, one simulation specialist, and one general surgeon discussed and then independently completed Anesthesiologists' Non-Technical Skills, Non-Technical Skills for Surgeons, Scrub Practitioners' List of Intraoperative Non-Technical Skills, and Observational Teamwork Assessment for Surgery forms to rate nontechnical performance of anesthesiologists, surgeons, nurses, technicians, and the whole team. Intraclass correlations of agreement ranged from 0.17-0.85. Clinicians' agreements were not different from nonclinicians'. Published rater training was 4 h for Anesthesiologists' Non-Technical Skills and Scrub Practitioners' List of Intraoperative Non-Technical Skills, 2.5 h for Non-Technical Skills for Surgeons, and 15.5 h for Observational Teamwork Assessment for Surgery. Estimated costs to train one rater to use all instruments ranged from $442 for a simulation specialist to $6006 for a general surgeon. Additional training is needed to achieve higher levels of agreement; however, costs may be prohibitive. The most cost-effective model for real-time OR teamwork assessment may be to use a simulation technician combined with one clinical rater to allow complete documentation of all participants. Copyright © 2014 Elsevier Inc. All rights reserved.

Environmental contamination, product contamination and workers exposure using a robotic system for antineoplastic drug preparation.

PubMed

Sessink, Paul J M; Leclercq, Gisèle M; Wouters, Dominique-Marie; Halbardier, Loïc; Hammad, Chaïma; Kassoul, Nassima

2015-04-01

Environmental contamination, product contamination and technicians exposure were measured following preparation of iv bags with cyclophosphamide using the robotic system CytoCare. Wipe samples were taken inside CytoCare, in the clean room environment, from vials, and prepared iv bags including ports and analysed for contamination with cyclophosphamide. Contamination with cyclophosphamide was also measured in environmental air and on the technicians hands and gloves used for handling the drugs. Exposure of the technicians to cyclophosphamide was measured by analysis of cyclophosphamide in urine. Contamination with cyclophosphamide was mainly observed inside CytoCare, before preparation, after preparation and after daily routine cleaning. Contamination outside CytoCare was incidentally found. All vials with reconstituted cyclophosphamide entering CytoCare were contaminated on the outside but vials with powdered cyclophosphamide were not contaminated on the outside. Contaminated bags entering CytoCare were also contaminated after preparation but non-contaminated bags were not contaminated after preparation. Cyclophosphamide was detected on the ports of all prepared bags. Almost all outer pairs of gloves used for preparation and daily routine cleaning were contaminated with cyclophosphamide. Cyclophosphamide was not found on the inner pairs of gloves and on the hands of the technicians. Cyclophosphamide was not detected in the stationary and personal air samples and in the urine samples of the technicians. CytoCare enables the preparation of cyclophosphamide with low levels of environmental contamination and product contamination and no measurable exposure of the technicians. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

46 CFR 160.151-47 - Requirements for owners or operators of servicing facilities.

Code of Federal Regulations, 2010 CFR

2010-10-01

...— (a) Ensure that servicing technicians have received sufficient information and training to follow... direct supervision of a servicing technician who has completed the requirements of either § 160.151-39 (a...

Multidisciplinary in-hospital teams improve patient outcomes: A review.

PubMed

Epstein, Nancy E

2014-01-01

The use of multidisciplinary in-hospital teams limits adverse events (AE), improves outcomes, and adds to patient and employee satisfaction. Acting like "well-oiled machines," multidisciplinary in-hospital teams include "staff" from different levels of the treatment pyramid (e.g. staff including nurses' aids, surgical technicians, nurses, anesthesiologists, attending physicians, and others). Their enhanced teamwork counters the "silo effect" by enhancing communication between the different levels of healthcare workers and thus reduces AE (e.g. morbidity/mortality) while improving patient and healthcare worker satisfaction. Multiple articles across diverse disciplines incorporate a variety of concepts of "teamwork" for staff covering emergency rooms (ERs), hospital wards, intensive care units (ICUs), and most critically, operating rooms (ORs). Cohesive teamwork improved communication between different levels of healthcare workers, and limited adverse events, improved outcomes, decreased the length of stay (LOS), and yielded greater patient "staff" satisfaction. Within hospitals, delivering the best medical/surgical care is a "team sport." The goals include: Maximizing patient safety (e.g. limiting AE) and satisfaction, decreasing the LOS, and increasing the quality of outcomes. Added benefits include optimizing healthcare workers' performance, reducing hospital costs/complications, and increasing job satisfaction. This review should remind hospital administrators of the critical need to keep multidisciplinary teams together, so that they can continue to operate their "well-oiled machines" enhancing the quality/safety of patient care, while enabling "staff" to optimize their performance and enhance their job satisfaction.

Education and training for technicians in photonics-enabled technologies

NASA Astrophysics Data System (ADS)

Hull, Daniel M.; Hull, Darrell M.

2005-10-01

Within a few years after lasers were first made operational in 1960, it became apparent that rapid growth in the applications of this new technology in industry, health care, and other fields would require a new generation of technicians in laser/optics engineering. Technicians are the men and women who work alongside scientists and engineers in bringing their ideas, designs, and processes to fruition. In America, most highly qualified technicians are graduates of associate of applied science (AAS) programs in community and technical colleges (two-year postsecondary institutions). Curricula and educational programs designed to prepare technicians in laser/electro-optics technology (LEOT) emerged in the 1970s; today there are over 15 LEOT programs in the United States producing over 100 LEOT graduates each year.

RCT: Module 2.03, Counting Errors and Statistics, Course 8768

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hillmer, Kurt T.

2017-04-01

Radiological sample analysis involves the observation of a random process that may or may not occur and an estimation of the amount of radioactive material present based on that observation. Across the country, radiological control personnel are using the activity measurements to make decisions that may affect the health and safety of workers at those facilities and their surrounding environments. This course will present an overview of measurement processes, a statistical evaluation of both measurements and equipment performance, and some actions to take to minimize the sources of error in count room operations. This course will prepare the student withmore » the skills necessary for radiological control technician (RCT) qualification by passing quizzes, tests, and the RCT Comprehensive Phase 1, Unit 2 Examination (TEST 27566) and by providing in the field skills.« less

Autotronics. Florida Vocational Program Guide.

ERIC Educational Resources Information Center

University of South Florida, Tampa. Dept. of Adult and Vocational Education.

The program guide for autotronics (electronics mechanic) courses in Florida identifies primary considerations for the organization, operation, and evaluation of a vocational education program. Following an occupational description for the job title for electronics mechanic (including communication technician and electronics technician), and its…

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

PubMed Central

Chakravarthy, Murali; Mitra, Sona; Nonis, Latha

2012-01-01

Objective Cardiac arrest in the hospital wards may not receive as much attention as it does in the operation theatre and intensive care unit (ICU). The experience and the qualifications of personnel in the ward may not be comparable to those in the other vital areas of the hospital. The outcome of cardiac arrest from the ward areas is a reasonable surrogate of training of the ward nurses and technicians in cardiopulmonary resuscitation. We conducted an audit to assess the issues surrounding the resuscitation of cardiac arrest in areas other than operation theatre and ICU in a tertiary referral hospital. Aims of the audit To assess the outcomes of cardiac arrest in a tertiary referral hospital. Areas such as wards, dialysis room and emergency room were considered for the audit. Methods This is a retrospective observational audit of the case records of all the adult patients who were resuscitated from ‘code blue’. Data for 2 years from 2007 was analysed by a research fellow unconnected with the resuscitations. Results Twenty-two thousand three hundred and forty-four patients were admitted as in-patients to the hospital during the 2 years, starting May 2007 through May 2009. One hundred code blue calls were received during this time. Twenty-two of the total calls received were false. Among the 78 confirmed cardiac arrests 69 occurred in the wards, 2 in emergency room, 1 in cardiac catheterisation laboratory and 3 in dialysis room. Twenty-eight patients were declared dead after unsuccessful cardiopulmonary resuscitation. Among the 50 who were resuscitated with a return of spontaneous rhythm 26 died. Twenty-four patients were discharged (survival rate of 30%). The survival decreased significantly as the age progressed beyond 60. The resuscitation rates were better in day shifts in contrast to the night. Higher survival was noted in patients who received resuscitation in less than a minute. Conclusion A overall survival to discharge rate of 30% was noted in this audit. Higher survival rates might be attributable to high rate and degree of training at the time of their employment, which was repeated at yearly interval. PMID:22572417

Survey to assess the role of pharmacy technicians and nonpharmacist staff in the operation of research pharmacies.

PubMed

Siden, Rivka; Tamer, Helen R; Skyles, Amy J; Dolan, Christopher S; Propes, Denise J; Redic, Kimberly

2014-11-01

Results of a survey assessing trends and innovations in the use of pharmacy technicians and other nonpharmacist staff in the research pharmacy setting are reported. A Web-based survey was distributed to Internet communities of members of the American Society of Health-System Pharmacists and the University Health-System Consortium involved in investigational drug research and related practice areas. The survey collected data on the characteristics of institutions with pharmacy department staff dedicated to such research activities and the participation of pharmacists, technicians, and other staff in key areas of research pharmacy operations. Survey responses from 51 institutions were included in the data analysis. Overall, the reported distribution of assigned responsibility for most evaluated research pharmacy tasks reflected traditional divisions of pharmacist and technician duties, with technicians performing tasks subject to a pharmacist check or pharmacists completing tasks alone. However, some institutions reported allowing technicians to perform a number of key tasks without direct pharmacist supervision, primarily in the areas of inventory management and sponsor monitoring and auditing; almost half of the surveyed institutions reported technician involvement in teaching activities. In general, the reported use of "tech-check-tech" arrangements in research pharmacies was very limited. Some responding institutions reported the innovative use of nonpharmacist staff (e.g., paid interns, students and residents on rotation). Although the majority of research pharmacy tasks related to direct patient care are performed by or under the direct supervision of pharmacists, a variety of other essential tasks are typically assigned to pharmacy technicians and other nonpharmacist staff. Copyright © 2014 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

STS-87 Mission Specialist Doi in white room

NASA Technical Reports Server (NTRS)

1997-01-01

STS-87 Mission Specialist Takao Doi, Ph.D., of the National Space Development Agency of Japan, is assisted with his ascent and re- entry flight suit by Dave Law, USA mechanical technician, in the white room at Launch Pad 39B as Dr. Doi prepares to enter the Space Shuttle orbiter Columbia on launch day. At right wearing glasses is Danny Wyatt, NASA quality assurance specialist. STS-87 is the fourth flight of the United States Microgravity Payload and Spartan-201. The 16-day mission will include a spacewalk by Dr. Doi and Mission Specialist Winston Scott.

Reducing Operating Room Turnover Time for Robotic Surgery Using a Motor Racing Pit Stop Model.

PubMed

Souders, Colby P; Catchpole, Ken R; Wood, Lauren N; Solnik, Jonathon M; Avenido, Raymund M; Strauss, Paul L; Eilber, Karyn S; Anger, Jennifer T

2017-08-01

Operating room (OR) turnover time, time taken between one patient leaving the OR and the next entering, is an important determinant of OR utilization, a key value metric for hospital administrators. Surgical robots have increased the complexity and number of tasks required during an OR turnover, resulting in highly variable OR turnover times. We sought to streamline the turnover process and decrease robotic OR turnover times and increase efficiency. Direct observation of 45 pre-intervention robotic OR turnovers was performed. Following a previously successful model for handoffs, we employed concepts from motor racing pit stops, including briefings, leadership, role definition, task allocation and task sequencing. Turnover task cards for staff were developed, and card assignments were distributed for each turnover. Forty-one cases were observed post-intervention. Average total OR turnover time was 99.2 min (95% CI 88.0-110.3) pre-intervention and 53.2 min (95% CI 48.0-58.5) at 3 months post-intervention. Average room ready time from when the patient exited the OR until the surgical technician was ready to receive the next patient was 42.2 min (95% CI 36.7-47.7) before the intervention, which reduced to 27.2 min at 3 months (95% CI 24.7-29.7) post-intervention (p < 0.0001). Role definition, task allocation and sequencing, combined with a visual cue for ease-of-use, create efficient, and sustainable approaches to decreasing robotic OR turnover times. Broader system changes are needed to capitalize on that result. Pit stop and other high-risk industry models may inform approaches to the management of tasks and teams.

TRAINING NUCLEAR TECHNICIANS.

ERIC Educational Resources Information Center

KOVNER, EDGAR A.

PROBLEMS CONFRONTED BY PLANNERS OF NUCLEAR PROGRAMS AT THE TECHNICIAN LEVEL INCLUDE (1) LACK OF PRECEDENT IN CURRICULUM, COURSE OUTLINES, AND GRADUATE PLACEMENT, (2) DIFFICULTY IN DETERMINING COSTS OF LABORATORY CONSTRUCTION, EQUIPMENT, AND OPERATION, AND (3) REQUIREMENT OF ATOMIC ENERGY COMMISSION LICENSES IN NUCLEAR OCCUPATIONS. A 92-SEMESTER…

14 CFR 147.45 - Advertising.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Advertising. 147.45 Section 147.45... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.45 Advertising... aviation maintenance technician school indicates in advertising that it is a certificated school, it shall...

14 CFR 147.45 - Advertising.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Advertising. 147.45 Section 147.45... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.45 Advertising... aviation maintenance technician school indicates in advertising that it is a certificated school, it shall...

14 CFR 147.45 - Advertising.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Advertising. 147.45 Section 147.45... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.45 Advertising... aviation maintenance technician school indicates in advertising that it is a certificated school, it shall...

14 CFR 147.45 - Advertising.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Advertising. 147.45 Section 147.45... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.45 Advertising... aviation maintenance technician school indicates in advertising that it is a certificated school, it shall...

14 CFR 147.45 - Advertising.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Advertising. 147.45 Section 147.45... OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.45 Advertising... aviation maintenance technician school indicates in advertising that it is a certificated school, it shall...

National Apprenticeship and Training Standards for Dental Technicians. Revised.

ERIC Educational Resources Information Center

Employment and Training Administration (DOL), Washington, DC. Bureau of Apprenticeship and Training.

These national standards contain information for establishing and operating effective apprenticeship programs for dental technicians. Included in the volume are the following: definitions; provisions of the standards (equal opportunity in apprenticeship; terms of apprenticeship; apprenticeship agreements; ratios of apprentices to dental…

Technicians assembly the Hubble Space Telescope (HST) mockup at JSC

NASA Technical Reports Server (NTRS)

1989-01-01

At JSC's Mockup and Integration Laboratory (MAIL) Bldg 9A, technicians install a high gain antenna (HGA) on the Hubble Space Telescope (HST) mockup. On the ground a technician operates the controls for the overhead crane that is lifting the HGA into place on the Support System Module (SSM) forward shell. Others in a cherry picker basket wait for the HGA to near its final position so they can secure it on the mockup.

C-arm positioning using virtual fluoroscopy for image-guided surgery

NASA Astrophysics Data System (ADS)

de Silva, T.; Punnoose, J.; Uneri, A.; Goerres, J.; Jacobson, M.; Ketcha, M. D.; Manbachi, A.; Vogt, S.; Kleinszig, G.; Khanna, A. J.; Wolinsky, J.-P.; Osgood, G.; Siewerdsen, J. H.

2017-03-01

Introduction: Fluoroscopically guided procedures often involve repeated acquisitions for C-arm positioning at the cost of radiation exposure and time in the operating room. A virtual fluoroscopy system is reported with the potential of reducing dose and time spent in C-arm positioning, utilizing three key advances: robust 3D-2D registration to a preoperative CT; real-time forward projection on GPU; and a motorized mobile C-arm with encoder feedback on C-arm orientation. Method: Geometric calibration of the C-arm was performed offline in two rotational directions (orbit α, orbit β). Patient registration was performed using image-based 3D-2D registration with an initially acquired radiograph of the patient. This approach for patient registration eliminated the requirement for external tracking devices inside the operating room, allowing virtual fluoroscopy using commonly available systems in fluoroscopically guided procedures within standard surgical workflow. Geometric accuracy was evaluated in terms of projection distance error (PDE) in anatomical fiducials. A pilot study was conducted to evaluate the utility of virtual fluoroscopy to aid C-arm positioning in image guided surgery, assessing potential improvements in time, dose, and agreement between the virtual and desired view. Results: The overall geometric accuracy of DRRs in comparison to the actual radiographs at various C-arm positions was PDE (mean ± std) = 1.6 ± 1.1 mm. The conventional approach required on average 8.0 ± 4.5 radiographs spent "fluoro hunting" to obtain the desired view. Positioning accuracy improved from 2.6o ± 2.3o (in α) and 4.1o ± 5.1o (in β) in the conventional approach to 1.5o ± 1.3o and 1.8o ± 1.7o, respectively, with the virtual fluoroscopy approach. Conclusion: Virtual fluoroscopy could improve accuracy of C-arm positioning and save time and radiation dose in the operating room. Such a system could be valuable to training of fluoroscopy technicians as well as intraoperative use in fluoroscopically guided procedures.

14 CFR 147.33 - Records.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Records. 147.33 Section 147.33 Aeronautics... CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.33 Records. (a) Each certificated aviation maintenance technician school shall keep a current record of each student enrolled...

Knowledge of the management of paediatric dental traumas by non-dental professionals in emergency rooms in South Araucanía, Temuco, Chile.

PubMed

Díaz, Jaime; Bustos, Luís; Herrera, Samira; Sepulveda, Jaqueline

2009-12-01

The objective of this study was to investigate the level of knowledge and attitudes regarding first aid for dental trauma in children (TDI) by non-dental professionals and paramedical technicians of hospital emergency rooms in the South Araucanía Health Service, Chile, which was attained through application of a survey. Samples were collected from people with occupations in the respective emergency rooms. The participants were 82 people that were interviewed using a questionnaire regarding management of dental trauma. Paramedic technicians, general and specialist doctors, and nurses were included in this survey. The appraisal covered diverse aspects: birth date, age, sex, years of experience in the emergency room, and questions regarding specific dental trauma topics, which focused on crown fractures, luxation injuries in permanent dentition, avulsion in primary and permanent teeth, and the respective emergency treatments. Of the participants, 78.1% reported to have been presented with a TDI patient. The majority (90.2%) had not received formal training on TDI. These results revealed a wide distribution of responses. The overall dental trauma knowledge among the participants was relatively poor. For crown fractures management 54.9% indicated that they would ask the affected child about the crown remnants. In regard to transport and storage medium of avulsed permanent teeth, only 9.8% of the participants answered correctly and 43.9% of respondents stated that they would not replant an avulsed permanent tooth, since that procedure is considered the responsibility of a dentist. The majority of the respondents were not knowledgeable regarding TDI or the management and benefits of timely care, particularly in cases of avulsed permanent teeth. Therefore, formal education and training on the topic is suggested during undergraduate studies.

Saturn Apollo Program

NASA Image and Video Library

1969-07-01

A technician can be seen working atop the white room across from the escape tower of the Apollo 11 spacecraft a few days prior to the launch of the Saturn V moon rocket. The towering 363-foot Saturn V was a multi-stage, multi-engine launch vehicle standing taller than the Statue of Liberty. Altogether, the Saturn V engines produced as much power as 85 Hoover Dams

Validation of an endothelial roll preparation for Descemet Membrane Endothelial Keratoplasty by a cornea bank using "no touch" dissection technique.

PubMed

Marty, Anne-Sophie; Burillon, Carole; Desanlis, Adeline; Damour, Odile; Kocaba, Viridiana; Auxenfans, Céline

2016-06-01

Descemet Membrane Endothelial Keratoplasty (DMEK) selectively replaces the damaged posterior part of the cornea. However, the DMEK technique relies on a manually-performed dissection that is time-consuming, requires training and presents a potential risk of endothelial graft damages leading to surgery postponement when performed by surgeons in the operative room. To validate precut corneal tissue preparation for DMEK provided by a cornea bank in order to supply a quality and security precut endothelial tissue. The protocol was a technology transfer from the Netherlands Institute for Innovative Ocular Surgery (NIIOS) to Lyon Cornea Bank, after formation in NIIOS to the DMEK "no touch" dissection technique. The technique has been validated in selected conditions (materials, microscope) and after a learning curve, cornea bank technicians prepared endothelial tissue for DMEK. Endothelial cells densities (ECD) were evaluated before and after preparation, after storage and transport to the surgery room. Microbiological and histological controls have been done. Twenty corneas were manually dissected; 18 without tears. Nineteen endothelial grafts formed a double roll. The ECD loss after cutting was 3.3 % (n = 19). After transportation 7 days later, we found an ECD loss of 25 % (n = 12). Three days after cutting and transportation, we found 2.1 % of ECD loss (n = 7). Histology found an endothelial cells monolayer lying on Descemet membrane. The mean thickness was 12 ± 2.2 µm (n = 4). No microbial contamination was found (n = 19). Endothelial roll stability has been validated at 3 days in our cornea bank. Cornea bank technicians trained can deliver to surgeons an ECD controlled, safety and ready to use endothelial tissue, for DMEK by "no touch" technique, allowing time saving, quality and security for surgeons.

Respiratory Therapy and Respiratory Therapy Technician. Florida Vocational Program Guide.

ERIC Educational Resources Information Center

Florida State Univ., Tallahassee. Center for Instructional Development and Services.

This program guide identifies primary considerations in the organization, operation, and evaluation of respiratory therapy and respiratory therapy technician programs. An occupational description and program content are presented. The curriculum framework specifies the exact course title, course number, levels of instruction, major course content,…

KSC-2012-1966

NASA Image and Video Library

2012-04-05

CAPE CANAVERAL, Fla. – Florida’s Lt. Gov. Jennifer Carroll signs a wall of the White Room during a tour of Kennedy Space Center’s Orbiter Processing Facility-1. The room affords access to the shuttle as it is undergoing processing in the facility. Everyone visiting the interior of the shuttle – astronauts, technicians and guests alike - is given the opportunity to “autograph” a wall of the room. The tour coincided with Carroll’s visit to Kennedy for a meeting with Cabana. Atlantis is being prepared for public display at the Kennedy Space Center Visitor Complex in 2013. The groundbreaking for Atlantis’ exhibit hall took place in January Atlantis is scheduled to be moved to the visitor complex in November. For more information, visit http://www.nasa.gov/shuttle. Photo credit: NASA/Jim Grossmann

KSC-2011-7025

NASA Image and Video Library

2011-09-08

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, Ball Aerospace technicians rotate NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP) into the vertical position during a solar array frangible bolt pre-load verification test. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-7027

NASA Image and Video Library

2011-09-08

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, Ball Aerospace technicians rotate NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP) into the vertical position during a solar array frangible bolt pre-load verification test. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-7022

NASA Image and Video Library

2011-09-08

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, Ball Aerospace technicians position NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP) for a solar array frangible bolt pre-load verification test. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-7026

NASA Image and Video Library

2011-09-08

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, Ball Aerospace technicians rotate NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP) into the vertical position during a solar array frangible bolt pre-load verification test. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-7018

NASA Image and Video Library

2011-09-01

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, technicians position NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP) for test and checkout. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-7016

NASA Image and Video Library

2011-09-01

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, technicians position NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP) for test and checkout. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-7024

NASA Image and Video Library

2011-09-08

VANDENBERG AIR FORCE BASE, Calif. – In a clean room inside the Astrotech Payload Processing Facility at Vandenberg Air Force Base in California, Ball Aerospace technicians position NASA’s National Polar-orbiting Operational Environmental Satellite System Preparatory Project (NPP) for a solar array frangible bolt pre-load verification test. NPP represents a critical first step in building the next-generation of Earth-observing satellites. NPP will carry the first of the new sensors developed for this satellite fleet, now known as the Joint Polar Satellite System (JPSS), to be launched in 2016. NPP is the bridge between NASA’s Earth Observing System (EOS) satellites and the forthcoming series of JPSS satellites. The mission will test key technologies and instruments for the JPSS missions. NPP is targeted to launch Oct. 25 from Space Launch Complex-2 aboard a United Launch Alliance Delta II rocket. For more information, visit http://www.nasa.gov/NPP. Photo credit: NASA/30th Communications Squadron, VAFB

KSC-2011-1057

NASA Image and Video Library

2011-01-07

CAPE CANAVERAL, Fla. -- Finishing touches adorn the second-floor lobby of the Propellants North Administrative and Maintenance Facility at NASA's Kennedy Space Center in Florida. At right, are recycled firing room windows that are set at the same angle and orientation as they were in Kennedy's Launch Control Center, looking out toward Launch Pads 39A and B. The environmentally friendly facility is slated to be NASA's second Platinum-rated by the U.S. Green Building Council's (USGBC) Leadership in Environmental and Energy Design (LEED) certification system. It will be the space agency's first net-zero facility, which means it will produce enough energy onsite from renewable sources to offset what it requires to operate. The facility consists of a two-story administrative building to house managers, mechanics and technicians who fuel spacecraft at Kennedy, and a single-story shop to store cryogenic fuel transfer equipment. Photo credit: NASA/Frankie Martin

Data Processing Technology, A Suggested 2-Year Post High School Curriculum.

ERIC Educational Resources Information Center

Central Texas Coll., Killeen.

This guide identifies technicians, states specific job requirements, and describes special problems in defining, initiating, and operating post-high school programs in data processing technology. The following are discussed: (1) the program (employment opportunities, the technician, work performed by data processing personnel, the faculty, student…

47 CFR 97.119 - Station identification.

Code of Federal Regulations, 2010 CFR

2010-10-01

... on the common data base coordinated, maintained and disseminated by the special event call sign data... part of the communications are transmitted by a RTTY or data emission; (4) By an image emission... from Novice, Technician, or Technician Plus Class to General Class: AG; (3) For a control operator who...

Evaluation of Tests of Processing Speed, Spatial Ability, and Working Memory for use in Military Occupational Classification

DTIC Science & Technology

2013-12-01

61 .62 .01 Operations Specialist 1,676 .74 .73 .72 .74 .02 Dental Technician 516 .63 .61 .62 .64 .02 Personnelman 942 .62 .63 .60 .63 .03...2 obviously apply to a mix of clerical and non-clerical occupations (i.e., Signalman, Radioman, Operations Specialist, and Dental Technician). More...Stachowski, & Dressel, 2011; Russell, Le, & Putka, 2007), Marine Corps ( Carey , 1994), and Navy (Held et al., 2002; Held et al., 2004). 9 Coding Speed

Automated Diagnosis Of Conditions In A Plant-Growth Chamber

NASA Technical Reports Server (NTRS)

Clinger, Barry R.; Damiano, Alfred L.

1995-01-01

Biomass Production Chamber Operations Assistant software and hardware constitute expert system that diagnoses mechanical failures in controlled-environment hydroponic plant-growth chamber and recommends corrective actions to be taken by technicians. Subjects of continuing research directed toward development of highly automated closed life-support systems aboard spacecraft to process animal (including human) and plant wastes into food and oxygen. Uses Microsoft Windows interface to give technicians intuitive, efficient access to critical data. In diagnostic mode, system prompts technician for information. When expert system has enough information, it generates recovery plan.

Managing Technology Resourcefully: Part II--Working with Your District's Technology

ERIC Educational Resources Information Center

Weeks, Richard

2009-01-01

A large school district may have a technology department staffed by a chief technology officer who supervises two or more directors of operations, project managers, and technicians. On the other hand, a small district may employ an information technologist who works with technicians, consultants, volunteers with a knack for technology, and…

Relations between Education and Technical Progress in Agriculture: Training of Specialists: The Sudanese Experience.

ERIC Educational Resources Information Center

Gutelman, Michel; And Others

Focusing on the training of agricultural specialists (supervisors and operational technicians) in Sudan, this study identifies issues in the general agricultural situation and the type of agricultural development practiced there, the education system's output of technicians, and the degree of harmony between education and national needs. The…

School Administration Handbook for Approved Schools for Medical Record Technicians. Revised April 66.

ERIC Educational Resources Information Center

American Association of Medical Record Librarians, Chicago, IL.

These guidelines are for the development and operation of approved programs to prepare medical record technicians. "School Approval" discusses the cooperative roles of the American Medical Association (AMA) Council on Medical Education and the American Association of Medical Record Librarians (AAMRL) in connection with program approval,…

A Checkup on Careers in Health Technology

ERIC Educational Resources Information Center

Predmore, Sarah R.

2005-01-01

Health technicians help form the backbone of the healthcare industry, and they need a variety of skills to help provide the best care for patients and the best assistance to doctors and physicians. Surgical technicians have to be able to carefully prepare and sterilize equipment, while having excellent teamwork skills to help operations run…

Recovery Act: Training Program Development for Commercial Building Equipment Technicians

DOE Office of Scientific and Technical Information (OSTI.GOV)

Leah Glameyer

The overall goal of this project has been to develop curricula, certification requirements, and accreditation standards for training on energy efficient practices and technologies for commercial building technicians. These training products will advance industry expertise towards net-zero energy commercial building goals and will result in a substantial reduction in energy use. The ultimate objective is to develop a workforce that can bring existing commercial buildings up to their energy performance potential and ensure that new commercial buildings do not fall below their expected optimal level of performance. Commercial building equipment technicians participating in this training program will learn how tomore » best operate commercial buildings to ensure they reach their expected energy performance level. The training is a combination of classroom, online and on-site lessons. The Texas Engineering Extension Service (TEEX) developed curricula using subject matter and adult learning experts to ensure the training meets certification requirements and accreditation standards for training these technicians. The training targets a specific climate zone to meets the needs, specialized expertise, and perspectives of the commercial building equipment technicians in that zone. The combination of efficient operations and advanced design will improve the internal built environment of a commercial building by increasing comfort and safety, while reducing energy use and environmental impact. Properly trained technicians will ensure equipment operates at design specifications. A second impact is a more highly trained workforce that is better equipped to obtain employment. Organizations that contributed to the development of the training program include TEEX and the Texas Engineering Experiment Station (TEES) (both members of The Texas A&M University System). TEES is also a member of the Building Commissioning Association. This report includes a description of the project accomplishments, including the course development phases, tasks associated with each phase, and detailed list of the course materials developed. A summary of each year's activities is also included.« less

Performance Evaluation of a Salivary Amylase Biosensor for Stress Assessment in Military Field Research.

PubMed

Peng, Henry T; Savage, Erin; Vartanian, Oshin; Smith, Shane; Rhind, Shawn G; Tenn, Catherine; Bjamason, Stephen

2016-05-01

A convenient biosensor for real-time measurement of biomarkers for in-field psychophysiological stress research and military operations is desirable. We evaluated a hand-held device for measuring salivary amylase as a stress marker in medical technicians undergoing combat casualty care training using two different modalities in operating room and field settings. Salivary amylase activity was measured by two biosensor methods: directly sampling saliva with a test strip placed under the tongue or pipetting a fixed volume of precollected saliva onto the test strip, followed by analyzing the sample on the strip using a biosensor. The two methods were compared for their accuracy and sensitivity to detect the stress response using an enzyme assay method as a standard. The measurements from the under-the-tongue method were not as consistent with those from the standard assay method as the values obtained from the pipetting method. The under-the-tongue method did not detect any significant increase in the amylase activity due to stress in the operating room (P > 0.1), in contrast to the significant increases observed using the pipetting method and assay method with a significance level less than 0.05 and 0.1, respectively. Furthermore, the under-the-tongue method showed no increased amylase activity in the field testing, while both the pipetting method and assay method showed increased amylase activity in the same group (P < 0.1). The accuracy and consistency of the biosensors need to be improved when used to directly measure salivary amylase activity under the tongue for stress assessment in military medical training. © 2015 Her Majesty the Queen in Right of Canada. Journal of Clinical Laboratory Analysis published by Wiley Periodicals, Inc. Reproduced with the permission DRDC Editorial Board.

Defining the Simulation Technician Role: Results of a Survey-Based Study.

PubMed

Bailey, Rachel; Taylor, Regina G; FitzGerald, Michael R; Kerrey, Benjamin T; LeMaster, Thomas; Geis, Gary L

2015-10-01

In health care simulation, simulation technicians perform multiple tasks to support various educational offerings. Technician responsibilities and the tasks that accompany them seem to vary between centers. The objectives were to identify the range and frequency of tasks that technicians perform and to determine if there is a correspondence between what technicians do and what they feel their responsibilities should be. We hypothesized that there is a core set of responsibilities and tasks for the technician position regardless of background, experience, and type of simulation center. We conducted a prospective, survey-based study of individuals currently functioning in a simulation technician role in a simulation center. This survey was designed internally and piloted within 3 academic simulation centers. Potential respondents were identified through a national mailing list, and the survey was distributed electronically during a 3-week period. A survey request was sent to 280 potential participants, 136 (49%) responded, and 73 met inclusion criteria. Five core tasks were identified as follows: equipment setup and breakdown, programming scenarios into software, operation of software during simulation, audiovisual support for courses, and on-site simulator maintenance. Independent of background before they were hired, technicians felt unprepared for their role once taking the position. Formal training was identified as a need; however, the majority of technicians felt experience over time was the main contributor toward developing knowledge and skills within their role. This study represents a first step in defining the technician role within simulation-based education and supports the need for the development of a formal job description to allow recruitment, development, and certification.

On-Orbit Prospective Echocardiography on International Space Station Crew

NASA Technical Reports Server (NTRS)

Hamilton, Douglas R.; Sargsyan, Ashot E.; Martin, David S.; Garcia, Kathleen M.; Melton, Shannon L.; Feiveson, Alan; Dulchavsky, Scott A.

2010-01-01

Introduction A prospective trial of echocardiography was conducted on of six crewmembers onboard the International Space Station. The main objective was to determine the efficacy of remotely guided tele-echocardiography, including just-in-time e-training methods and determine what "space normal" echocardiographic data is. Methods Each crewmember operator (n=6) had 2-hour preflight training. Baseline echocardiographic data were collected 55 to 167days preflight. Similar equipment was used in each 60-minute in-flight session (mean microgravity exposure - 114 days (34 -- 190)). On Orbit ultrasound operators used an e-learning system within 24h of these sessions. Expert assistance was provided using ultrasound video downlink and two-way voice. Testing was repeated 5 to 16 days after landing. Separate ANOVA was used on each echocardiographic variable (n=33). Within each ANOVA, three tests were made: a) effect of mission phase (preflight, in-flight, post flight); b) effect of echo technician (two technicians independently analyzed the data); c) interaction between mission phase and technician. Results Nine rejections of the null hypothesis (mission phase or technician or both had no effect) were discovered and considered for follow up. Of these, six rejections were for significant technician effects, not as a result of space flight. Three rejections of the null hypothesis (Aortic Valve time velocity integral, Mitral E wave Velocity and heart rate) were attributable to space flight, however determined not to be clinically significant. No rejections were due to the interaction between technician and space flight. Conclusion No consistent clinically significant effects of long-duration space flight were seen in echocardiographic variables of the given group of subjects.

77 FR 51518 - Alternative Personnel Management System (APMS) at the National Institute of Standards and Technology

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-24

... for all positions within the Scientific and Engineering (ZP) career path at the Pay Band III and above, for Nuclear Reactor Operator positions in the Scientific and Engineering Technician (ZT) career path... and Engineering Technician (ZT) career path at the Pay Band III and above, and for all positions in...

Personnel and Training Requirements for the ASR-21 Rescue Control Center.

ERIC Educational Resources Information Center

DeLuca, Joseph F.; Noble, John F.

This report covers personnel and training requirements for Rescue Control Center (RCC) twin hull submarine rescue ships (ASRs). Skills and knowledge similar to those of a sonar technician (ST-0408) and a data system technician (DS-1666) are needed to operate the special sonar set and computer based system, but no suitable Navy training facility…

Transport Refrigeration Technician: Apprenticeship Course Outline. Apprenticeship and Industry Training. 4112

ERIC Educational Resources Information Center

Alberta Advanced Education and Technology, 2012

2012-01-01

The graduate of the Transport Refrigeration Technician apprenticeship program is a certified journeyperson who will be able: (1) to diagnose repair, maintain and operate transport refrigeration equipment used to heat or cool the load as well as of diesel engines, APUs and other prime movers; (2) to use tools and equipment in order to carry out…

Power Product Equipment Technician: Outboard-Engine Boat Systems. Teacher Edition [and] Student Edition.

ERIC Educational Resources Information Center

Hilley, Robert

This curriculum guide contains teacher and student materials for a course on outboard-engine boat systems for power product equipment technician occupations. The course contains the following three units of instruction: (1) Orientation to Outboard-Engine Boat Systems and Rigging; (2) Trailers and Safe Towing and Boat Operation; and (3) Seasonal…

Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it

PubMed Central

Weyers, Wolfgang

2014-01-01

Maintaining patient identity throughout the biopsy pathway is critical for the practice of dermatology and dermatopathology. From the biopsy procedure to the acquisition of the pathology report, a specimen may pass through the hands of more than twenty individuals in several workplaces. The risk of a mix-up is considerable and may account for more serious mistakes than diagnostic errors. To prevent specimen mix-up, work processes should be standardized and automated wherever possible, e.g., by strict order in the operating room and in the laboratory and by adoption of a bar code system to identify specimens and corresponding request forms. Mutual control of clinicians, technicians, histopathologists, and secretaries, both simultaneously and downstream, is essential to detect errors. The most vulnerable steps of the biopsy pathway, namely, labeling of specimens and request forms and accessioning of biopsy specimens in the laboratory, should be carried out by two persons simultaneously. In preceding work steps, clues must be provided that allow a mix-up to be detected later on, such as information about clinical diagnosis, biopsy technique, and biopsy site by the clinician, and a sketch of the specimen by the technician grossing it. Awareness of the danger of specimen mix-up is essential for preventing and detecting it. The awareness can be heightened by documentation of any error in the biopsy pathway. In case of suspicion, a mix-up of specimens from different patients can be confirmed by DNA analysis. PMID:24520511

Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it.

PubMed

Weyers, Wolfgang

2014-01-01

Maintaining patient identity throughout the biopsy pathway is critical for the practice of dermatology and dermatopathology. From the biopsy procedure to the acquisition of the pathology report, a specimen may pass through the hands of more than twenty individuals in several workplaces. The risk of a mix-up is considerable and may account for more serious mistakes than diagnostic errors. To prevent specimen mix-up, work processes should be standardized and automated wherever possible, e.g., by strict order in the operating room and in the laboratory and by adoption of a bar code system to identify specimens and corresponding request forms. Mutual control of clinicians, technicians, histopathologists, and secretaries, both simultaneously and downstream, is essential to detect errors. The most vulnerable steps of the biopsy pathway, namely, labeling of specimens and request forms and accessioning of biopsy specimens in the laboratory, should be carried out by two persons simultaneously. In preceding work steps, clues must be provided that allow a mix-up to be detected later on, such as information about clinical diagnosis, biopsy technique, and biopsy site by the clinician, and a sketch of the specimen by the technician grossing it. Awareness of the danger of specimen mix-up is essential for preventing and detecting it. The awareness can be heightened by documentation of any error in the biopsy pathway. In case of suspicion, a mix-up of specimens from different patients can be confirmed by DNA analysis.

Lead and methylene chloride exposures among automotive repair technicians.

PubMed

Enander, Richard T; Cohen, Howard J; Gute, David M; Brown, Linfield C; Desmaris, Anne Marie C; Missaghian, Richard

2004-02-01

Potential exposures among repair technicians engaged in vehicle resurfacing operations prior to spray painting have not been thoroughly characterized. Environmental and personal air monitoring conducted in the State of Rhode Island have shown that automotive repair technicians may be exposed to metal particulates in sanding dust and methylene chloride vapors during vehicle paint removal operations. Hand wipe samples demonstrated that metals in sanding dust adhered to the hands of workers throughout the duration of the work day and were available for incidental ingestion from the handling of food/nonfood items and hand-to-mouth contact. A blood lead (PbB) screening effort among 21 workers at 2 facilities showed that 4 non-/less-exposed workers had mean PbB levels at the U.S. geometric mean of 2.8 microg/dL, while 2 out of 9 (22%) dedicated vehicle repair technicians had PbB levels at or above 30 microg Pb/dL whole blood--the level for potential adverse reproductive effects. Methylene chloride exposures were also found to exceed the Occupational Safety and Health Administrations (OSHA) 8-hr time-weighted average (TWA) action level and permissible exposure limit (PEL) in a limited number of samples (120 and 26 ppm, integrated work shift samples). Our findings suggest that thousands of professional technicians and vocational high school students may be at increased risk of adverse reproductive and/or other systemic effects.

KSC-00pp1161

NASA Image and Video Library

2000-08-16

KENNEDY SPACE CENTER, FLA. -- During the transfer the STS-106 payload to Atlantis on Launch Pad 39-B, a technician turns a switch to move the Payload Ground Handling Mechanism (PGHM). The mechanism is located inside the Payload Changeout Room (PCR) of each shuttle launch pad’s Rotating Service Structure. The PGHM (pronounced pigem) removes payloads from a transportation canister and installs them into the orbiter. It is essentially NASA’s largest fork-lift

KSC00pp1161

NASA Image and Video Library

2000-08-16

KENNEDY SPACE CENTER, FLA. -- During the transfer the STS-106 payload to Atlantis on Launch Pad 39-B, a technician turns a switch to move the Payload Ground Handling Mechanism (PGHM). The mechanism is located inside the Payload Changeout Room (PCR) of each shuttle launch pad’s Rotating Service Structure. The PGHM (pronounced pigem) removes payloads from a transportation canister and installs them into the orbiter. It is essentially NASA’s largest fork-lift

Dawn Spacecraft Processing

NASA Image and Video Library

2007-04-10

In Astrotech's Payload Processing Facility, technicians help secure the Dawn spacecraft onto a moveable stand. Dawn will be moved into clean room C for unbagging and further processing. Dawn's mission is to explore two of the asteroid belt's most intriguing and dissimilar occupants: asteroid Vesta and the dwarf planet Ceres. The Dawn mission is managed by JPL, a division of the California Institute of Technology in Pasadena, for NASA's Science Mission Directorate in Washington, D.C.

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital.

PubMed

Chakravarthy, Murali; Mitra, Sona; Nonis, Latha

2012-01-01

Cardiac arrest in the hospital wards may not receive as much attention as it does in the operation theatre and intensive care unit (ICU). The experience and the qualifications of personnel in the ward may not be comparable to those in the other vital areas of the hospital. The outcome of cardiac arrest from the ward areas is a reasonable surrogate of training of the ward nurses and technicians in cardiopulmonary resuscitation. We conducted an audit to assess the issues surrounding the resuscitation of cardiac arrest in areas other than operation theatre and ICU in a tertiary referral hospital. AIMS OF THE AUDIT: To assess the outcomes of cardiac arrest in a tertiary referral hospital. Areas such as wards, dialysis room and emergency room were considered for the audit. This is a retrospective observational audit of the case records of all the adult patients who were resuscitated from 'code blue'. Data for 2 years from 2007 was analysed by a research fellow unconnected with the resuscitations. Twenty-two thousand three hundred and forty-four patients were admitted as in-patients to the hospital during the 2 years, starting May 2007 through May 2009. One hundred code blue calls were received during this time. Twenty-two of the total calls received were false. Among the 78 confirmed cardiac arrests 69 occurred in the wards, 2 in emergency room, 1 in cardiac catheterisation laboratory and 3 in dialysis room. Twenty-eight patients were declared dead after unsuccessful cardiopulmonary resuscitation. Among the 50 who were resuscitated with a return of spontaneous rhythm 26 died. Twenty-four patients were discharged (survival rate of 30%). The survival decreased significantly as the age progressed beyond 60. The resuscitation rates were better in day shifts in contrast to the night. Higher survival was noted in patients who received resuscitation in less than a minute. A overall survival to discharge rate of 30% was noted in this audit. Higher survival rates might be attributable to high rate and degree of training at the time of their employment, which was repeated at yearly interval. Copyright © 2012 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

STS-87 Payload Specialist Kadenyuk in white room

NASA Technical Reports Server (NTRS)

1997-01-01

STS-87 Payload Specialist Leonid Kadenyuk of the National Space Agency of Ukraine is assisted with final preparations before launch in the white room at Launch Pad 39B by Danny Wyatt, NASA quality assurance specialist, at left; Dave Law, USA mechanical technician, facing Kadenyuk; and Travis Thompson, USA orbiter vehicle closeout chief, at right. STS-87 is the fourth flight of the United States Microgravity Payload and Spartan-201. The 16- day mission will include the Collaborative Ukrainian Experiment (CUE), a collection of 10 plant space biology experiments that will fly in Columbias middeck and will feature an educational component that involves evaluating the effects of microgravity on Brassica rapa seedlings.

Laboratory-based performance evaluation of PIMA CD4+ T-lymphocyte count point-of-care by lay-counselors in Kenya.

PubMed

Zeh, Clement; Rose, Charles E; Inzaule, Seth; Desai, Mitesh A; Otieno, Fredrick; Humwa, Felix; Akoth, Benta; Omolo, Paul; Chen, Robert T; Kebede, Yenew; Samandari, Taraz

2017-09-01

CD4+ T-lymphocyte count testing at the point-of-care (POC) may improve linkage to care of persons diagnosed with HIV-1 infection, but the accuracy of POC devices when operated by lay-counselors in the era of task-shifting is unknown. We examined the accuracy of Alere's Pima™ POC device on both capillary and venous blood when performed by lay-counselors and laboratory technicians. In Phase I, we compared the perfomance of POC against FACSCalibur™ for 280 venous specimens by laboratory technicians. In Phase II we compared POC performance by lay-counselors versus laboratory technicians using 147 paired capillary and venous specimens, and compared these to FACSCalibur™. Statistical analyses included Bland-Altman analyses, concordance correlation coefficient, sensitivity, and specificity at treatment eligibility thresholds of 200, 350, and 500cells/μl. Phase I: POC sensitivity and specificity were 93.0% and 84.1% at 500cells/μl, respectively. Phase II: Good agreement was observed for venous POC results from both lay-counselors (concordance correlation coefficient (CCC)=0.873, bias -86.4cells/μl) and laboratory technicians (CCC=0.920, bias -65.7cells/μl). Capillary POC had good correlation: lay-counselors (CCC=0.902, bias -71.2cells/μl), laboratory technicians (CCC=0.918, bias -63.0cells/μl). Misclassification at the 500 cells/μl threshold for venous blood was 13.6% and 10.2% for lay-counselors and laboratory technicians and 12.2% for capillary blood in both groups. POC tended to under-classify the CD4 values with increasingly negative bias at higher CD4 values. Pima™ results were comparable to FACSCalibur™ for both venous and capillary specimens when operated by lay-counselors. POC CD4 testing has the potential to improve linkage to HIV care without burdening laboratory technicians in resource-limited settings. Published by Elsevier B.V.

Laser Technician Associate Degree Program. A Proposal Submitted to Wisconsin State Board of Vocational, Technical, and Adult Education. (Curriculum Development.) Final Report.

ERIC Educational Resources Information Center

North Central Technical Inst., Wausau, WI.

This final report contains the program proposal with supporting data for developing curriculum materials for and implementing an associate-degree laser technology program at the North Central Technical Institute. The proposal outline provides this information: (1) objectives for the program designed to prepare a technician to safely operate,…

Development of an instructional expert system for hole drilling processes

NASA Technical Reports Server (NTRS)

Al-Mutawa, Souhaila; Srinivas, Vijay; Moon, Young Bai

1990-01-01

An expert system which captures the expertise of workshop technicians in the drilling domain was developed. The expert system is aimed at novice technicians who know how to operate the machines but have not acquired the decision making skills that are gained with experience. This paper describes the domain background and the stages of development of the expert system.

STS-103 MS Smith prepares to enter orbiter from White Room

NASA Technical Reports Server (NTRS)

1999-01-01

STS-103 Mission Specialist Steven L. Smith, in his orange launch and entry suit, waits for assistance from closeout crew members in the White Room before entering the orbiter. From left, they are NASA Quality Assurance Specialist Danny Wyatt, United Space Alliance (USA) Mechanical Technician Vinny Defranzo and USA Orbiter Vehicle Closeout Chief Travis Thompson. The White Room is an environmental chamber at the end of the orbiter access arm on the fixed service structure. It provides entry to the orbiter crew compartment. The mission, to service the Hubble Space Telescope, is scheduled to lift off at 7:50 p.m. EST Dec. 19 on mission STS-103, servicing the Hubble Space Telescope. Objectives for the nearly eight-day mission include replacing gyroscopes and an old computer, installing another solid state recorder, and replacing damaged insulation in the telescope. Discovery is expected to land at KSC Monday, Dec. 27, at about 5:24 p.m. EST.

Looking for Holes in Sterile Wrapping: How Accurate Are We?

PubMed

Rashidifard, Christopher H; Mayassi, Hani A; Bush, Chelsea M; Opalacz, Brian M; Richardson, Mark W; Muccino, Paul M; DiPasquale, Thomas G

2018-05-01

Defects in sterile surgical wrapping are identified by the presence of holes through which light can be seen. However, it is unknown how reliably the human eye can detect these defects. The purpose of this study was to determine (1) how often holes in sterile packaging of various sizes could be detected; and (2) whether differences in lighting, experience level of the observer, or time spent inspecting the packaging were associated with improved likelihood of detection of holes in sterile packaging. Thirty participants (10 surgical technicians, 13 operating room nurses, seven orthopaedic surgery residents) inspected sterile sheets for perforations under ambient operating room (OR) lighting and then again with a standard powered OR lamp in addition to ambient lighting. There were no additional criteria for eligibility other than willingness to participate. Each sheet contained one of nine defect sizes with four sheets allocated to each defect size. Ten wraps were controls with no defects. Participants were allowed as much time as necessary for inspection. Holes ≥ 2.5 mm were detected more often than holes ≤ 2 mm (87% [832 of 960] versus 7% [82 of 1200]; odds ratio, 88.6 [95% confidence interval, 66.2-118.6]; p < 0.001). There was no difference in detection accuracy between OR lamp and ambient lightning nor experience level. There was no correlation between inspection time and detection accuracy. Defects ≤ 2 mm were not reliably detected with respect to lighting, time, or level of experience. Future research is warranted to determine defect sizes that are clinically meaningful. Level II, diagnostic study.

Assessing patient safety culture in Tunisian operating rooms: A multicenter study.

PubMed

Mallouli, Manel; Tlili, Mohamed Ayoub; Aouicha, Wiem; Ben Rejeb, Mohamed; Zedini, Chekib; Salwa, Amrani; Mtiraoui, Ali; Ben Dhiab, Mohamed; Ajmi, Thouraya

2017-04-01

To assess the patient safety culture (PSC) in operating rooms (ORs) and to determine influencing factors. A cross-sectional descriptive multicenter study which was conducted over a period of 7 months (October 2014-April 2015) using the French validated version of the Hospital Survey On Patient Safety Culture questionnaire. Of the note, 15 ORs of public and private healthcare institutions. In total, there were 368 participants including surgeons, anesthesiologists, surgical and anesthesia technicians, nurses and caregivers, divided into 316 professionals exercising in public sector and 52 working in private one. A self-administrated questionnaire investigating 10 dimensions of PSC (including 45 items), two items examining the staff perception of patient safety quality and reporting events, and five items regarding demographic characteristics of respondents. The participation rate in the study was 70.8%. All 10 dimensions were to be improved. The overall perception of patient safety had a score of 34.9%. The dimension that had the lowest score (20.5%) was the non-punitive response to error, and the one that had the highest score (41.67%) was teamwork in the ORs. Three dimensions were developed in private sector, and none in public hospitals. This study showed that the level of the PSC needs to be improved not only in public hospitals but also in private ones. The obtained results highlight the importance of implementing quality management systems and developing PSC. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Important skills for biomedical services: The perspectives of Malaysian employers and employees.

PubMed

Buntat, Yahya; Saud, Muhammad Sukri; Mokhtar, Mahani; Kamin, Yusri; Feh, Lim Set

2016-10-17

Increase in the occurrence of existing diseases, continual emergence of new or exotic diseases and re-emergence of old diseases have placed increasing demands on biomedical services in Malaysia. Biomedical technicians play an important role in operating biomedical instruments. However, there are no clear specifications about characteristics and traits for these semi-professional employees. Employers in a few studies claimed that biomedical graduates are not ready to enter and face challenges in the job market. Therefore, the purpose of this study is to identify technical and generic skills for a biomedical technician from the perspectives of the biomedical technicians and their employers. A quantitative survey design was employed whereby data were obtained through the administration of an instrument developed by the researchers. The sample consisted of 20 hospital managers and 186 biomedical technicians who are currently working in Malaysian government hospitals. The findings show that there are no difference in the perceptions of hospital managers and biomedical technicians regarding technical and non-technical skills. These findings resulted in a checklist which can be used for institutions to produce future biomedical technician graduates in order to meet job demands. However, future research is needed to validate the findings and explore the variables in depth.

KSC00pp1162

NASA Image and Video Library

2000-08-16

KENNEDY SPACE CENTER, FLA. -- Technicians facilitate the transfer the STS-106 payload to Atlantis on Launch Pad 39-B using the Payload Ground Handling Mechanism (PGHM). The circular structure shown is the docking adapter. The PGHM (pronounced pigem) is located inside the Payload Changeout Room (PCR) of each shuttle launch pad’s Rotating Service Structure. The PGHM removes payloads from a transportation canister and installs them into the orbiter. It is essentially NASA’s largest fork-lift

KSC-00pp1162

NASA Image and Video Library

2000-08-16

KENNEDY SPACE CENTER, FLA. -- Technicians facilitate the transfer the STS-106 payload to Atlantis on Launch Pad 39-B using the Payload Ground Handling Mechanism (PGHM). The circular structure shown is the docking adapter. The PGHM (pronounced pigem) is located inside the Payload Changeout Room (PCR) of each shuttle launch pad’s Rotating Service Structure. The PGHM removes payloads from a transportation canister and installs them into the orbiter. It is essentially NASA’s largest fork-lift

Food Lab - Technician - MSC

NASA Image and Video Library

1970-04-14

S70-34847 (11 April 1970) --- Astronaut John L. Swigert Jr., command module pilot for NASA?s third lunar landing mission, appears to be relaxing in the suiting room at Kennedy Space Center prior to launch. Other members of the Apollo 13 crew include astronauts James A. Lovell Jr., commander, and Fred W. Haise Jr., lunar module pilot. Swigert replaced astronaut Thomas K. Mattingly II when it was discovered that Mattingly had been exposed to the measles.

KSC-97PC1702

NASA Image and Video Library

1997-11-19

STS-87 Mission Specialist Kalpana Chawla, Ph.D., is assisted with her ascent and re-entry flight suit in the white room at Launch Pad 39B by Danny Wyatt, NASA quality assurance specialist. Kneeing before Dr. Chawla to assist her is George Schram, USA mechanical technician, as Dr. Chawla prepares to enter the Space Shuttle orbiter Columbia on launch day. STS-87 is the fourth flight of the United States Microgravity Payload and Spartan-201

KSC-07pd0860

NASA Image and Video Library

2007-04-11

KENNEDY SPACE CENTER, FLA. -- In Astrotech's Payload Processing Facility, technicians roll the Dawn spacecraft into clean room C for unbagging and further processing. Dawn's mission is to explore two of the asteroid belt's most intriguing and dissimilar occupants: asteroid Vesta and the dwarf planet Ceres. The Dawn mission is managed by JPL, a division of the California Institute of Technology in Pasadena, for NASA's Science Mission Directorate in Washington, D.C. Photo credit: NASA/George Shelton

Technicians listen to instructions during STS-44 DSP / IUS transfer operation

NASA Technical Reports Server (NTRS)

1991-01-01

Clean-suited technicians, wearing headsets, listen to instructions during Defense Support Program (DSP) satellite / inertial upper stage (IUS) transfer operations in a processing facility at Cape Canaveral Air Force Station. In the background, the DSP satellite atop an inertial upper stage (IUS) is readied for transfer to a payload canister transporter. DSP, a surveillance satellite that can detect missle and space launches as well as nuclear detonations will be boosted into geosynchronous Earth orbit by the IUS during STS-44 mission. View provided by the Kennedy Space Center (KSC) with alternate number KSC-91PC-1748.

KSC-2012-1521

NASA Image and Video Library

2012-02-17

VANDENBERG AIR FORCE BASE, Calif. – Inside an environmental enclosure at Vandenberg Air Force Base's processing facility in California, technicians monitor NASA's Nuclear Spectroscopic Telescope Array, or NuSTAR, secured inside a turnover rotation fixture, as it moves toward interface with its Orbital Sciences Pegasus XL rocket. The technicians are dressed in clean room attire, known as bunny suits. The conjoining of the spacecraft with the rocket is a major milestone in prelaunch preparations. After processing of the rocket and spacecraft are complete, they will be flown on Orbital's L-1011 carrier aircraft from Vandenberg to the Ronald Reagan Ballistic Missile Defense Test Site on the Pacific Ocean’s Kwajalein Atoll for launch. The high-energy x-ray telescope will conduct a census of black holes, map radioactive material in young supernovae remnants, and study the origins of cosmic rays and the extreme physics around collapsed stars. For more information, visit http://www.nasa.gov/nustar. Photo credit: NASA/Randy Beaudoin, VAFB

KSC-2011-2472

NASA Image and Video Library

2011-03-17

VANDENBERG AIR FORCE BASE, Calif. -- Orbital Sciences Corp. technicians prepare to move the first, second and third stages of the Pegasus XL rocket that will launch the Nuclear Spectroscopic Telescope Array NuSTAR to orbit from the west high bay to the east high bay of Building 1555 at Vandenberg Air Force Base in California. The move will allow technicians to process the spacecraft and fairing in the clean rooms of the east high bay before attaching it to the rocket. After the rocket and spacecraft are processed at Vandenberg, they will be flown on the Orbital Sciences' L-1011 carrier aircraft to the Ronald Reagan Ballistic Missile Defense Test Site located at the Pacific Ocean’s Kwajalein Atoll for launch. The high-energy X-ray telescope will conduct a census for black holes, map radioactive material in young supernovae remnants, and study the origins of cosmic rays and the extreme physics around collapsed stars. Photo credit: NASA/Randy Beaudoin, VAFB

KSC-2011-2470

NASA Image and Video Library

2011-03-17

VANDENBERG AIR FORCE BASE, Calif. -- Orbital Sciences Corp. technicians prepare to move the first, second and third stages of the Pegasus XL rocket that will launch the Nuclear Spectroscopic Telescope Array NuSTAR to orbit from the west high bay to the east high bay of Building 1555 at Vandenberg Air Force Base in California. The move will allow technicians to process the spacecraft and fairing in the clean rooms of the east high bay before attaching it to the rocket. After the rocket and spacecraft are processed at Vandenberg, they will be flown on the Orbital Sciences' L-1011 carrier aircraft to the Ronald Reagan Ballistic Missile Defense Test Site located at the Pacific Ocean’s Kwajalein Atoll for launch. The high-energy X-ray telescope will conduct a census for black holes, map radioactive material in young supernovae remnants, and study the origins of cosmic rays and the extreme physics around collapsed stars. Photo credit: NASA/Randy Beaudoin, VAFB

Illinois Occupational Skill Standards: Information Technology Operate Cluster.

ERIC Educational Resources Information Center

Illinois Occupational Skill Standards and Credentialing Council, Carbondale.

This document contains Illinois Occupational Skill Standards for occupations in the Information Technology Operate Cluster (help desk support, computer maintenance and technical support technician, systems operator, application and computer support specialist, systems administrator, network administrator, and database administrator). The skill…

Influence of monitor luminance and room illumination on soft-copy reading evaluation with electronically generated contrast-detail phantom: comparison of cathode-ray tube monitor with liquid crystal display.

PubMed

Muramoto, Hideyuki; Shimamoto, Kazuhiro; Ikeda, Mitsuru; Koyama, Kazuyuki; Fukushima, Hiromichi; Ishigaki, Takeo

2006-06-01

The influence of monitor brightness and room illumination on soft-copy diagnosis by both cathode-ray tube (CRT) monitor and liquid crystal display (LCD) was evaluated and compared using a contrast-detail phantom. Nine observers (7 radiologists and 2 radiological technicians) interpreted six types of electronically generated contrast-detail phantom images using a 21-inch CRT (2,048x2,560) and a 21-inch LCD (2,048x2,560) under 6 kinds of viewing conditions, i.e. monitor brightness of 330 cd/m2 or 450 cd/m2, and room illumination of 20, 100 or 420 lux at the center of the display. Observers were requested to determine the visible borderline of the objects. Between 330 cd/m2 and 450 cd/m2, no significant difference in the visible area was found under any of the three lighting conditions. However, in two low-contrast phantom images, the visible area on the LCD was significantly larger than that on the CRT, independent of both monitor brightness and room illumination. (p<0.05). The effect of room illumination was not significant, suggesting that the use of LCD at high room illumination is acceptable.

JWST ISIM test platform

NASA Image and Video Library

2010-03-17

A view inside the NASA Goddard clean room where the James Webb Space Telescope (JWST) is being built. This images shows Goddard technicians lifting the ISIM (Integrated Science Instrument Module) onto the ITS (ISIM Test Structure). ISIM will sit atop this platform during space environmental testing. Credit: NASA/GSFC/Chris Gunn For more information on JWST go to: www.jwst.nasa.gov/ For more information on Goddard Space Flight Center go to: www.nasa.gov/centers/goddard/home/index.html

Astronaut Fred Haise - Suiting Room - Prelaunch - KSC

NASA Image and Video Library

1970-04-11

S70-34851 (11 April 1970) --- A space suit technician talks with astronaut Fred W. Haise Jr., lunar module pilot for NASA's Apollo 13 mission, during suiting up procedures at Kennedy Space Center (KSC). Other members of the crew are astronauts James A. Lovell Jr., commander, and John L. Swigert Jr., command module pilot. Swigert replaced astronaut Thomas K. Mattingly II as a member of the crew when it was learned he had been exposed to measles.

STS-86 Mission Specialist David Wolf in white room

NASA Technical Reports Server (NTRS)

1997-01-01

STS-86 Mission Specialist David A. Wolf, at center facing camera, prepares to enter the Space Shuttle Atlantis at Launch Pad 39A, with the assistance of Rick Welty, in foreground at center, United Space Alliance (USA) orbiter vehicle closeout chief; and closeout team members, in background from left, Jim Davis, NASA quality assurance specialist; and George Schramm, USA mechanical technician. STS-86 Mission Specialist Vladimir Georgievich Titov, in foreground at far left, is awaiting his turn.

Lights Out on the James Webb Space Telescope

NASA Image and Video Library

2017-12-08

What happens when the lights are turned out in the enormous clean room that currently houses NASA's James Webb Space Telescope? The technicians who are inspecting the telescope and its expansive golden mirrors look like ghostly wraiths in this image as they conduct a "lights out inspection" in the Spacecraft Systems Development and Integration Facility (SSDIF) at NASA's Goddard Space Flight Center in Greenbelt, Maryland. The clean room lights were turned off to inspect the telescope after it experienced vibration and acoustic testing. The contamination control engineer used a bright flashlight and special ultraviolet flashlights to inspect for contamination because it's easier to find in the dark. NASA photographer Chris Gunn said "The people have a ghostly appearance because it's a long exposure." He left the camera's shutter open for a longer than normal time so the movement of the technicians appear as a blur. He also used a special light "painting" technique to light up the primary mirror. The James Webb Space Telescope is the scientific successor to NASA's Hubble Space Telescope. It will be the most powerful space telescope ever built. Webb is an international project led by NASA with its partners, ESA (European Space Agency) and the Canadian Space Agency. For more information about the Webb telescope visit: www.jwst.nasa.gov or www.nasa.gov/webb Image Credit: NASA/Chris Gunn

Performance evaluation of traffic sensing and control devices.

DOT National Transportation Integrated Search

2011-01-01

High quality vehicle detection is essential to properly operate actuated phases at traffic signals and to facilitate effective : management of technician and engineering resources. INDOT operates over 2600 traffic signal controllers, approximately 20...

What’s with WET testing?

EPA Science Inventory

The Minnesota Wastewater Operators Association (MWOA) was created in 1956. This organization shares information with members and nonmembers through conferences, training sessions, and section meetings. The MWOA is an organization of professional operators, laboratory technicians,...

Toward Improved Maintenance Training Programs: The Potentials for Training and Aiding the Technician.

DTIC Science & Technology

1981-07-01

conditional, fault-isolation approach of the con- Data Base Requirements tent expert, photographs of normal and abnormal symp- The content-expert may...59 THE AUTOMATED INTERGRATION OF TRAINING AND AIDING INFORMATION FOR THE OPERATOR/TECHNICIAN Dr. Douglas Towne...Subsystem approach devel- until this Third Biennial Conference oped by the Air Force in the 1960’s for us to call a meeting devoted to integrate Human

Technician's Perspective on an Ever-Changing Research Environment: Catalytic Conversion of Biomass to Fuels

DOE Office of Scientific and Technical Information (OSTI.GOV)

Thibodeaux, J.; Hensley, J.

2013-01-01

The biomass thermochemical conversion platform at the National Renewable Energy Laboratory (NREL) develops and demonstrates processes for the conversion of biomass to fuels and chemicals including gasification, pyrolysis, syngas clean-up, and catalytic synthesis of alcohol and hydrocarbon fuels. In this talk, I will discuss the challenges of being a technician in this type of research environment, including handling and working with catalytic materials and hazardous chemicals, building systems without being given all of the necessary specifications, pushing the limits of the systems through ever-changing experiments, and achieving two-way communication with engineers and supervisors. I will do this by way ofmore » two examples from recent research. First, I will describe a unique operate-to-failure experiment in the gasification of chicken litter that resulted in the formation of a solid plug in the gasifier, requiring several technicians to chisel the material out. Second, I will compare and contrast bench scale and pilot scale catalyst research, including instances where both are conducted simultaneously from common upstream equipment. By way of example, I hope to illustrate the importance of researchers 1) understanding the technicians' perspective on tasks, 2) openly communicating among all team members, and 3) knowing when to voice opinions. I believe the examples in this talk will highlight the crucial role of a technical staff: skills attained by years of experience to build and operate research and production systems. The talk will also showcase the responsibilities of NREL technicians and highlight some interesting behind-the-scenes work that makes data generation from NREL's thermochemical process development unit possible.« less

Improvement of the quality of work in a biochemistry laboratory via measurement system analysis.

PubMed

Chen, Ming-Shu; Liao, Chen-Mao; Wu, Ming-Hsun; Lin, Chih-Ming

2016-10-31

An adequate and continuous monitoring of operational variations can effectively reduce the uncertainty and enhance the quality of laboratory reports. This study applied the evaluation rule of the measurement system analysis (MSA) method to estimate the quality of work conducted in a biochemistry laboratory. Using the gauge repeatability & reproducibility (GR&R) approach, variations in quality control (QC) data among medical technicians in conducting measurements of five biochemical items, namely, serum glucose (GLU), aspartate aminotransferase (AST), uric acid (UA), sodium (Na) and chloride (Cl), were evaluated. The measurements of the five biochemical items showed different levels of variance among the different technicians, with the variances in GLU measurements being higher than those for the other four items. The ratios of precision-to-tolerance (P/T) for Na, Cl and GLU were all above 0.5, implying inadequate gauge capability. The product variation contribution of Na was large (75.45% and 31.24% in normal and abnormal QC levels, respectively), which showed that the impact of insufficient usage of reagents could not be excluded. With regard to reproducibility, high contributions (of more than 30%) of variation for the selected items were found. These high operator variation levels implied that the possibility of inadequate gauge capacity could not be excluded. The analysis of variance (ANOVA) of GR&R showed that the operator variations in GLU measurements were significant (F=5.296, P=0.001 in the normal level and F=3.399, P=0.015 in the abnormal level, respectively). In addition to operator variations, product variations of Na were also significant for both QC levels. The heterogeneity of variance for the five technicians showed significant differences for the Na and Cl measurements in the normal QC level. The accuracy of QC for five technicians was identified for further operational improvement. This study revealed that MSA can be used to evaluate product and personnel errors and to improve the quality of work in a biochemical laboratory through proper corrective actions.

Operating room management and operating room productivity: the case of Germany.

PubMed

Berry, Maresi; Berry-Stölzle, Thomas; Schleppers, Alexander

2008-09-01

We examine operating room productivity on the example of hospitals in Germany with independent anesthesiology departments. Linked to anesthesiology group literature, we use the ln(Total Surgical Time/Total Anesthesiologists Salary) as a proxy for operating room productivity. We test the association between operating room productivity and different structural, organizational and management characteristics based on survey data from 87 hospitals. Our empirical analysis links improved operating room productivity to greater operating room capacity, appropriate scheduling behavior and management methods to realign interests. From this analysis, the enforcing jurisdiction and avoiding advance over-scheduling appear to be the implementable tools for improving operating room productivity.

[Image-guided radiotherapy and partial delegation to radiotherapy technicians: Clermont-Ferrand experience].

PubMed

Loos, G; Moreau, J; Miroir, J; Benhaïm, C; Biau, J; Caillé, C; Bellière, A; Lapeyre, M

2013-10-01

The various image-guided radiotherapy techniques raise the question of how to achieve the control of patient positioning before irradiation session and sharing of tasks between radiation oncologists and radiotherapy technicians. We have put in place procedures and operating methods to make a partial delegation of tasks to radiotherapy technicians and secure the process in three situations: control by orthogonal kV imaging (kV-kV) of bony landmarks, control by kV-kV imaging of intraprostatic fiducial goldmarkers and control by cone beam CT (CBCT) imaging for prostate cancer. Significant medical overtime is required to control these three IGRT techniques. Because of their competence in imaging, these daily controls can be delegated to radiotherapy technicians. However, to secure the process, initial training and regular evaluation are essential. The analysis of the comparison of the use of kV/kV on bone structures allowed us to achieve a partial delegation of control to radiotherapy technicians. Controlling the positioning of the prostate through the use and automatic registration of fiducial goldmarkers allows better tracking of the prostate and can be easily delegated to radiotherapy technicians. The analysis of the use of daily cone beam CT for patients treated with intensity modulated irradiation is underway, and a comparison of practices between radiotherapy technicians and radiation oncologists is ongoing to know if a partial delegation of this control is possible. Copyright © 2013. Published by Elsevier SAS.

Advanced visualization platform for surgical operating room coordination: distributed video board system.

PubMed

Hu, Peter F; Xiao, Yan; Ho, Danny; Mackenzie, Colin F; Hu, Hao; Voigt, Roger; Martz, Douglas

2006-06-01

One of the major challenges for day-of-surgery operating room coordination is accurate and timely situation awareness. Distributed and secure real-time status information is key to addressing these challenges. This article reports on the design and implementation of a passive status monitoring system in a 19-room surgical suite of a major academic medical center. Key design requirements considered included integrated real-time operating room status display, access control, security, and network impact. The system used live operating room video images and patient vital signs obtained through monitors to automatically update events and operating room status. Images were presented on a "need-to-know" basis, and access was controlled by identification badge authorization. The system delivered reliable real-time operating room images and status with acceptable network impact. Operating room status was visualized at 4 separate locations and was used continuously by clinicians and operating room service providers to coordinate operating room activities.

Programmed Training for Water/Wastewater Operators.

ERIC Educational Resources Information Center

Environmental Protection Agency, Washington, DC.

This manual is aimed at the water and wastewater technician who has the responsibility for monitoring the water environment. The televised programmed training stresses the interaction of three components: the program production and operation; group leaders; and operators, including distribution and collection system personnel. The academic…

McDonnell Douglas Space Systems worker checks STS-46 TSS wiring at KSC O and C

NASA Technical Reports Server (NTRS)

1991-01-01

In the Kennedy Space Center (KSC) Operations and Checkout (O and C) Building, a McDonnell Douglas Space Systems technician Hugh Beins, wearing a clean suit, inspects a complex array of wiring for the Tethered Satellite System (TSS) scheduled to fly on STS-46 aboard Atlantis, Orbiter Vehicle (OV) 104. Other technicians work on the spacelab enhanced multiplexer/demultiplexer pallet (EMP) and support struts in the background.

Principles of a clean operating room environment.

PubMed

Howard, James L; Hanssen, Arlen D

2007-10-01

Optimizing the operating room environment is necessary to minimize the prevalence of arthroplasty infection. Reduction of bacterial contamination in the operating room should be a primary focus of all members of the operating room team. However, in recent years, there has been a decline in the emphasis of the basic principles of antisepsis in many operating rooms. The purpose of this review is to highlight important considerations for optimizing the operating room environment. These principles should be actively promoted by orthopedic surgeons in their operating rooms as part of a comprehensive approach to minimizing arthroplasty infection.

Lean principles to optimize instrument utilization for spine surgery in an academic medical center: an opportunity to standardize, cut costs, and build a culture of improvement.

PubMed

Lunardini, David; Arington, Richard; Canacari, Elena G; Gamboa, Kelly; Wagner, Katiri; McGuire, Kevin J

2014-09-15

Case study OBJECTIVE.: To optimize the utilization of operating room instruments for orthopedic and neurosurgical spine cases in an urban level 1 academic medical center through application of Lean principles. Process improvement systems such as Lean have been adapted to health care and offer an opportunity for frank assessment of surgical routines to increase efficiency and enhance value. The goal has been to safely reduce the financial burden to the health care system without compromising care and if possible reallocate these resources or gains in efficiency to further improve the value to the patient. The investigators identified instruments as a source of waste in the operating room and proposed a Lean process assessment. The instruments and the instrument processing workflow were described. An audit documented the utilization of each instrument by orthopedic surgeons and neurosurgeons through observation of spine cases. The data were then presented to the stakeholders, including surgeons, the perioperative director, and representatives from nursing, central processing, and the surgical technicians. Of the 38 cases audited, only 89 (58%) of the instruments were used at least once. On the basis of the data and stakeholder consensus, 63 (41%) of the instruments were removed, resulting in a weight reduction of 17.5 lb and consolidation of 2 instrument sets into 1. Projected cost savings were approximately $41,000 annually. Although new instruments were purchased to standardize sets, the return on investment was estimated to be 2 years. Inefficient surgical routines may comprise significant resource waste in an institution. Process assessment is an important tool in decreasing health care costs, with objectivity provided by Lean or similar principles, and essential impetus to change provided by stakeholders. 4.

STS-30 Magellan spacecraft processing at Kennedy Space Center (KSC) SAEF-2

NASA Technical Reports Server (NTRS)

1989-01-01

Magellan spacecraft is hoisted from the transport trailer of the Payload Environmental Transportation System (PETS) to the floor of the clean room in the Space Assembly and Encapsulation Facility 2 (SAEF-2) at Kennedy Space Center (KSC). Clean-suited technicians guide Magellan into place. The spacecraft, destined for unprecedented studies of Venusian topographic features, will be deployed by the crew of NASA's STS-30 mission in April 1989. View provided by KSC with alternate number KSC-88PC-1084.

KSC-00pp1163

NASA Image and Video Library

2000-08-16

KENNEDY SPACE CENTER, FLA. -- Technicians facilitate the transfer the STS-106 payload to Atlantis on Launch Pad 39-B using the Payload Ground Handling Mechanism (PGHM). The payload within the SPACEHAB module is shown just after being loaded in the payload bay of Atlantis. The PGHM (pronounced pigem) is located inside the Payload Changeout Room (PCR) of each shuttle launch pad Rotating Service Structure. The PGHM removes payloads from a transportation canister and installs them into the orbiter. It is essentially NASA’s largest fork-lift

KSC00pp1163

NASA Image and Video Library

2000-08-16

KENNEDY SPACE CENTER, FLA. -- Technicians facilitate the transfer the STS-106 payload to Atlantis on Launch Pad 39-B using the Payload Ground Handling Mechanism (PGHM). The payload within the SPACEHAB module is shown just after being loaded in the payload bay of Atlantis. The PGHM (pronounced pigem) is located inside the Payload Changeout Room (PCR) of each shuttle launch pad Rotating Service Structure. The PGHM removes payloads from a transportation canister and installs them into the orbiter. It is essentially NASA’s largest fork-lift

Health and safety at necropsy

PubMed Central

Burton, J L

2003-01-01

The postmortem room is a source of potential hazards and risks, not only to the pathologist and anatomical pathology technician, but also to visitors to the mortuary and those handling the body after necropsy. Postmortem staff have a legal responsibility to make themselves aware of, and to minimise, these dangers. This review focuses specifically on those hazards and risks associated with the necropsy of infected patients, with foreign objects present in the body, and with bodies that have been contaminated by chemicals or radioactive sources. PMID:12663635

47 CFR 97.501 - Qualifying for an amateur operator license.

Code of Federal Regulations, 2010 CFR

2010-10-01

....501 Section 97.501 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL... must pass, or otherwise receive examination credit for, the following examination elements: (a) Amateur Extra Class operator: Elements 2, 3, and 4; (b) General Class operator: Elements 2 and 3; (c) Technician...

Concept and design engineering: endourology operating room.

PubMed

Sabnis, Ravindra; Ganesamoni, Raguram; Mishra, Shashikant; Sinha, Lokesh; Desai, Mahesh R

2013-03-01

A dedicated operating room with fluoroscopic imaging capability and adequate data connectivity is important to the success of any endourology program. Proper understanding of the recent developments in technology in relation to operating room is necessary before planning an endourology operating room. An endourology operating room is a fluorocompatible operating room with enough space to accommodate equipment like multiple flat monitors to display video, C-arm with its monitor, ultrasonography machine, laser machine, intracorporeal lithotripsy unit, irrigation pumps and two large trolleys with instruments. This operating room is integrated with devices to continuously record and archive data from endovision and surface cameras, ultrasound and fluoroscopy. Moreover, advances made in data relay systems have created seamless two-way communication between the operating room and electronic medical records, radiological picture archiving and communication system, classroom, auditorium and literally anywhere in the world. A dedicated endourology operating room is required for any hospital, which has a significant amount of endourology procedures. A custom-made integrated endourology operating room will facilitate endourology procedures, smoothen the workflow in operating room and improve patient outcomes. Meticulous planning and involving experts in the field are critical for the success of the project.

Comprehensive national analysis of emergency and essential surgical capacity in Rwanda.

PubMed

Petroze, R T; Nzayisenga, A; Rusanganwa, V; Ntakiyiruta, G; Calland, J F

2012-03-01

Disparities in the global availability of operating theatres, essential surgical equipment and surgically trained providers are profound. Although efforts are ongoing to increase surgical care and training, little is known about the surgical capacity in developing countries. The aim of this study was to create a baseline for surgical development planning at a national level. A locally adapted World Health Organization survey was conducted in November 2010 to assess emergency and essential surgical capacity and volumes, with on-site interviews at 44 district and referral hospitals in Rwanda. Results were compiled for education and capacity development discussions with the Rwandan Ministry of Health and the Rwanda Surgical Society. Among 10·1 million people, there were 44 hospitals and 124 operating rooms (1·2 operating rooms per 100,000 persons). There was a total of 50 surgeons practising full- or part-time in Rwanda (0·49 total surgeons per 100,000 persons). The majority of consultant surgeons worked in the capital (covering 10 per cent of the population). Anaesthesia was performed primarily by anaesthesia technicians, and six of 44 hospitals had no trained anaesthesia provider. Continuous availability of electricity, running water and generators was lacking in eight hospitals, and 19 reported an absence or shortage in the availability of pulse oximetry. Equipment for life-saving surgical airway procedures, particularly in children, was lacking. A dedicated emergency area was available in only 19 hospitals. In 2009 and 2010 over 80,000 surgical procedures (major and minor) were recorded annually in Rwanda. A comprehensive countrywide assessment of surgical capacity in resource-limited settings found severe shortages in available resources. Immediate local feedback is a useful tool for creating a baseline of surgical capacity to inform country-specific surgical development. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

Clinical use of a cordless laparoscopic ultrasonic device.

PubMed

Kim, Fernando J; Sehrt, David; Molina, Wilson R; Pompeo, Alexandre

2014-01-01

On April 25, 2012, the first laparoscopic cordless ultrasonic device (Sonicision, Covidien, Mansfield, Massachusetts) was used in a clinical setting. We describe our initial experience. The cordless device is assembled with a reusable battery and generator on a base hand-piece. It has a minimum and maximum power setting controlled by a single trigger for both coagulation and cutting. A laparoscopic radical nephrectomy was performed on a 56-year-old man with a 7-cm right renal mass. A laparoscopic pelvic lymphadenectomy was performed in a 51-year-old man with high-risk prostate cancer. Data on surgical team satisfaction, operative time, number of activations, and times the laparoscope was removed as a result of plume were collected. The surgical technician successfully assembled the device at the beginning of the cases with verbal instructions from the surgeon. Operative time for nephrectomy was 77 minutes, with 143 total activations (minimum = 86, maximum = 57). The operative time for the pelvic lymphadenectomy was 27 minutes, with 38 total activations (minimum = 27, maximum = 11). One battery was used in each case. The laparoscope was removed twice during the nephrectomy and once during the lymphadenectomy. Surgical staff satisfaction survey results revealed easier and faster assembly, more space in the operating room, ergonomic handle, and comparable cutting/coagulation, weight, and plume generation with other devices (Table 1). [Table: see text]. The first clinical application of the pioneering cordless dissector was successfully performed, resulting in surgeons' perceptions of comparable results with other devices of easier and safer use and faster assembly.

STS-48 MS Gemar dons EMU with technicians' assistance prior to JSC WETF dive

NASA Technical Reports Server (NTRS)

1991-01-01

STS-48 Mission Specialist (MS) Charles D. Gemar, wearing an extravehicular mobility unit (EMU) and communications carrier assembly (CCA), smiles as he watches technicians adjust his sleeves prior to donning his EMU gloves. Gemar is preparing for an underwater extravehicular activity (EVA) training session in JSC's Weightless Environment Training Facility (WETF) Bldg 29. Once underwater, Gemar will practice contingency EVA operations for his upcoming mission aboard Discovery, Orbiter Vehicle (OV) 103.

KSC technician installs rows of experiment racks in IML-1 spacelab module

NASA Technical Reports Server (NTRS)

1991-01-01

Kennedy Space Center (KSC) technician installs rows of experiment racks in the International Microgravity Laboratory 1 (IML-1) in the KSC Operations and Checkout (O and C) Bldg. The IML-1 is scheduled to fly on STS-42 in early 1992, and will turn the shuttle into a laboratory dedicated to investigating the effects of microgravity on materials and life processes. View provided by KSC with alternate number KSC-91P-169.

Status quo and current trends of operating room management in Germany.

PubMed

Baumgart, André; Schüpfer, Guido; Welker, Andreas; Bender, Hans-Joachim; Schleppers, Alexander

2010-04-01

Ongoing healthcare reforms in Germany have required strenuous efforts to adapt hospital and operating room organizations to the needs of patients, new technological developments, and social and economic demands. This review addresses the major developments in German operating room management research and current practice. The introduction of the diagnosis-related group system in 2003 has changed the incentive structure of German hospitals to redesign their operating room units. The role of operating room managers has been gradually changing in hospitals in response to the change in the reimbursement system. Operating room managers are today specifically qualified and increasingly externally hired staff. They are more and more empowered with authority to plan and control operating rooms as profit centers. For measuring performance, common perioperative performance indicators are still scarcely implemented in German hospitals. In 2008, a concerted time glossary was established to enable consistent monitoring of operating room performance with generally accepted process indicators. These key performance indicators are a consistent way to make a procedure or case - and also the effectiveness of the operating room management - more transparent. In the presence of increasing financial pressure, a hospital's executives need to empower an independent operating room management function to achieve the hospital's economic goals. Operating room managers need to adopt evidence-based methods also from other scientific fields, for example management science and information technology, to further sustain operating room performance.

KSC technicians on team to modify X-34

NASA Technical Reports Server (NTRS)

1999-01-01

At Dryden Flight Research Center, Calif., KSC technician Bryan Taylor makes an adjustment on the modified X-34, known as A-1A. Taylor is one of eight NASA engineering technicians from KSC's Engineering Prototype Lab who have assisted Orbital Sciences Corporation and Dryden in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Roger Cartier, Mike Dininny, Mike Lane, Jerry Moscoso, James Niehoff Jr. and David Rowell. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air-launched from an L- 1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala.

KSC technicians on team to modify X-34

NASA Technical Reports Server (NTRS)

1999-01-01

At Dryden Flight Research Center, Calif., KSC technician James Niehoff Jr. (left) helps attach the wing of the modified X-34, known as A-1A. Niehoff is one of eight NASA engineering technicians from KSC's Engineering Prototype Lab who have assisted Orbital Sciences Corporation and Dryden in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Roger Cartier, Mike Dininny, Mike Lane, Jerry Moscoso, David Rowell and Bryan Taylor. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air-launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala.

Effects of Patient Care Unit Design and Technology on Nurse and Patient Care Technician Communication.

PubMed

Beck, Mary S; Doscher, Mindy

2018-04-01

The current study described RN and patient care technician (PCT) communication in centralized and hybrid decentralized workstation designs using hands-free communication technology and infrared locator badge technology to facilitate communication. New construction of an oncology unit provided the opportunity to compare staff communication in two different workstation designs. Observations and questionnaires compared nurse and PCT communication in the two-unit designs. Descriptive statistics were used to analyze the differences. The hybrid decentralized unit had increased use of hands-free communication technology and hallway communication by nurses and PCTs, and increased patient room communication by nurses. Perceptions of communication between nurses and PCTs and congruency of priorities for care were similar for both units. The locator badge technology had limited adoption. Replacement of nurse workstations with new construction or remodeling impact staff communication patterns, necessitating that nurse leaders understand the impact of design and technology on communication. [Journal of Gerontological Nursing, 44(4), 17-22.]. Copyright 2018, SLACK Incorporated.

Improving operating room safety

PubMed Central

2009-01-01

Despite the introduction of the Universal Protocol, patient safety in surgery remains a daily challenge in the operating room. This present study describes one community health system's efforts to improve operating room safety through human factors training and ultimately the development of a surgical checklist. Using a combination of formal training, local studies documenting operating room safety issues and peer to peer mentoring we were able to substantially change the culture of our operating room. Our efforts have prepared us for successfully implementing a standardized checklist to improve operating room safety throughout our entire system. Based on these findings we recommend a multimodal approach to improving operating room safety. PMID:19930577

Determination of secondhand smoke leakage from the smoking room of an Internet café.

PubMed

Kim, Hyejin; Lee, Kiyoung; An, Jaehoon; Won, Sungho

2017-10-01

Although Internet cafes have been designated as nonsmoking areas in Korea, smoke-free legislation has allowed the installation of indoor smoking rooms. The purposes of this study were to determine secondhand smoke (SHS) leakage from an Internet café smoking room and to identify factors associated with SHS leakage. PM 2.5 (particulate matter with an aerodynamic diameter ≤2.5 μm) mass concentrations were measured simultaneously both inside and outside the door to the smoking room. During each measurement, a field technician observed how long the smoking room door was opened and closed, the direction of door opening, and the number of smokers. A multivariate linear regression model was used to identify the causality of SHS leakage from the smoking room. A time series of PM 2.5 concentrations both inside and outside the door to the smoking room showed a similar trend. SHS leakage was significantly increased because of factors associated with the direction of the smoking room door being opened, the duration of how long the smoking room door was opened until it was closed, and the average PM 2.5 concentration inside the smoking room when the door was opened. SHS leakage from inside the smoking room to outside the smoking room was evident especially when the smoking room door was opened. Since the smoking room is not effective in preventing SHS exposure, the smoking room should be removed from the facilities to protect citizens from SHS exposure through revision of the current legislation, which permits installation of a smoking room. This paper concerns secondhand smoke (SHS) leakage from indoor smoking room. Unlike previous studies, the authors statistically analyzed the causality of PM 2.5 concentration leakage from a smoking room using time-series analysis. Since the authors selected the most common smoking room, the outcomes could be generalized. The study demonstrated that SHS leakage from smoking room and SHS leakage were clearly associated with door opening. The finding demonstrated ineffectiveness of smoking room to protect citizens and supports removal of indoor smoking room.

Specialized operating room for cesarean section in the perinatal care unit: a review of the opening process and operating room management.

PubMed

Kasagi, Yoshihiro; Okutani, Ryu; Oda, Yutaka

2015-02-01

We have opened an operating room in the perinatal care unit (PNCU), separate from our existing central operating rooms, to be used exclusively for cesarean sections. The purpose is to meet the increasing need for both emergency cesarean sections and non-obstetric surgeries. It is equipped with the same surgical instruments, anesthesia machine, monitoring system, rapid infusion system and airway devices as the central operating rooms. An anesthesiologist and a nurse from the central operating rooms trained the nurses working in the new operating room, and discussed solutions to numerous problems that arose before and after its opening. Currently most of the elective and emergency cesarean sections carried out during the daytime on weekdays are performed in the PNCU operating room. A total of 328 and 347 cesarean sections were performed in our hospital during 2011 and 2012, respectively, of which 192 (55.5 %) and 254 (73.2 %) were performed in the PNCU operating room. The mean occupancy rate of the central operating rooms also increased from 81 % in 2011 to 90 % in 2012. The PNCU operating room was built with the support of motivated personnel and multidisciplinary teamwork, and has been found to be beneficial for both surgeons and anesthesiologists, while it also contributes to hospital revenue.

Fire safety in the operating room.

PubMed

Rinder, Christine Stowe

2008-12-01

Elimination of flammable anesthetic gases has had little effect on operating-room fires except to change their etiology. Electrocautery and lasers, in an oxygen-enriched environment, can ignite even the most fire-resistant materials, including the patient, and the fire triad possibilities in the operating room are nearly limitless. This review will: identify operating room contents capable of acting as ignition/oxidizer/fuel sources, highlight operating room items that are uniquely potent fire triad contributors, and operating room identify settings where fire risk is enhanced by proximity of triad components in time or space. Anesthesiologists are cognizant of the risk of airway surgery fires due to laser ignition of the endotracheal tube and/or its contents. Recently, however, head/neck surgery under monitored anesthesia care has emerged as a high-risk setting for operating room fires; burn injuries represent 20% of monitored anesthesia care-related malpractice claims, 95% of which involved head/neck surgery. Operating room fires are infrequent but catastrophic. Operating room fire prevention depends on: (a)understanding how fire triad elements interact to create a fire, (b) recognizing how standard operating-room equipment, materials, and supplemental oxygen can become one of those elements, and (c) vigilance for circumstances that bring fire triad elements into close proximity.

The astronaut of 1988. [training and selection

NASA Technical Reports Server (NTRS)

Slayton, D. K.

1973-01-01

Past space exploration history is reviewed for a projection of requirements in astronaut training and selection in 1988. The categories of talent required for those space missions are listed as test pilots and operational pilots for the test phase of programs; flight engineers and mechanics for Space Shuttle and Space Stations; medical doctors as experimentators and crew members; medical technicians and nurses for support medical service; veterinarians and veterinary technicians; physisits, chemists and geologists; and military men and administrators. Multinational crews and participation of both sexes are anticipated.

Technicians complete assembly of Hubble Space Telescope (HST) mockup at JSC

NASA Technical Reports Server (NTRS)

1989-01-01

A technician listens to instructions as he operates the controls for the overhead crane that is lifting one of the Hubble Space Telescope (HST) high gain antennas (HGAs) into place on the HST Support System Module (SSM) forward shell. Others in a cherry picker basket wait to install the HGA on the SSM mockup. The HST mockup will be used for astronaut training and is being assembled in JSC's Mockup and Integration Laboratory (MAIL) Bldg 9A.

U.S. Coast Guard Addendum to the United States National Search and Rescue Supplement (NSS) to the International Aeronautical and Maritime Search and Rescue Manual (IAMSAR)

DTIC Science & Technology

2009-09-01

should be in place for consulting with local medical facilities or Coast Guard assigned Public Health Service medical doctors. 1.6.4 International SAR...accordance with the Chapter 12 of the CG Aids to Navigation Manual - Administrative . Charts of NAVTEX service areas are available on the CG NAVCEN...and equipment. Some Coast Guard operating units have Emergency Medical Technicians (EMTs); a few units have a Health Services Technician attached

Prepare to protect: Operating and maintaining a tornado safe room.

PubMed

Herseth, Andrew; Goldsmith-Grinspoon, Jennifer; Scott, Pataya

2017-06-01

Operating and maintaining a tornado safe room can be critical to the effective continuity of business operations because a firm's most valuable asset is its people. This paper describes aspects of operations and maintenance (O&M) for existing tornado safe rooms as well as a few planning and design aspects that affect the ultimate operation of a safe room for situations where a safe room is planned, but not yet constructed. The information is based on several Federal Emergency Management Agency safe room publications that provide guidance on emergency management and operations, as well as the design and construction of tornado safe rooms.

Open Vessel Data Management (OpenVDM) - Open-source Middleware to Assist Vessel Operators Produce Consistent Cruise Data Packages for Archival and Monitor Data Quality.

NASA Astrophysics Data System (ADS)

Pinner, J. W., IV

2016-02-01

Data from shipboard oceanographic sensors come in various formats and collection typically requires multiple data acquisition software packages running on multiple workstations throughout the vessel. Technicians must then corral all or a subset of the resulting data files so that they may be used by shipboard scientists. On many vessels the process of corralling files into a single cruise data package may change from cruise to cruise or even from technician to technician. It is these inconsistencies in the final cruise data packages that pose the greatest challenge when attempting to automate the process of cataloging cruise data for submission to data archives. A second challenge with the management of shipboard data is ensuring it's quality. Problems with sensors may go unnoticed simply because the technician/scientist was unaware the data from a sensor was absent, invalid, or out of range. The Open Vessel Data Management project (OpenVDM) is a ship-wide data management solution developed to address these issues. In the past three years OpenVDM has successfully demonstrated it's ability to adapt to the needs of vessels with different capabilities/missions while delivering a consistent cruise data package to scientists and adhering to the recommendations and best practices set forth by 3rd party data management groups such as R2R. In the last year OpenVDM has implemented a plugin architecture for monitoring data quality. This allowed vessel operators to develop custom data quality tests tailored to their vessel's unique raw datasets. Data quality test are performed in near-real-time and the results are readily available within a web-interface. This plugin architecture allows 3rd party data quality workgroups like SAMOS to migrate their data quality tests to the vessel and provide immediate determination of data quality. OpenVDM is currently operating aboard three vessels. The R/V Endeavor, operated by the University of Rhode Island, is a regional-class UNOLS research vessel operating under the traditional NFS, P.I. driven model. The E/V Nautilus, operated by the Ocean Exploration Trust specializes in ROV-based, telepresence-enabled oceanographic research. The R/V Falkor operated by the Schmidt Ocean Institute is an ocean research platform focusing on cutting-edge technology development.

KSC-08pd1009

NASA Image and Video Library

2008-04-24

CAPE CANAVERAL, Fla. -- In the Vertical Integration Facility at NASA's Kennedy Space Center, technicians monitor the rotation of the payload canister to a vertical position. The canister contains the Japanese Experiment Module -Pressurized Module. The canister will be transported to Launch Pad 39A for space shuttle Discovery’s STS-124 mission. At the pad, the payload will be transferred from the canister into the payload changeout room on the rotating service structure. The changeout room is the enclosed, environmentally controlled portion of the service structure that supports cargo delivery to the pad and subsequent vertical installation into an orbiter's payload bay. On the mission, the STS-124 crew will transport the JEM as well as the Japanese Remote Manipulator System to the International Space Station. The launch of Discovery is targeted for May 31. Photo credit: NASA/Jim Grossmann

KSC-2012-6230

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked by technicians and engineers at the Launch Equipment Test Facility at NASAs Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to assess the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

KSC-2012-6228

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked by technicians and engineers at the Launch Equipment Test Facility at NASAs Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to assess the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

Domestic Event Support Operations (DESO)

DTIC Science & Technology

2012-02-01

Examples include EOD Technicians, doctors, nurses , and signalers. The capability also needed dedicated support from DSTO, which eventually became...attacks led to the postponement of CHOGM 2001 and the suspension of Operation GUARDIAN. The activity was rescheduled for March 2002 to be held in the

Technicians prepare to erect the first stage of the Atlas II which will be used to launch GOES-L at

NASA Technical Reports Server (NTRS)

1999-01-01

At Launch Pad 36A on the Cape Canaveral Air Station, technicians prepare to erect the first stage of a Lockheed Martin Atlas II rocket which will be used to launch the Geostationary Operational Environmental Satellite-L (GOES-L). GOES-L is the latest in the current series of advanced geostationary weather satellites in service. Once in orbit, it will become GOES-11 and function as an on-orbit spare to be activated when one of the operational satellites needs to be replaced. Launch is scheduled for Saturday, May 15 at the opening of a launch window which extends from 2:23 to 4:41 a.m. EDT.

KSC-2011-1063

NASA Image and Video Library

2011-01-07

CAPE CANAVERAL, Fla. -- Workers hang artwork in the second-floor lobby of the Propellants North Administrative and Maintenance Facility at NASA's Kennedy Space Center in Florida. The artwork was produced by Greg Lee, a graphics specialist with Abacus Technology Corp., and features a silhouette of a shuttle, one of the most recognizable American icons, rolling out to Launch Complex 39. Next to the artwork are recycled firing room windows from Kennedy's Launch Control Center. Launch controllers viewed every shuttle rollout and launch through those windows before they were repurposed. The environmentally friendly facility is slated to be NASA's second Platinum-rated by the U.S. Green Building Council's (USGBC) Leadership in Environmental and Energy Design (LEED) certification system. It will be the space agency's first net-zero facility, which means it will produce enough energy onsite from renewable sources to offset what it requires to operate. The facility consists of a two-story administrative building to house managers, mechanics and technicians who fuel spacecraft at Kennedy, and a single-story shop to store cryogenic fuel transfer equipment. Photo credit: NASA/Frankie Martin

TESS Spacecraft Lift to Work Stand

NASA Image and Video Library

2018-02-12

Technicians dressed in clean room suits monitor the progress as a crane lowers NASA's Transiting Exoplanet Survey Satellite (TESS) onto a test stand inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite will be processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. TESS is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

TESS Spacecraft Solar Panel Array Deployment Testing

NASA Image and Video Library

2018-02-21

Technicians dressed in clean room suits monitor the progress as both solar panels are deployed on NASA's Transiting Exoplanet Survey Satellite (TESS) inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite is being processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. The satellite is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

TESS Spacecraft Solar Panel Array Deployment Testing

NASA Image and Video Library

2018-02-21

Technicians dressed in clean room suits check the solar panels, which have been deployed, on NASA's Transiting Exoplanet Survey Satellite (TESS) inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite is being processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. The satellite is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

TESS Spacecraft Lift to Work Stand

NASA Image and Video Library

2018-02-12

A technician dressed in a clean room suit closely monitors the progress as a crane lowers NASA's Transiting Exoplanet Survey Satellite (TESS) onto a test stand inside the Payload Hazardous Servicing Facility (PHSF) at the agency's Kennedy Space Center in Florida. Inside the PHSF, the satellite will be processed and prepared for its flight. TESS is scheduled to launch atop a SpaceX Falcon 9 rocket from Space Launch Complex 40 at Cape Canaveral Air Force Station. TESS is the next step in NASA's search for planets outside our solar system, known as exoplanets. TESS is a NASA Astrophysics Explorer mission led and operated by MIT in Cambridge, Massachusetts, and managed by NASA’s Goddard Space Flight Center in Greenbelt, Maryland. Dr. George Ricker of MIT’s Kavli Institute for Astrophysics and Space Research serves as principal investigator for the mission. Additional partners include Orbital ATK, NASA’s Ames Research Center, the Harvard-Smithsonian Center for Astrophysics and the Space Telescope Science Institute. More than a dozen universities, research institutes and observatories worldwide are participants in the mission. NASA’s Launch Services Program is responsible for launch management.

KSC-2014-3492

NASA Image and Video Library

2014-08-07

CAPE CANAVERAL, Fla. – Inside the Operations and Checkout Building high bay at NASA's Kennedy Space Center in Florida, technicians dressed in clean-room suits have installed a back shell tile panel onto the Orion crew module and are checking the fit next to the middle back shell tile panel. Preparations are underway for Exploration Flight Test-1, or EFT-1. Orion is the exploration spacecraft designed to carry astronauts to destinations not yet explored by humans, including an asteroid and Mars. It will have emergency abort capability, sustain the crew during space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch later this year atop a Delta IV rocket from Cape Canaveral Air Force Station in Florida to an altitude of 3,600 miles above the Earth's surface. The two-orbit, four-hour flight test will help engineers evaluate the systems critical to crew safety including the heat shield, parachute system and launch abort system. For more information, visit http://www.nasa.gov/orion. Photo credit: NASA/Dimitri Gerondidakis

Operating room efficiency improvement after implementation of a postoperative team assessment.

PubMed

Porta, Christopher R; Foster, Andrew; Causey, Marlin W; Cordier, Patricia; Ozbirn, Roger; Bolt, Stephen; Allison, Dennis; Rush, Robert

2013-03-01

Operating room time is highly resource intensive, and delays can be a source of lost revenue and surgeon frustration. Methods to decrease these delays are important not only for patient care, but to maximize operating room resource utilization. The purpose of this study was to determine the root cause of operating room delays in a standardized manner to help improve overall operating room efficiency. We performed a single-center prospective observational study analyzing operating room utilization and efficiency after implementing an executive-driven standardized postoperative team debriefing system from January 2010 to December 2010. A total of 11,342 procedures were performed over the 1-y study period (elective 86%, urgent 11%, and emergent 3%), with 1.3 million min of operating room time, 865,864 min of surgeon operative time (62.5%), and 162,958 min of anesthesia time (11.8%). Overall, the average operating room delay was 18 min and varied greatly based on the surgical specialty. The longest delays were due to need for radiology (40 min); other significant delays were due to supply issues (22.7 min), surgeon issues (18 min), nursing issues (14 min), and room turnover (14 min). Over the 1-y period, there was a decrease in mean delay duration, averaging a decrease in delay of 0.147 min/mo with an overall 9% decrease in the mean delay times. With regard to overall operating room utilization, there was a 39% decrease in overall un-utilized available OR time that was due to delays, improving efficiency by 2334 min (212 min/mo). During this study interval no sentinel events occurred in the operating room. A standardized postoperative debrief tracking system is highly beneficial in identifying and reducing overall operative delays and improving operating room utilization. Published by Elsevier Inc.

Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers.

PubMed

Frost, Timothy P; Adams, Alex J

2017-11-01

As the role of the clinical pharmacist continues to develop and advance, it is critical to ensure pharmacists can operate in a practice environment and workflow that supports the full deployment of their clinical skills. When pharmacy technician roles are optimized, patient safety can be enhanced and pharmacists may dedicate more time to advanced clinical services. Currently, 17 states allow technicians to accept verbal prescriptions called in by a prescriber or prescriber's agent, or transfer a prescription order from one pharmacy to another. States that allow these activities generally put few legal limitations on them, and instead defer to the professional judgment of the supervising pharmacist whether to delegate these tasks or not. These activities were more likely to be seen in states that require technicians to be registered and certified, and in states that have accountability mechanisms (e.g., discipline authority) in place for technicians. There is little evidence to suggest these tasks cannot be performed safely and accurately by appropriately trained technicians, and the track record of success with these tasks spans four decades in some states. Pharmacists can adopt strong practice policies and procedures to mitigate the risk of harm from verbal orders, such as instituting read-back/spell-back techniques, or requiring the indication for each phoned-in medication, among other strategies. Pharmacists may also exercise discretion in deciding to whom to delegate these tasks. As the legal environment becomes more permissive, we foresee investment in more robust education and training of technicians to cover these activities. Thus, with the adoption of robust practice policies and procedures, delegation of verbal orders and prescription transfers can be safe and effective, remove undue stress on pharmacists, and potentially free up pharmacist time for higher-order clinical care. Copyright © 2016 Elsevier Inc. All rights reserved.

Predictors of operating room extubation in adult cardiac surgery.

PubMed

Subramaniam, Kathirvel; DeAndrade, Diana S; Mandell, Daniel R; Althouse, Andrew D; Manmohan, Rajan; Esper, Stephen A; Varga, Jeffrey M; Badhwar, Vinay

2017-11-01

The primary objective of the study was to identify perioperative factors associated with successful immediate extubation in the operating room after adult cardiac surgery. The secondary objective was to derive a simplified predictive scoring system to guide clinicians in operating room extubation. All 1518 patients in this retrospective cohort study underwent standardized fast-track cardiac anesthetic protocol during adult cardiac surgery. Perioperative variables between patients who had successful extubation in the operating room versus in the intensive care unit were retrospectively analyzed using both univariate and multivariable logistic regression analyses. A predictive score of successful operating room extubation was constructed from the multivariable results of 800 patients (derivation set), and the scoring system was further tested using a validation set of 398 patients. Younger age, lower body mass index, higher preoperative serum albumin, absence of chronic lung disease and diabetes, less-invasive surgical approach, isolated coronary bypass surgery, elective surgery, and lower doses of intraoperative intravenous fentanyl were independently associated with higher probability of operating room extubation. The extubation prediction score created in a derivation set of patients performed well in the validation set. Patient scores less than 0 had a minimal probability of successful operating room extubation. Operating room extubation was highly predicted with scores of 5 or greater. Perioperative factors that are independently associated with successful operating room extubation after adult cardiac operations were identified, and an operating room extubation prediction scoring system was validated. This scoring system may be used to guide safe operating room extubation after cardiac operations. Copyright © 2017 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

InSight Lander Solar Array Test

NASA Image and Video Library

2018-01-23

While in the landed configuration for the last time before arriving on Mars, NASA's InSight lander was commanded to deploy its solar arrays to test and verify the exact process that it will use on the surface of the Red Planet. During the test on Jan. 23, 2018 from the Lockheed Martin clean room in Littleton, Colorado, engineers and technicians evaluated that the solar arrays fully deployed and conducted an illumination test to confirm that the solar cells were collecting power. A video is available at https://photojournal.jpl.nasa.gov/catalog/PIA22200

InSight Lander Solar Array Test

NASA Image and Video Library

2018-01-23

While in the landed configuration for the last time before arriving on Mars, NASA's InSight lander was commanded to deploy its solar arrays to test and verify the exact process that it will use on the surface of the Red Planet. During the test on Jan. 23, 2018 from the Lockheed Martin clean room in Littleton, Colorado, engineers and technicians evaluated that the solar arrays fully deployed and conducted an illumination test to confirm that the solar cells were collecting power. A video is available at https://photojournal.jpl.nasa.gov/catalog/PIA22203

InSight Lander Solar Array Test

NASA Image and Video Library

2018-01-23

While in the landed configuration for the last time before arriving on Mars, NASA's InSight lander was commanded to deploy its solar arrays to test and verify the exact process that it will use on the surface of the Red Planet. During the test on Jan. 23, 2018 from the Lockheed Martin clean room in Littleton, Colorado, engineers and technicians evaluated that the solar arrays fully deployed and conducted an illumination test to confirm that the solar cells were collecting power. A video is available at https://photojournal.jpl.nasa.gov/catalog/PIA22202

InSight Lander Solar Array Test

NASA Image and Video Library

2018-01-23

While in the landed configuration for the last time before arriving on Mars, NASA's InSight lander was commanded to deploy its solar arrays to test and verify the exact process that it will use on the surface of the Red Planet. During the test on Jan. 23, 2018 from the Lockheed Martin clean room in Littleton, Colorado, engineers and technicians evaluated that the solar arrays fully deployed and conducted an illumination test to confirm that the solar cells were collecting power. A video is available at https://photojournal.jpl.nasa.gov/catalog/PIA22201

InSight Lander Solar Array Test

NASA Image and Video Library

2018-01-23

While in the landed configuration for the last time before arriving on Mars, NASA's InSight lander was commanded to deploy its solar arrays to test and verify the exact process that it will use on the surface of the Red Planet. During the test on Jan. 23, 2018 from the Lockheed Martin clean room in Littleton, Colorado, engineers and technicians evaluated that the solar arrays fully deployed and conducted an illumination test to confirm that the solar cells were collecting power. A video is available at https://photojournal.jpl.nasa.gov/catalog/PIA22204

KSC-97PC1703

NASA Image and Video Library

1997-11-19

STS-87 Mission Specialist Takao Doi, Ph.D., of the National Space Development Agency of Japan, is assisted with his ascent and re-entry flight suit by Dave Law, USA mechanical technician, in the white room at Launch Pad 39B as Dr. Doi prepares to enter the Space Shuttle orbiter Columbia on launch day. At right wearing glasses is Danny Wyatt, NASA quality assurance specialist. STS-87 is the fourth flight of the United States Microgravity Payload and Spartan-201. The 16-day mission will include a spacewalk by Dr. Doi and Mission Specialist Winston Scott

32 CFR 701.53 - FOIA fee schedule.

Code of Federal Regulations, 2011 CFR

2011-07-01

... monitoring by a human, that human time may be also assessed as computer search. The terms “programmer/operator” shall not be limited to the traditional programmers or operators. Rather, the terms shall be.... technician, administrative support, operator, programmer, database administrator, or action officer). (2...

41 CFR 300-3.1 - What do the following terms mean?

Code of Federal Regulations, 2014 CFR

2014-07-01

... to the operation of the aircraft (e.g., as pilots, co-pilots, flight engineers, navigators) or duties assisting in operation of the aircraft (e.g., as flight directors, crew chiefs, electronics technicians... official travel, including travel planning, authorization, reservations, ticketing, expense reimbursement...

41 CFR 300-3.1 - What do the following terms mean?

Code of Federal Regulations, 2012 CFR

2012-07-01

... to the operation of the aircraft (e.g., as pilots, co-pilots, flight engineers, navigators) or duties assisting in operation of the aircraft (e.g., as flight directors, crew chiefs, electronics technicians... official travel, including travel planning, authorization, reservations, ticketing, expense reimbursement...

41 CFR 300-3.1 - What do the following terms mean?

Code of Federal Regulations, 2013 CFR

2013-07-01

... to the operation of the aircraft (e.g., as pilots, co-pilots, flight engineers, navigators) or duties assisting in operation of the aircraft (e.g., as flight directors, crew chiefs, electronics technicians... official travel, including travel planning, authorization, reservations, ticketing, expense reimbursement...

Occupations, cigarette smoking, and lung cancer in the epidemiological follow-up to the NHANES I and the California Occupational Mortality Study.

PubMed Central

Leigh, J. P.

1996-01-01

What jobs are associated with the highest and lowest levels of cigarette use and of lung cancer? Are there gender differences in these jobs? Two data sets-the Epidemiological Follow-up to the National Health and Nutrition Examination Survey (NHEFS) and the California Occupational Mortality Study (COMS) were analyzed to answer these questions. For females, the broad occupations ranking from highest to lowest cigarette use in the NHEFS was: transportation operators, managers, craft workers, service workers, operatives, laborers, technicians, administrative workers, farm owners and workers, sales workers, no occupation, and professionals. The corresponding ranking for males was: transportation operators, no occupation, laborers, craft workers, service workers, technicians, and professionals. The highest-ranking jobs in the COMS were waitresses, telephone operators, and cosmetologists for women, and water-transportation workers, roofers, foresters and loggers for men. Teachers were especially low on all four lists. This study could not determine whether employment within any occupation encouraged smoking or if smokers selected certain occupations. PMID:8982527

Environmental Health Science

ERIC Educational Resources Information Center

Sherman, Alan; Smith, Robert

1975-01-01

Describes an environmental health science technology curriculum designed to provide technicians in the areas of air, water and wastewater analyses, treatment plant operators, public health enforcement officers, and pollution inspectors. (GS)

EC02-0188-18

NASA Image and Video Library

2002-07-12

Technicians at General Atomics Aeronautical Systems, Inc., (GA-ASI) facility at Adelanto, Calif., carefully install a turboprop engine to the rear fuselage of NASA's Altair aircraft during final assembly operations.

KSC technicians on team to modify X-34

NASA Technical Reports Server (NTRS)

1999-01-01

KSC technician David Rowell works on the wing of the modified X- 34, known as A-1A, at the Dryden Flight Research Center, Calif. Looking on are Art Cape, with Dryden, and Mike Brainard, with Orbital Sciences Corporation. Rowell is one of eight NASA engineering technicians from KSC's Engineering Prototype Lab who have assisted Orbital and Dryden in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Roger Cartier, Mike Dininny, Mike Lane, Jerry Moscoso, James Niehoff Jr. and Bryan Taylor. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air- launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala.

KSC technicians on team to modify X-34

NASA Technical Reports Server (NTRS)

1999-01-01

Two of KSC's X-34 technicians (far right), David Rowell and Roger Cartier, look at work being done on the modified A-1A at Dryden Flight Research Center, Calif. Since September, eight NASA engineering technicians from KSC's Engineering Prototype Lab have assisted Orbital Sciences Corporation and NASA's Dryden Flight Research Center in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Mike Dininny, Mike Lane, Jerry Moscoso, James Niehoff Jr. and Bryan Taylor. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air-launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala.

Foucault could have been an operating room nurse.

PubMed

Riley, Robin; Manias, Elizabeth

2002-08-01

Operating room nursing is an under-researched area of nursing practice. The stereotypical image of operating room nursing is one of task- and technically-orientated aspects of practice, where nurses work in a medical model and are dominated by constraints from outside their sphere of influence. This paper explores the possibility of understanding operating room nursing in a different way. Using the work of Michel Foucault to analyse the work of operating room nursing, this paper argues the relevance of the framework for a more in-depth analysis of this specialty area of practice. The concepts of power, discipline and subjectivity are used to demonstrate how operating room nursing is constructed as a discipline and how operating room nurses act to govern and construct the specialty. Exemplars are drawn from extensive professional experience, from guidelines of professional operating room nursing associations, as well as published texts. The focus is predominantly on the regulation of space and time to maintain the integrity of the sterile surgical field and issues of management, as well as the use of the ethical concept of the 'surgical conscience'. This form of analysis provides a level and depth of inquiry that has rarely been undertaken in operating room nursing. As such, it has the potential to provide a much needed, different view of operation room nursing that can only help to strengthen its professional foundations and development.

An indoor radon survey of the X-ray rooms of Mexico City hospitals

DOE Office of Scientific and Technical Information (OSTI.GOV)

Juarez, Faustino; Reyes, Pedro G.; Espinosa, Guillermo

This paper presents the results of measurements of indoor radon concentrations in the X-ray rooms of a selection of hospitals in the metropolitan area of Mexico City. The metropolitan area of Mexico City is Mexico's largest metropolitan area by population; the number of patients requiring the use of X-rays is also the highest. An understanding of indoor radon concentrations in X-ray rooms is necessary for the estimation of the radiological risk to which patients, radiologists and medical technicians are exposed. The indoor radon concentrations were monitored for a period of six months using nuclear track detectors (NTD) consisting of amore » closed-end cup system with CR-39 (Lantrack Registered-Sign ) polycarbonate as detector material. The indoor radon concentrations were found to be between 75 and 170 Bq m{sup -3}, below the USEPA-recommended indoor radon action level for working places of 400 Bq m{sup -3}. It is hoped that the results of this study will contribute to the establishment of recommended action levels by the Mexican regulatory authorities responsible for nuclear safety.« less

Chris Golubieski | NREL

Science.gov Websites

Golubieski Photo of Chris Golubieski Chris Golubieski Electro/Mechanical Technician fast pyrolysis or steam gasification. As one of the pilot plant operators, Chris Golubieski reviews the

Installation of new Generation General Purpose Computer (GPC) compact unit

NASA Technical Reports Server (NTRS)

1991-01-01

In the Kennedy Space Center's (KSC's) Orbiter Processing Facility (OPF) high bay 2, Spacecraft Electronics technician Ed Carter (right), wearing clean suit, prepares for (26864) and installs (26865) the new Generation General Purpose Computer (GPC) compact IBM unit in Atlantis', Orbiter Vehicle (OV) 104's, middeck avionics bay as Orbiter Systems Quality Control technician Doug Snider looks on. Both men work for NASA contractor Lockheed Space Operations Company. All three orbiters are being outfitted with the compact IBM unit, which replaces a two-unit earlier generation computer.

Operating room fires in periocular surgery.

PubMed

Connor, Michael A; Menke, Anne M; Vrcek, Ivan; Shore, John W

2018-06-01

A survey of ophthalmic plastic and reconstructive surgeons as well as seven-year data regarding claims made to the Ophthalmic Mutual Insurance Company (OMIC) is used to discuss operating room fires in periocular surgery. A retrospective review of all closed claim operating room fires submitted to OMIC was performed. A survey soliciting personal experiences with operating room fires was distributed to all American Society of Oculoplastic and Reconstructive Surgeons. Over the last 2 decades, OMIC managed 7 lawsuits resulting from an operating room fire during periocular surgery. The mean settlement per lawsuit was $145,285 (range $10,000-474,994). All six patients suffered burns to the face, and three required admission to a burn unit. One hundred and sixty-eight surgeons participated in the online survey. Approximately 44% of survey respondents have experienced at least one operating room fire. Supplemental oxygen was administered in 88% of these cases. Most surgical fires reported occurred in a hospital-based operating room (59%) under monitored anesthesia care (79%). Monopolar cautery (41%) and thermal, high-temperature cautery (41%) were most commonly reported as the inciting agents. Almost half of the patients involved in a surgical fire experienced a complication from the fire (48%). Sixty-nine percent of hospital operating rooms and 66% of ambulatory surgery centers maintain an operating room fire prevention policy. An intraoperative fire can be costly for both the patient and the surgeon. Ophthalmic surgeons operate in an oxygen rich and therefore flammable environment. Proactive measures can be undertaken to reduce the incidence of surgical fires periocular surgery; however, a fire can occur at any time and the entire operating room team must be constantly vigilant to prevent and manage operating room fires.

Effect of ventilation rate on air cleanliness and energy consumption in operation rooms at rest.

PubMed

Lee, Shih-Tseng; Liang, Ching-Chieh; Chien, Tsung-Yi; Wu, Feng-Jen; Fan, Kuang-Chung; Wan, Gwo-Hwa

2018-02-27

The interrelationships between ventilation rate, indoor air quality, and energy consumption in operation rooms at rest are yet to be understood. We investigate the effect of ventilation rate on indoor air quality indices and energy consumption in ORs at rest. The study investigates the air temperature, relative humidity, concentrations of carbon dioxide, particulate matter (PM), and airborne bacteria at different ventilation rates in operation rooms at rest of a medical center. The energy consumption and cost analysis of the heating, ventilating, and air conditioning (HVAC) system in the operation rooms at rest were also evaluated for all ventilation rates. No air-conditioned operation rooms had very highest PM and airborne bacterial concentrations in the operation areas. The bacterial concentration in the operation areas with 6-30 air changes per hour (ACH) was below the suggested level set by the United Kingdom (UK) for an empty operation room. A 70% of reduction in annual energy cost by reducing the ventilation rate from 30 to 6 ACH was found in the operation rooms at rest. Maintenance of operation rooms at ventilation rate of 6 ACH could save considerable amounts of energy and achieve the goal of air cleanliness.

Tim Johansson | NREL

Science.gov Websites

performed maintenance, operation, and repair on laboratory support systems, including some minor /electrical technician Chief Engineer, Tim leads the maintenance crew at NWTC. Prior to joining NREL, Tim was

Fire and Rescue Technology. Resources in Technology.

ERIC Educational Resources Information Center

Valesey, Brigitte G.

1997-01-01

Provides occupational information about fire and rescue operations personnel, such as fire science, fire protection engineering, emergency medical technicians, and firefighters. Provides information about organizations in these fields. (JOW)

Measurement of 131I activity in air indoor Polish nuclear medical hospital as a tool for an internal dose assessment.

PubMed

Brudecki, K; Szczodry, A; Mróz, T; Kowalska, A; Mietelski, J W

2018-03-01

This paper presents results of 131 I air activity measurements performed within nuclear medical hospitals as a tool for internal dose assessment. The study was conducted at a place of preparation and administration of 131 I ("hot room") and at a nurse station. 131 I activity measurements were performed for 5 and 4 consecutive working days, at the "hot room" and nurse station, respectively. Iodine from the air was collected by a mobile HVS-30 aerosol sampler combined with a gas sampler. Both the gaseous and aerosol fractions were measurement. The activities in the gaseous fraction ranged from (28 ± 1 Bq m -3 ) to (492 ± 4) Bq m -3 . At both sampling sites, the activity of the gaseous iodine fraction trapped on activated charcoal was significantly higher than that of the aerosol fraction captured on Petrianov filter cloth. Based on these results, an attempt has been made to estimate annual inhalation effective doses, which were found to range from 0.47 mSv (nurse female) to 1.3 mSv (technician male). The highest annual inhalation equivalent doses have been found for thyroid as 32, 27, 13, and 11 mSv, respectively, for technician male, technical female, nurse male, and nurse female. The method presented here allows to fill the gaps in internal doses measurements. Moreover, because method has been successful used for many years in radioactive contamination monitoring of air in cases of serious nuclear accidents, it should also be used in nuclear medicine.

Expedition 6 flight engineer Nikolai Budarin in White Room before launch

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- In the White Room on Launch Pad 39A, Expedition 6 flight engineer Nikolai Budarin is helped with his launch and entry suit before entering Space Shuttle Endeavour. Closeout Crew members helping are (left) Rene Arriens, United Space Alliance mechanical technician, (right) Danny Wyatt, NASA Quality Assurance specialist, and (background) Rick Welty, United Space Alliance Vehicle Closeout chief. The launch will carry the Expedition 6 crew to the Station and return the Expedition 5 crew to Earth. The major objective of the mission is delivery of the Port 1 (P1) Integrated Truss Assembly, which will be attached to the port side of the S0 truss. Three spacewalks are planned to install and activate the truss and its associated equipment. Launch of Space Shuttle Endeavour on mission STS-113 is scheduled for Nov. 23 at 7:50 p.m. EST.

KSC-99pp1480

NASA Image and Video Library

1999-12-19

KENNEDY SPACE CENTER, FLA. -- STS-103 Commander Curtis L. Brown Jr., in his orange launch and entry suit, enjoys a laugh with closeout crew members in the White Room before entering the orbiter. From left are United Space Alliance (USA) Mechanical Technician Rene Arriens, USA Orbiter Vehicle Closeout Chief Travis Thompson, and NASA Quality Assurance Specialist Danny Wyatt. The white room is an environmental chamber at the end of the orbiter access arm on the fixed service structure. It provides entry to the orbiter crew compartment. The mission, to service the Hubble Space Telescope, is scheduled to lift off at 7:50 p.m. EST Dec. 19 on mission STS-103, servicing the Hubble Space Telescope. Objectives for the nearly eight-day mission include replacing gyroscopes and an old computer, installing another solid state recorder, and replacing damaged insulation in the telescope. Discovery is expected to land at KSC Monday, Dec. 27, at about 5:24 p.m. EST

Open Learning for Process Operators. ZIFF Papiere 78.

ERIC Educational Resources Information Center

Geary, David

This document describes the development and implementation of an open learning course for shift operators who work in British process industries. The course was developed collaboratively during 1979-82 by B.P. Chemicals Ltd. and Grimsby College of Technology and Arts, using the Business and Technician Education Council certification program.…

Media Center: Operations Handbook.

ERIC Educational Resources Information Center

Dependents Schools (DOD), Washington, DC.

This guide to basic technical procedures recommended in the operation of within-school media centers is intended for all Department of Defense Dependent Schools (DoDDS) media specialists, clerks, aides, and technicians. The first four sections refer to the general media program functions identified in the related manual, "A is for Apple:…

41 CFR 101-25.202 - Factors to be used to determine assignment of purchase responsibility.

Code of Federal Regulations, 2011 CFR

2011-07-01

... of items. (d) Custodianship and operation of special facilities such as research and testing... agency, such as scientific, research, and operating technicians, especially qualified or experienced in... areas. (j) Physical proximity of the agency purchasing offices in relation to engineering or design...

The operating room of the future: observations and commentary.

PubMed

Satava, Richard M

2003-09-01

The Operating Room of the Future is a construct upon which to develop the next generation of operating environments for the patient, surgeon, and operating team. Analysis of the suite of visions for the Operating Room of the Future reveals a broad set of goals, with a clear overall solution to create a safe environment for high-quality healthcare. The vision, although planned for the future, is based upon iteratively improving and integrating current systems, both technology and process. This must become the Operating Room of Today, which will require the enormous efforts described. An alternative future of the operating room, based upon emergence of disruptive technologies, is also presented.

[Implementation of modern operating room management -- experiences made at an university hospital].

PubMed

Hensel, M; Wauer, H; Bloch, A; Volk, T; Kox, W J; Spies, C

2005-07-01

Caused by structural changes in health care the general need for cost control is evident for all hospitals. As operating room is one of the most cost-intensive sectors in a hospital, optimisation of workflow processes in this area is of particular interest for health care providers. While modern operating room management is established in several clinics yet, others are less prepared for economic challenges. Therefore, the operating room statute of the Charité university hospital useful for other hospitals to develop an own concept is presented. In addition, experiences made with implementation of new management structures are described and results obtained over the last 5 years are reported. Whereas the total number of operation procedures increased by 15 %, the operating room utilization increased more markedly in terms of time and cases. Summarizing the results, central operating room management has been proved to be an effective tool to increase the efficiency of workflow processes in the operating room.

Time Management in the Operating Room: An Analysis of the Dedicated Minimally Invasive Surgery Suite

PubMed Central

Hsiao, Kenneth C.; Machaidze, Zurab

2004-01-01

Background: Dedicated minimally invasive surgery suites are available that contain specialized equipment to facilitate endoscopic surgery. Laparoscopy performed in a general operating room is hampered by the multitude of additional equipment that must be transported into the room. The objective of this study was to compare the preparation times between procedures performed in traditional operating rooms versus dedicated minimally invasive surgery suites to see whether operating room efficiency is improved in the specialized room. Methods: The records of 50 patients who underwent laparoscopic procedures between September 2000 and April 2002 were retrospectively reviewed. Twenty-three patients underwent surgery in a general operating room and 18 patients in an minimally invasive surgery suite. Nine patients were excluded because of cystoscopic procedures undergone prior to laparoscopy. Various time points were recorded from which various time intervals were derived, such as preanesthesia time, anesthesia induction time, and total preparation time. A 2-tailed, unpaired Student t test was used for statistical analysis. Results: The mean preanesthesia time was significantly faster in the minimally invasive surgery suite (12.2 minutes) compared with that in the traditional operating room (17.8 minutes) (P=0.013). Mean anesthesia induction time in the minimally invasive surgery suite (47.5 minutes) was similar to time in the traditional operating room (45.7 minutes) (P=0.734). The average total preparation time for the minimally invasive surgery suite (59.6 minutes) was not significantly faster than that in the general operating room (63.5 minutes) (P=0.481). Conclusion: The amount of time that elapses between the patient entering the room and anesthesia induction is statically shorter in a dedicated minimally invasive surgery suite. Laparoscopic surgery is performed more efficiently in a dedicated minimally invasive surgery suite versus a traditional operating room. PMID:15554269

Factors determining the smooth flow and the non-operative time in a one-induction room to one-operating room setting

PubMed Central

Mulier, Jan P; De Boeck, Liesje; Meulders, Michel; Beliën, Jeroen; Colpaert, Jan; Sels, Annabel

2015-01-01

Rationale, aims and objectives What factors determine the use of an anaesthesia preparation room and shorten non-operative time? Methods A logistic regression is applied to 18 751 surgery records from AZ Sint-Jan Brugge AV, Belgium, where each operating room has its own anaesthesia preparation room. Surgeries, in which the patient's induction has already started when the preceding patient's surgery has ended, belong to a first group where the preparation room is used as an induction room. Surgeries not fulfilling this property belong to a second group. A logistic regression model tries to predict the probability that a surgery will be classified into a specific group. Non-operative time is calculated as the time between end of the previous surgery and incision of the next surgery. A log-linear regression of this non-operative time is performed. Results It was found that switches in surgeons, being a non-elective surgery as well as the previous surgery being non-elective, increase the probability of being classified into the second group. Only a few surgery types, anaesthesiologists and operating rooms can be found exclusively in one of the two groups. Analysis of variance demonstrates that the first group has significantly lower non-operative times. Switches in surgeons, anaesthesiologists and longer scheduled durations of the previous surgery increases the non-operative time. A switch in both surgeon and anaesthesiologist strengthens this negative effect. Only a few operating rooms and surgery types influence the non-operative time. Conclusion The use of the anaesthesia preparation room shortens the non-operative time and is determined by several human and structural factors. PMID:25496600

Coaxial cable stripper for confined areas

NASA Technical Reports Server (NTRS)

Brown, J. D.; Lipscomb, W. G.

1968-01-01

Manual coaxial cable stripper quickly and accurately prepares a coaxial cable in a confined area. With this tool, preparation time is greatly reduced, and a completely inexperienced technician can perform the operation.

Attitudes to teamwork and safety among Italian surgeons and operating room nurses.

PubMed

Prati, Gabriele; Pietrantoni, Luca

2014-01-01

Previous studies have shown that surgical team members' attitudes about safety and teamwork in the operating theatre may play a role in patient safety. The aim of this study was to assess attitudes about teamwork and safety among Italian surgeons and operating room nurses. Fifty-five surgeons and 48 operating room nurses working in operating theatres at one hospital in Italy completed the Operating Room Management Attitudes Questionnaire (ORMAQ). Results showed several discrepancies in attitudes about teamwork and safety between surgeons and operating room nurses. Surgeons had more positive views on the quality of surgical leadership, communication, teamwork, and organizational climate in the theatre than operating room nurses. Operating room nurses reported that safety rules and procedures were more frequently disregarded than the surgeons. The results are only partially aligned with previous ORMAQ surveys of surgical teams in other countries. The differences emphasize the influence of national culture, as well as the particular healthcare system. This study shows discrepancies on many aspects in attitudes to teamwork and safety between surgeons and operating room nurses. The findings support implementation and use of team interventions and human factor training. Finally, attitude surveys provide a method for assessing safety culture in surgery, for evaluating the effectiveness of training initiatives, and for collecting data for a hospital's quality assurance programme.

An assessment of the quality indicators of operative and non-operative times in a public university hospital.

PubMed

Costa, Altair da Silva; Leão, Luiz Eduardo Villaça; Novais, Maykon Anderson Pires de; Zucchi, Paola

2015-01-01

To assess the operative time indicators in a public university hospital. A descriptive cross-sectional study was conducted using data from operating room database. The sample was obtained from January 2011 to January 2012. The operations performed in sequence in the same operating room, between 7:00 am and 5:00 pm, elective or emergency, were included. The procedures with incomplete data in the system were excluded, as well as the operations performed after 5:00 pm or on weekends or holidays. We measured the operative and non-operative time of 8,420 operations. The operative time (mean and standard deviation) of anesthesias and operations were 177.6 ± 110 and 129.8 ± 97.1 minutes, respectively. The total time of the patient in operative room (mean and standard deviation) was 196.8 ± 113.2. The non-operative time, e.g., between the arrival of the patient and the onset of anesthesia was 14.3 ± 17.3 minutes. The time to set the next patient in operating room was 119.8 ± 79.6 minutes. Our total non-operative time was 155 minutes. Delays frequently occurred in our operating room and had a major effect on patient flow and resource utilization. The non-operative time was longer than the operative time. It is possible to increase the operating room capacity by management and training of the professionals involved. The indicators provided a tool to improve operating room efficiency.

Construction of a high-tech operating room for image-guided surgery using VR.

PubMed

Suzuki, Naoki; Hattori, Asaki; Suzuki, Shigeyuki; Otake, Yoshito; Hayashibe, Mitsuhiro; Kobayashi, Susumu; Nezu, Takehiko; Sakai, Haruo; Umezawa, Yuji

2005-01-01

This project aimed to construct an operating room to implement high dimensional (3D, 4D) medical imaging and medical virtual reality techniques that would enable clinical tests for new surgical procedures. We designed and constructed such an operating room at Dai-san Hospital, the Jikei Univ. School of Medicine, Tokyo, Japan. The room was equipped with various facilities for image-guided, robot and tele- surgery. In this report, we describe an outline of our "high-tech operating room" and future plans.

X-Ray Toolkit

DOE Office of Scientific and Technical Information (OSTI.GOV)

2015-10-20

Radiographic Image Acquisition & Processing Software for Security Markets. Used in operation of commercial x-ray scanners and manipulation of x-ray images for emergency responders including State, Local, Federal, and US Military bomb technicians and analysts.

[Interface interconnection and data integration in implementing of digital operating room].

PubMed

Feng, Jingyi; Chen, Hua; Liu, Jiquan

2011-10-01

The digital operating-room, with highly integrated clinical information, is very important for rescuing lives of patients and improving quality of operations. Since equipments in domestic operating-rooms have diversified interface and nonstandard communication protocols, designing and implementing an integrated data sharing program for different kinds of diagnosing, monitoring, and treatment equipments become a key point in construction of digital operating room. This paper addresses interface interconnection and data integration for commonly used clinical equipments from aspects of hardware interface, interface connection and communication protocol, and offers a solution for interconnection and integration of clinical equipments in heterogeneous environment. Based on the solution, a case of an optimal digital operating-room is presented in this paper. Comparing with the international solution for digital operating-room, the solution proposed in this paper is more economical and effective. And finally, this paper provides a proposal for the platform construction of digital perating-room as well as a viewpoint for standardization of domestic clinical equipments.

Operating room scheduling using hybrid clustering priority rule and genetic algorithm

NASA Astrophysics Data System (ADS)

Santoso, Linda Wahyuni; Sinawan, Aisyah Ashrinawati; Wijaya, Andi Rahadiyan; Sudiarso, Andi; Masruroh, Nur Aini; Herliansyah, Muhammad Kusumawan

2017-11-01

Operating room is a bottleneck resource in most hospitals so that operating room scheduling system will influence the whole performance of the hospitals. This research develops a mathematical model of operating room scheduling for elective patients which considers patient priority with limit number of surgeons, operating rooms, and nurse team. Clustering analysis was conducted to the data of surgery durations using hierarchical and non-hierarchical methods. The priority rule of each resulting cluster was determined using Shortest Processing Time method. Genetic Algorithm was used to generate daily operating room schedule which resulted in the lowest values of patient waiting time and nurse overtime. The computational results show that this proposed model reduced patient waiting time by approximately 32.22% and nurse overtime by approximately 32.74% when compared to actual schedule.

KSC01pp0088

NASA Image and Video Library

2001-01-03

KENNEDY SPACE CENTER, FLA. -- In the Payload Changeout Room at Launch Pad 39A, a technician works switches on the Payload Ground-Handling Mechanism hook instrumentation unit that will move the U.S. Lab Destiny out of the payload canister and into the PCR. Destiny will then be transferred to the payload bay of Atlantis for mission STS-98. Destiny, a key element in the construction of the International Space Station is designed for space science experiments. STS-98 is the seventh construction flight to the ISS. Launch of STS-98 is scheduled for Jan. 19 at 2:11 a.m. EST

RIDE ELEVATOR (CLOSEUP)(GT-4) - ASTRONAUT EDWARD H. WHITE II - MISC.

NASA Image and Video Library

1965-06-03

S65-30266 (29 May 1965) --- In the elevator on the way to the White Room at Pad 19 for simulations on May 29, 1965, astronauts James A. McDivitt (right), command pilot, and Edward H. White II, pilot, are shown with suit technicians Clyde Teague (right center) and Joe Schmitt. The National Aeronautics and Space Administration's two-man Gemini-4 mission is scheduled for 62 revolutions in four days. The backup crew, astronauts Frank Borman and James A. Lovell Jr. (both out of frame), will replace the prime crew if either crewman should become ineligible for the flight.

STS-30 Magellan spacecraft is unpacked at Kennedy Space Center (KSC) SAEF-2

NASA Technical Reports Server (NTRS)

1989-01-01

At the Kennedy Space Center (KSC) inside the Space Assembly and Encapsulation Facility 2 (SAEF-2) (planetary checkout facility), the cover of the Payload Environmental Transportation System (PETS) is removed so that the Magellan spacecraft can be hoisted from the PETS trailer to the clean room floor. Clean-suited technicians guide the cover above plastic-wrapped spacecraft using rope. The spacecraft, destined for unprecedented studies of the Venusian topographic features, is to be deployed by the crew of NASA STS-30 mission in April 1989. View provided by KSC with alternate number KSC-88PC-1083.

THE WASHINGTON DATA PROCESSING TRAINING STORY.

ERIC Educational Resources Information Center

MCKEE, R.L.

A DATA PROCESSING TRAINING PROGRAM IN WASHINGTON HAD 10 DATA PROCESSING CENTERS IN OPERATION AND EIGHT MORE IN VARIOUS STAGES OF PLANNING IN 1963. THESE CENTERS WERE FULL-TIME DAY PREPARATORY 2-YEAR POST-HIGH SCHOOL TECHNICIAN TRAINING PROGRAMS, OPERATED AND ADMINISTERED BY THE LOCAL BOARDS OF EDUCATION. EACH SCHOOL HAD A COMPLETE DATA PROCESSING…

Best Manufacturing Practices Survey Conducted at Motorola, Incorporated Government Electronics Group Scottsdale, Arizona

DTIC Science & Technology

1988-03-01

operators recommendations, certain select individuals are trained and used as SPC technicians. " POKA - YOKE " or mistake proofing from Shiegeo Shingo’s "Zero...Quality Control: Source Inspection and the POKA - YOKE System" has been locally applied to operators processes with great success. This pre-control

Guidelines to Career Development for Wastewater Treatment Plant Personnel.

ERIC Educational Resources Information Center

Environmental Protection Agency, Washington, DC. Office of Education and Manpower Planning.

The guidelines were written to promote job growth and improvement in the personnel who manage, operate, and maintain wastewater treatment plants. Trained operators and technicians are the key components in any water pollution control facility. The approach is to move from employment to training through specific modules for 21 standard job…

Employment Trends in Computer Occupations. Bulletin 2101.

ERIC Educational Resources Information Center

Howard, H. Philip; Rothstein, Debra E.

In 1980 1,455,000 persons worked in computer occupations. Two in five were systems analysts or programmers; one in five was a keypunch operator; one in 20 was a computer service technician; and more than one in three were computer and peripheral equipment operators. Employment was concentrated in major urban centers in four major industry…

9 CFR 590.508 - Candling and transfer-room operations.

Code of Federal Regulations, 2011 CFR

2011-01-01

..., Processing, and Facility Requirements § 590.508 Candling and transfer-room operations. (a) Candling and transfer rooms and equipment shall be kept clean, free from cobwebs, dust, objectionable odors, and excess... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Candling and transfer-room operations...

9 CFR 590.508 - Candling and transfer-room operations.

Code of Federal Regulations, 2013 CFR

2013-01-01

..., Processing, and Facility Requirements § 590.508 Candling and transfer-room operations. (a) Candling and transfer rooms and equipment shall be kept clean, free from cobwebs, dust, objectionable odors, and excess... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Candling and transfer-room operations...

9 CFR 590.508 - Candling and transfer-room operations.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., Processing, and Facility Requirements § 590.508 Candling and transfer-room operations. (a) Candling and transfer rooms and equipment shall be kept clean, free from cobwebs, dust, objectionable odors, and excess... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Candling and transfer-room operations...

9 CFR 590.508 - Candling and transfer-room operations.

Code of Federal Regulations, 2014 CFR

2014-01-01

..., Processing, and Facility Requirements § 590.508 Candling and transfer-room operations. (a) Candling and transfer rooms and equipment shall be kept clean, free from cobwebs, dust, objectionable odors, and excess... 9 Animals and Animal Products 2 2014-01-01 2014-01-01 false Candling and transfer-room operations...

9 CFR 590.508 - Candling and transfer-room operations.

Code of Federal Regulations, 2012 CFR

2012-01-01

..., Processing, and Facility Requirements § 590.508 Candling and transfer-room operations. (a) Candling and transfer rooms and equipment shall be kept clean, free from cobwebs, dust, objectionable odors, and excess... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Candling and transfer-room operations...

Nuclear Technology Series. Nuclear Reactor (Plant) Operator Trainee. A Suggested Program Planning Guide. Revised June 80.

ERIC Educational Resources Information Center

Center for Occupational Research and Development, Inc., Waco, TX.

This program planning guide for a two-year postsecondary nuclear reactor (plant) operator trainee program is designed for use with courses 1-16 of thirty-five in the Nuclear Technology Series. The purpose of the guide is to describe the nuclear power field and its job categories for specialists, technicians and operators; and to assist planners,…

STS-48 MS Buchli dons EMU with technicians' assistance prior to JSC WETF dive

NASA Technical Reports Server (NTRS)

1991-01-01

STS-48 Mission Specialist (MS) James F. Buchli, wearing an extravehicular mobility unit (EMU) and communications carrier assembly (CCA), smiles as he listens to a technician's instructions prior to an underwater extravehicular activity (EMU) session in JSC's Weightless Environment Training Facility (WETF) Bldg 29. Buchli is fully suited with the exception of his helmet as he stands on the WETF platform. He will be lowered into the WETF's 25-foot deep pool and once underwater he will practice contingency EVA operations for his upcoming mission aboard Discovery, Orbiter Vehicle (OV) 103.

Allocation of surgical procedures to operating rooms.

PubMed

Ozkarahan, I

1995-08-01

Reduction of health care costs is of paramount importance in our time. This paper is a part of the research which proposes an expert hospital decision support system for resource scheduling. The proposed system combines mathematical programming, knowledge base, and database technologies, and what is more, its friendly interface is suitable for any novice user. Operating rooms in hospitals represent big investments and must be utilized efficiently. In this paper, first a mathematical model similar to job shop scheduling models is developed. The model loads surgical cases to operating rooms by maximizing room utilization and minimizing overtime in a multiple operating room setting. Then a prototype expert system which replaces the expertise of the operations research analyst for the model, drives the modelbase, database, and manages the user dialog is developed. Finally, an overview of the sequencing procedures for operations within an operating room is also presented.

[Operating Room Nurses' Experiences of Securing for Patient Safety].

PubMed

Park, Kwang Ok; Kim, Jong Kyung; Kim, Myoung Sook

2015-10-01

This study was done to evaluate the experience of securing patient safety in hospital operating rooms. Experiential data were collected from 15 operating room nurses through in-depth interviews. The main question was "Could you describe your experience with patient safety in the operating room?". Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. The core category of experience with patient safety in the operating room was 'trying to maintain principles of patient safety during high-risk surgical procedures'. The participants used two interactional strategies: 'attempt continuous improvement', 'immersion in operation with sharing issues of patient safety'. The results indicate that the important factors for ensuring the safety of patients in the operating room are manpower, education, and a system for patient safety. Successful and safe surgery requires communication, teamwork and recognition of the importance of patient safety by the surgical team.

An assessment of the quality indicators of operative and non-operative times in a public university hospital

PubMed Central

Costa, Altair da Silva; Leão, Luiz Eduardo Villaça; de Novais, Maykon Anderson Pires; Zucchi, Paola

2015-01-01

ABSTRACT Objective To assess the operative time indicators in a public university hospital. Methods A descriptive cross-sectional study was conducted using data from operating room database. The sample was obtained from January 2011 to January 2012. The operations performed in sequence in the same operating room, between 7:00 am and 5:00 pm, elective or emergency, were included. The procedures with incomplete data in the system were excluded, as well as the operations performed after 5:00 pm or on weekends or holidays. Results We measured the operative and non-operative time of 8,420 operations. The operative time (mean and standard deviation) of anesthesias and operations were 177.6±110 and 129.8±97.1 minutes, respectively. The total time of the patient in operative room (mean and standard deviation) was 196.8±113.2. The non-operative time, e.g., between the arrival of the patient and the onset of anesthesia was 14.3±17.3 minutes. The time to set the next patient in operating room was 119.8±79.6 minutes. Our total non-operative time was 155 minutes. Conclusion Delays frequently occurred in our operating room and had a major effect on patient flow and resource utilization. The non-operative time was longer than the operative time. It is possible to increase the operating room capacity by management and training of the professionals involved. The indicators provided a tool to improve operating room efficiency. PMID:26761557

Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

PubMed

Tang, Chin-Sheng; Wan, Gwo-Hwa

2013-01-01

To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

The operating room as a clinical learning environment: An exploratory study.

PubMed

Meyer, Rhoda; Van Schalkwyk, Susan C; Prakaschandra, Rosaley

2016-05-01

Students undertake their clinical placement in various clinical settings for the exposure to and acquisition of skills related to that particular context. The operating room is a context that offers the opportunity to develop critical skills related to the perioperative care of the patient. Despite numerous studies that have been undertaken in this field, few have investigated the operating room as a clinical learning environment in the South African private healthcare context. The aim of this study was to determine nursing students' perceptions of the operating room as a clinical learning environment. An exploratory, interpretive and descriptive design generating qualitative data was utilized. Eight nursing students completed an open-ended questionnaire, and twelve nursing students participated in the focus group discussion. Four themes emerged, namely, 'interpersonal factors', 'educational factors', 'private operating room context', and 'recommendations'. The opinion that the operating room offers an opportunity to gain skills unique to this context was expressed. However, despite the potential learning opportunities, the key findings of this study reveal negative perceptions of nursing students regarding learning experiences in the operating room. Exploration into the preparatory needs of students specific to learning outcomes before operating room placement should be considered. It will also be necessary to improve collaboration between lecturers, mentors and theatre managers. Copyright © 2016 Elsevier Ltd. All rights reserved.

Use of Electronic Hand-held Devices for Collection of Savannah River Site Environmental Data - 13329

DOE Office of Scientific and Technical Information (OSTI.GOV)

Marberry, Hugh; Moore, Winston

2013-07-01

Savannah River Nuclear Solutions has begun using Xplore Tablet PC's to collect data in the field for soil samples, groundwater samples, air samples and round sheets at the Savannah River Site (SRS). EPA guidelines for groundwater sampling are incorporated into the application to ensure the sample technician follows the proper protocol. The sample technician is guided through the process for sampling and round sheet data collection by a series of menus and input boxes. Field measurements and well stabilization information are entered into the tablet for uploading into Environmental Restoration Data Management System (ERDMS). The process helps to eliminate inputmore » errors and provides data integrity. A soil sample technician has the ability to collect information about location of sample, field parameter, describe the soil sample, print bottle labels, and print chain of custody for the sample that they have collected. An air sample technician has the ability to provide flow, pressure, hours of operation, print bottle labels and chain of custody for samples they collect. Round sheets are collected using the information provided in the various procedures. The data are collected and uploaded into ERDMS. The equipment used is weather proof and hardened for the field use. Global Positioning System (GPS) capabilities are integrated into the applications to provide the location where samples were collected and to help sample technicians locate wells that are not visited often. (authors)« less

Technology and the future of medical equipment maintenance.

PubMed

Wear, J O

1999-05-01

Maintenance of medical equipment has been changing rapidly in the past few years. It is changing more rapidly in developed countries, but changes are also occurring in developing countries. Some of the changes may permit improved maintenance on the higher technology equipment in developing countries, since they do not require onsite expertise. Technology has had an increasing impact on the development of medical equipment with the increased use of microprocessors and computers. With miniaturization from space technology and electronic chip design, powerful microprocessors and computers have been built into medical equipment. The improvement in manufacturing technology has increased the quality of parts and therefore the medical equipment. This has resulted in increased mean time between failures and reduced maintenance needs. This has made equipment more reliable in remote areas and developing countries. The built-in computers and advances in software design have brought about self-diagnostics in medical equipment. The technicians now have a strong tool to be used in maintenance. One problem in this area is getting access to the self-diagnostics. Some manufacturers will not readily provide this access to the owner of the equipment. Advances in telecommunications in conjunction with self-diagnostics make available remote diagnosis and repair. Since components can no longer be repaired, a remote repair technician can instruct an operator or an on-site repairman on board replacement. In case of software problems, the remote repair technician may perform the repairs over the telephone. It is possible for the equipment to be monitored remotely by modern without interfering with the operation of the equipment. These changes in technology require the training of biomedical engineering technicians (BMETs) to change. They must have training in computers and telecommunications. Some of this training can be done with telecommunications and computers.

STS-96 crew members in the white room are prepared for entry into Discovery

NASA Technical Reports Server (NTRS)

1999-01-01

STS-96 Mission Specialist Ellen Ochoa chats with white room closeout crew members while being checked out for entry into the orbiter Discovery. At left are Mechanical Technicians Al Schmidt and Chris meinert; at right is Quality Assurance Specialist James Davis and Closeout Chief Travis Thompson. The white room is an environmental chamber at the end of the orbiter access arm that provides entry to the orbiter crew compartment. STS-96 is a 10- day logistics and resupply mission for the International Space Station, carrying about 4,000 pounds of supplies, to be stored aboard the station for use by future crews, including laptop computers, cameras, tools, spare parts, and clothing. The mission also includes such payloads as a Russian crane, the Strela; a U.S.-built crane; the Spacehab Oceaneering Space System Box (SHOSS), a logistics items carrier; and STARSHINE, a student- involved experiment. It will include a space walk to attach the cranes to the outside of the ISS for use in future construction. Space Shuttle Discovery is due to launch today at 6:49 a.m. EDT. Landing is expected at the SLF on June 6 about 1:58 a.m. EDT.

Nuclear Technology. Course 32: Nondestructive Examination (NDE) Techniques II. Module 32-4, Operation of Magnetic Particle Test Equipment.

ERIC Educational Resources Information Center

Groseclose, Richard

This fourth in a series of six modules for a course titled Nondestructive Examination (NDE) Techniques II describes the specific technique variables and options which are available to the test technician, provides instructions for selecting and operating the appropriate test equipment, describes physical criteria for detectable discontinuities,…

Frame-of-reference training for simulation-based intraoperative communication assessment.

PubMed

Gardner, Aimee K; Russo, Michael A; Jabbour, Ibrahim I; Kosemund, Matthew; Scott, Daniel J

2016-09-01

The purpose of this study was to examine the impact of frame-of-reference (FOR) training on assessments of intraoperative communication skills and identify areas of need to inform curricular efforts. Simulation instructors (M.D., Ph.D., Research Fellow, Simulation Technician) underwent a 2-hour FOR training session with the operating room communication instrument. They then independently rated communication skills of 19 PGY1s who participated in a team-based simulation. Residents completed self-assessments via video review of the scenario. Intraclass correlation coefficients were used to examine inter-rater reliability. Relationships between trained raters and resident scores were assessed with Pearson correlation coefficients and paired sample t tests. Inter-reliability after FOR training was .91. The correlation between trained rater scores and resident evaluations was nonsignificant. Residents significantly underestimated their intraoperative communication skills (P < .05). Use of names, closed loop communication, and sharing information with team members demonstrated consistently low ratings among all residents. These findings reveal that a number of individuals can be trained to reliably rate resident intraoperative communication performance and that residents tend to under-rate their communication skills. Copyright © 2016 Elsevier Inc. All rights reserved.

KSC-2012-2669

NASA Image and Video Library

2012-05-03

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians remove the protective shroud from around NASA's Radiation Belt Storm Probe B. Its twin, Radiation Belt Storm Probe A, in the background, has already been uncovered. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2666

NASA Image and Video Library

2012-05-03

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians lower NASA's Radiation Belt Storm Probe B, wrapped in a protective shroud, onto a test stand. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2668

NASA Image and Video Library

2012-05-03

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians remove the protective shroud from around NASA's Radiation Belt Storm Probe B. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2650

NASA Image and Video Library

2012-05-02

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians lift the shipping container from around NASA's Radiation Belt Storm Probe A, wrapped in a protective shroud. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2664

NASA Image and Video Library

2012-05-03

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians lift NASA's Radiation Belt Storm Probe B, wrapped in a protective shroud, from the bottom of its shipping container. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2663

NASA Image and Video Library

2012-05-03

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians prepare to lift NASA's Radiation Belt Storm Probe B, wrapped in a protective shroud, from the bottom of its shipping container. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2652

NASA Image and Video Library

2012-05-02

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians lift NASA's Radiation Belt Storm Probe A, wrapped in a protective shroud, onto a test stand. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2662

NASA Image and Video Library

2012-05-03

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians prepare NASA's Radiation Belt Storm Probe B, wrapped in a protective shroud, to be lifted from the bottom of its shipping container. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2653

NASA Image and Video Library

2012-05-02

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians secure NASA's Radiation Belt Storm Probe A, wrapped in a protective shroud, on a test stand. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2667

NASA Image and Video Library

2012-05-03

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians position NASA's Radiation Belt Storm Probe B, wrapped in a protective shroud, on a test stand. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

KSC-2012-2651

NASA Image and Video Library

2012-05-02

CAPE CANAVERAL, Fla. – In the clean room high bay at the Astrotech payload processing facility near NASA’s Kennedy Space Center in Florida, Applied Physics Laboratory technicians prepare to lift NASA's Radiation Belt Storm Probe A, wrapped in a protective shroud, from the bottom of its shipping container. Prelaunch preparations and spacecraft testing will follow. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP instruments will provide the measurements needed to characterize and quantify the plasma processes that produce very energetic ions and relativistic electrons. The mission is part of NASA’s broader Living With a Star Program that was conceived to explore fundamental processes that operate throughout the solar system, particularly those that generate hazardous space weather effects in the vicinity of Earth and phenomena that could impact solar system exploration. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after launch. Launch aboard a United Launch Alliance Atlas V rocket is scheduled for August 23. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Jim Grossmann

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 3, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 3, FACING NORTH - Cape Canaveral Air Force Station, Launch Complex 39, Launch Control Center, LCC Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 3, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 3, FACING SOUTHEAST - Cape Canaveral Air Force Station, Launch Complex 39, Launch Control Center, LCC Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 3, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 3, FACING EAST - Cape Canaveral Air Force Station, Launch Complex 39, Launch Control Center, LCC Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 4, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

DETAIL VIEW OF OPERATIONS MANAGEMENT ROOM, FIRING ROOM NO. 4, FACING WEST - Cape Canaveral Air Force Station, Launch Complex 39, Launch Control Center, LCC Road, East of Kennedy Parkway North, Cape Canaveral, Brevard County, FL

Air Quality Monitoring of the Post-Operative Recovery Room and Locations Surrounding Operating Theaters in a Medical Center in Taiwan

PubMed Central

Tang, Chin-Sheng; Wan, Gwo-Hwa

2013-01-01

To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers. PMID:23573296

Governing time in operating rooms.

PubMed

Riley, Robin; Manias, Elizabeth

2006-05-01

This paper examines how time is controlled and governed in operating rooms through interpersonal communication between nurses and doctors. Time is a valuable commodity in organizations with improvements often directed towards maximizing efficiencies. As a consequence, time can be a source of tension and interpersonal conflict as individuals compete for control of its use. The data in this paper emanate from an ethnographic study that explored a range of communication practices in operating room nursing. Participants comprised 11 operating room nurses. Data were collected over two years in three different institutional settings and involved participant observation, interviews and the keeping of a personal diary. A deconstructive analysis of the data was undertaken. Results are discussed in terms of the practices, in which clinicians are engaged in, to govern and control their use of time. The four practices presented in this paper include; questioning judgment and timing, controlling speed, estimating surgeons' use of time and coping with different perceptions of time. Time and speed were hotly contested by nurses. They used their personal knowledge of individual surgeon's habits of time to govern and control practice. Nurses thought about surgeons in terms of time and developed commonly accepted understandings about the length of surgical procedures. They used this knowledge to manage the scheduling of operations in the departments and to control the workflow in individual operating rooms. Knowledge of individual surgeons was a source of power for operating room nurses. Nurses have more power in the operating room than might be imagined but they exercise this power in subtle ways. If operating rooms are to work effectively, the operating room team must understand each others' work better.

Raymond Hansen | NREL

Science.gov Websites

Raymond Hansen Photo of Raymond Hansen Raymond Hansen Industrial Research Equipment Technician Pyrolysis Areas of Expertise Industrial equipment fabrication specialist Pilot plant operator/trainer Education Industrial Science Program, Red Rocks Community College, 2006-present Professional Experience

Intersection video detection field handbook : an update.

DOT National Transportation Integrated Search

2010-12-01

This handbook is intended to assist engineers and technicians with the design, layout, and : operation of a video imaging vehicle detection system (VIVDS). This assistance is provided in : three ways. First, the handbook identifies the optimal detect...

Progress in the blood supply of Afghanistan.

PubMed

Riley, William J; McCullough, Terri Konstenius; Rhamani, Ahmad Masoud; McCullough, Jeffrey

2017-07-01

The blood supply system in Afghanistan was badly damaged by years of conflict. In 2009, the Afghanistan National Blood Safety and Transfusion Service (ANBSTS) was established. For 6 years, we collaborated to assist with policy and infrastructure development; blood bank operations; blood collection, testing, and component production; transfusion practices; and training of technicians, nurses, midwives, and physicians. Policies were established, infrastructure was strengthened, and capable staff was acquired and trained. Standard operating procedures were developed, testing was improved, and quality systems were established. Thirty trainings were held for blood center staff. Four additional formal trainings were held for 39 physicians, 36 nurses and/or midwives, and 38 laboratory technicians. During 5 years of this project, blood collection increased by 40%. The ANBSTS has made impressive progress developing infrastructure, personnel, procedures, quality systems, and training programs and increasing blood collection. Knowledge of transfusion medicine was improved through structured training. © 2017 AABB.

Future of operating rooms.

PubMed

Reijnen, Michel M P J; Zeebregts, Clark J; Meijerink, Wilhelmus J H J

2005-01-01

Operating-room design has not changed significantly since the modern era of surgery began. Minimal invasive, endoscopic, procedures, and evolution of technology will affect operating-room design in the near future. Poor ergonomics has always been one of the major drawbacks of endoscopic surgery. Use of retractable arms and monitors will improve ergonomics of the operating team. Developments in telecommunication will allow surgeons to communicate with colleagues and experts during the procedure in virtually any location around the world, which increases teaching possibilities and procedural safety. Introduction and further development of intraoperative imaging, including real-time, three-dimensional (3-D) reconstructions of patient, and computer-aided surgery offer surgeons the opportunity to train the planned surgical procedure. Moreover, they will improve control and supervision of the procedure in learning situations. The last decade's robotics have made their introduction into the operating rooms. They improve control over the operating-room environment and will facilitate the performance of more complex procedures. However, high costs and lack of force feedback remain its major drawbacks. Improvements of robotic techniques and its implementation into the operating rooms will further guide their design into highly specialized operating units.

Nickel release from surgical instruments and operating room equipment.

PubMed

Boyd, Anne H; Hylwa, Sara A

2018-04-15

Background There has been no systematic study assessing nickel release from surgical instruments and equipment used within the operating suite. This equipment represents important potential sources of exposure for nickel-sensitive patients and hospital staff. To investigate nickel release from commonly used surgical instruments and operating room equipment. Using the dimethylglyoxime nickel spot test, a variety of surgical instruments and operating room equipment were tested for nickel release at our institution. Of the 128 surgical instruments tested, only 1 was positive for nickel release. Of the 43 operating room items tested, 19 were positive for nickel release, 7 of which have the potential for direct contact with patients and/or hospital staff. Hospital systems should be aware of surgical instruments and operating room equipment as potential sources of nickel exposure.

Nursing in a technological environment: nursing care in the operating room.

PubMed

Bull, Rosalind; FitzGerald, Mary

2006-02-01

Operating room nurses continue to draw criticism regarding the appropriateness of a nursing presence in the operating room. The technological focus of the theatre and the ways in which nurses in the theatre have shaped and reshaped their practice in response to technological change have caused people within and outside the nursing profession to question whether operating room nursing is a technological rather than nursing undertaking. This paper reports findings from an ethnographic study that was conducted in an Australian operating department. The study examined the contribution of nurses to the work of the operating room through intensive observation and ethnographic interviews. This paper uses selected findings from the study to explore the ways in which nurses in theatre interpret their role in terms of caring in a technological environment.

KSC-02pd1171

NASA Image and Video Library

2002-08-13

KENNEDY SPACE CENTER, FLA. -- A crane operator (center) talks with technicians (right) standing next to one of the jacking, equalization and leveling (JEL) cylinders from Crawler-Transporter No. 2. During inspections, technicians removed two of the 16 JEL cylinders on the vehicle to gain access to the bearings for routine maintenance and found three of the four bearings had cracks. Of the three bearings, two had extensive damage. Further eddy current inspections indicate that cracks are present on 15 of the bearings. There are 16 cylinders and 32 bearings per crawler. Although no cause for the cracks is known at this time, engineers are currently evaluating the situation to determine the most appropriate solution.

Assessment of operative times of multiple surgical specialties in a public university hospital

PubMed Central

Costa, Altair da Silva

2017-01-01

ABSTRACT Objective To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays. PMID:28767919

The risk for syncope and presyncope during surgery in surgeons and nurses.

PubMed

Rudnicki, Jerzy; Zyśko, Dorota; Gajek, Jacek; Kuliczkowski, Wiktor; Rosińczuk-Tonderys, Joanna; Zielińska, Dominika; Terpiłowski, Łukasz; Agrawal, Anil Kumar

2011-11-01

Surgeons and nurses are exposed to orthostatic stress. To assess the lifetime incidence of syncopal and presyncopal events during surgery in operation room staff and reveal the predicting factors. The study included 317 subjects (161 F, 156 M) aged 43.9 ± 9.6; 216 surgeons and 101 instrumenters. The study included filling of an anonymous questionnaire on the syncope and presyncope history. At least one syncopal event during operation was reported by 4.7% and presyncope by 14.8% of the studied population. All but one subject reported prodromal symptoms before syncope. In the medical history, syncope outside the operating room was reported by 11% of the studied group. Syncope and presyncope during operation was related to syncope in the medical history outside the operation room, respectively: odds ratio (OR) 20.2 95% confidence interval (CI): 2.0-70.5 and OR 10.8; CI: 5.0-23.4 and to presyncope in the medical history, respectively: OR 23.5; CI: 7.4-74.4 OR 8.9; CI: 3.6-11.2 (P < 0.001). (1) Syncope and presyncope may occur during surgery in the staff of the operating room. (2) Syncope in the operating room is usually preceded by prodromal symptoms and has vasovagal origin. (3) Both lower then expected occurrence of syncope in the operating room staff and absence of any difference between genders in this regard indicate preselection in the process of choosing profession and specialization. (4) Syncope and presyncope outside the operating room in medical history increases the risk of syncope and presyncope inside the operation room.

KSC-99pp1272

NASA Image and Video Library

1999-11-01

Two of KSC's X-34 technicians (far right), David Rowell and Roger Cartier, look at work being done on the modified A-1A at Dryden Flight Research Center, Calif. Since September, eight NASA engineering technicians from KSC's Engineering Prototype Lab have assisted Orbital Sciences Corporation and NASA's Dryden Flight Research Center in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Mike Dininny, Mike Lane, Jerry Moscoso, James Niehoff Jr. and Bryan Taylor. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air-launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala

KSC-99pp1275

NASA Image and Video Library

1999-11-01

At Dryden Flight Research Center, Calif., KSC technician Bryan Taylor makes an adjustment on the modified X-34, known as A-1A. Taylor is one of eight NASA engineering technicians from KSC's Engineering Prototype Lab who have assisted Orbital Sciences Corporation and Dryden in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Roger Cartier, Mike Dininny, Mike Lane, Jerry Moscoso, James Niehoff Jr. and David Rowell. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air-launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala

KSC-99pp1274

NASA Image and Video Library

1999-11-01

At Dryden Flight Research Center, Calif., KSC technician James Niehoff Jr. (left) helps attach the wing of the modified X-34, known as A-1A. Niehoff is one of eight NASA engineering technicians from KSC's Engineering Prototype Lab who have assisted Orbital Sciences Corporation and Dryden in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Roger Cartier, Mike Dininny, Mike Lane, Jerry Moscoso, David Rowell and Bryan Taylor. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air-launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala

KSC technicians on team to modify X-34

NASA Technical Reports Server (NTRS)

1999-01-01

The modified X-34, known as A-1A, rests in the background of the Dryden Flight Research Center at Edwards Air Force Base, Calif., while an integrated team of KSC, Dryden Flight Research Center and Orbital Sciences Corporation engineers and technicians bring the X-34 A-1A vehicle closer to test flight readiness. Since September, eight NASA engineering technicians from KSC's Engineering Prototype Lab have assisted in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air- launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala.

[Operating room during natural disaster: lessons from the 2011 Tohoku earthquake].

PubMed

Fukuda, Ikuo; Hashimoto, Hiroshi; Suzuki, Yasuyuki; Satomi, Susumu; Unno, Michiaki; Ohuchi, Noriaki; Nakaji, Shigeyuki

2012-03-01

Objective of this study is to clarify damages in operating rooms after the 2011 Tohoku Earthquake. To survey structural and non-structural damage in operating theaters, we sent questionnaires to 155 acute care hospitals in Tohoku area. Questionnaires were sent back from 105 hospitals (70.3%). Total of 280 patients were undergoing any kinds of operations during the earthquake and severe seismic tremor greater than JMA Seismic Intensity 6 hit 49 hospitals. Operating room staffs experienced life-threatening tremor in 41 hospitals. Blackout occurred but emergency electronic supply unit worked immediately in 81 out of 90 hospitals. However, emergency power plant did not work in 9 hospitals. During earthquake some materials fell from shelves in 44 hospitals and medical instruments fell down in 14 hospitals. In 5 hospitals, they experienced collapse of operating room wall or ceiling causing inability to maintain sterile operative field. Damage in electric power and water supply plus damage in logistics made many operating rooms difficult to perform routine surgery for several days. The 2011 Tohoku earthquake affected medical supply in wide area of Tohoku district and induced dysfunction of operating room. Supply-chain management of medical goods should be reconsidered to prepare severe natural disaster.

Detection of pinworm eggs in the dust of laboratory animals breeding facility, in the cages and on the hands of the technicians.

PubMed

Lytvynets, A; Langrova, I; Lachout, J; Vadlejch, J

2013-01-01

Pinworms (Nematoda: Oxyurida) are common contaminants in most laboratory rodent colonies. The aim of the study was to monitor the transmission of Syphacia muris eggs in laboratory rat breeding facilities. Dust in a breeding room was investigated using special grids (free fallout, or through the help suction chamber). Furthermore, the ventilation system, breeding cages and the hands of the laboratory technical staff were examined. In the case of free fallout, the percentage of positive grids increased slightly over time: from 5.5% (after 24 h) to 8.2% (72 h). Similar values were also found when using the suction chamber (7.6%). Many more pinworm eggs were found in samples collected every second month from suction holes of the ventilation system (28.7%). One-half of the samples taken from the breeding cages (before washing) exhibited pinworm eggs (50.8%). Examination of the hands of technical staff showed positive detection in 37.9% of cases. In this study, certain transmission factors (dust, unclean cages and technicians) were proved to be significant in the distribution of pinworm infection in laboratory rodent facilities.

STS-98 payload U.S. Lab Destiny is moved into Atlantis' payload bay

NASA Technical Reports Server (NTRS)

2001-01-01

KENNEDY SPACE CENTER, Fla. -- Technicians in the Payload Changeout Room oversee the transfer of the U.S. Lab Destiny to the orbiter'''s payload bay. The PCR is the enclosed, environmentally controlled portion of the rotating service structure that supports payload delivery at the launch pad and vertical installation in the orbiter payload bay. Destiny, a key element in the construction of the International Space Station is designed for space science experiments and already has five system racks installed inside. STS-98 is the seventh construction flight to the ISS. Launch of STS-98 is scheduled for Jan. 19 at 2:11 a.m. EST.

KSC-00pp1371

NASA Image and Video Library

2000-09-15

STS-92 Mission Specialist Koichi Wakata of Japan (center) gets help from United Space Alliance Mechanical Technician Vinny Difranzo (left) and NASA Quality Assurance Specialist Danny Wyatt (right) in suiting up in the White Room. Wakata and other crew members are taking part in a simulated countdown KSC for Terminal Countdown Demonstration Test (TCDT) activities. STS-92 is scheduled to launch Oct. 5 at 9:38 p.m. EDT on the fifth flight to the International Space Station. It will carry two elements of the Space Station, the Integrated Truss Structure Z1 and the third Pressurized Mating Adapter. The mission is also the 100th flight in the Shuttle program

KSC00pp1371

NASA Image and Video Library

2000-09-15

STS-92 Mission Specialist Koichi Wakata of Japan (center) gets help from United Space Alliance Mechanical Technician Vinny Difranzo (left) and NASA Quality Assurance Specialist Danny Wyatt (right) in suiting up in the White Room. Wakata and other crew members are taking part in a simulated countdown KSC for Terminal Countdown Demonstration Test (TCDT) activities. STS-92 is scheduled to launch Oct. 5 at 9:38 p.m. EDT on the fifth flight to the International Space Station. It will carry two elements of the Space Station, the Integrated Truss Structure Z1 and the third Pressurized Mating Adapter. The mission is also the 100th flight in the Shuttle program

KSC-97PC1704

NASA Image and Video Library

1997-11-19

STS-87 Payload Specialist Leonid Kadenyuk of the National Space Agency of Ukraine is assisted with final preparations before launch in the white room at Launch Pad 39B by Danny Wyatt, NASA quality assurance specialist, at left; George Schram, USA mechanical technician, facing Kadenyuk; and Travis Thompson, USA orbiter vehicle closeout chief, at right. STS-87 is the fourth flight of the United States Microgravity Payload and Spartan-201. The 16-day mission will include the Collaborative Ukrainian Experiment (CUE), a collection of 10 plant space biology experiments that will fly in Columbia’s middeck and will feature an educational component that involves evaluating the effects of microgravity on Brassica rapa seedlings

KSC-00pp1278

NASA Image and Video Library

2000-09-08

STS-106 Pilot Scott D. Altman is helped with his launch and entry suit by suit technicians in the White Room before entering Space Shuttle Atlantis. The perfect on-time liftoff of Atlantis on mission STS-106 occurred at 8:45:47 a.m. EDT. On the 11-day mission to the International Space Station, the seven-member crew will perform support tasks on orbit, transfer supplies and prepare the living quarters in the newly arrived Zvezda Service Module. The first long-duration crew, dubbed “Expedition One,” is due to arrive at the Station in late fall. Landing of Atlantis is targeted for 4:45 a.m. EDT on Sept. 19

The Infrastructure of Academic Research.

ERIC Educational Resources Information Center

Davey, Ken

1996-01-01

Canadian university infrastructures have eroded as seen in aging equipment, deteriorating facilities, and fewer skilled personnel to maintain and operate research equipment. Research infrastructure includes administrative overhead, facilities and equipment, and research personnel including faculty, technicians, and students. The biggest erosion of…

Automatic Refraction: How It Is Done: Some Clinical Results

ERIC Educational Resources Information Center

Safir, Aran; And Others

1973-01-01

Compaired are methods of determining visual refraction needs of young children or other unreliable observers by means of retinosocopy or the Opthalmetron, an automatic instrument which can be operated by a technician with no knowledge of refraction. (DB)

APPLICATION OF INFORMATION AND COMMUNICATION TECHNOLOGIES IN MEDICAL EDUCATION

PubMed Central

Al-Tamimi, Dalal M.

2003-01-01

The recognition that information and communication technologies should play an increasingly important role in medical education is a key to educating physicians in the 21st century. Computer use in medical education includes, Internet hypermedia/multimedia technologies, medical informatics, distance learning and telemedicine. Adaptation to the use of these technologies should ideally start from the elementary school level. Medical schools must introduce medical informatics courses very early in the medical curriculum. Teachers will need regular CME courses to prepare and update themselves with the changing circumstances. Our infrastructure must be prepared for the new developments with computer labs, basic skill labs, close circuit television facilities, virtual class rooms, smart class rooms, simulated teaching facilities, and distance teaching by tele-techniques. Our existing manpower including, doctors, nurses, technicians, librarians, and administration personal require hands-on training, while new recruitment will have to emphasize compulsory knowledge of and familiarity with information technology. This paper highlights these subjects in detail as a means to prepare us to meet the challenges of the 21st century. PMID:23011983

TeamSTEPPS Improves Operating Room Efficiency and Patient Safety.

PubMed

Weld, Lancaster R; Stringer, Matthew T; Ebertowski, James S; Baumgartner, Timothy S; Kasprenski, Matthew C; Kelley, Jeremy C; Cho, Doug S; Tieva, Erwin A; Novak, Thomas E

2016-09-01

The objective was to evaluate the effect of TeamSTEPPS on operating room efficiency and patient safety. TeamSTEPPS consisted of briefings attended by all health care personnel assigned to the specific operating room to discuss issues unique to each case scheduled for that day. The operative times, on-time start rates, and turnover times of all cases performed by the urology service during the initial year with TeamSTEPPS were compared to the prior year. Patient safety issues identified during postoperative briefings were analyzed. The mean case time was 12.7 minutes less with TeamSTEPPS (P < .001). The on-time first-start rate improved by 21% with TeamSTEPPS (P < .001). The mean room turnover time did not change. Patient safety issues declined from an initial rate of 16% to 6% at midyear and remained stable (P < 0.001). TeamSTEPPS was associated with improved operating room efficiency and diminished patient safety issues in the operating room. © The Author(s) 2015.

Perceptions of Recent Graduates of the Adequacy of Anesthesia Training Programs.

ERIC Educational Resources Information Center

Spielman, Fred J.; Bowe, Edwin A.

1983-01-01

A survey examined physician attitudes toward operating room, nonoperating room, and nonpatient care responsibilities in their residencies. Training for operating room responsibilities was deemed adequate by most, and nonoperating room training inadequate. Recommendations include: hospital cooperation, more effective sessions, and supplementary…

Biosafety perspective of clinical laboratory workers: a profile of Pakistan.

PubMed

Nasim, Sadia; Shahid, Anjum; Mustufa, Muhammad Ayaz; Arain, Ghazala Mohyuddin; Ali, Ghazanfer; Taseer, Ijaz-ul-Haque; Talreja, Kanaya Lal; Firdous, Rukhsana; Iqbal, Rizwan; Siddique, Shameem Ahmed; Naz, Saima; Akhter, Tasleem

2012-08-21

Biosafety during lab work is an important concern in developing countries. Some critical issues concerning biosafety are lack of training, exceeding workload, working too fast, deciding not to follow safe practices, and skepticism about biohazards. This study aimed to determine biosafety perception and practices of laboratory technicians during routine work in clinical laboratories of Pakistan. A total of 1,782 laboratory technicians were interviewed from major public sector hospitals and a few private hospital laboratories throughout Pakistan. A total of 1,647 (92.4%) males and 135 (7.6%) females participated in the study, with over half (59.7%) having more than five years of work experience. Results showed that 28.4% of the laboratory technicians from Punjab, 35.7% from Sindh, 32% from Balochistan and 38.4% from Khyber Pakhtoon Khawa (KPK) did not use any personal protective equipment. Almost 46% of the respondents (34.2% from Punjab, 61.9% from Sindh, 25.2% from Balochistan and 85% from KPK) said they reused syringes either occasionally or regularly. Furthermore, 30.7% of the respondents said they discard used syringes directly into municipal dustbins. The majority (66.7%) claimed there are no separate bins for sharps, so they throw these in municipal dustbins. Mouth pipetting was reported by 28.3% technicians. Standard operating procedures were not available in 67.2% labs, and accident records were not maintained in 83.4%. No formal biosafety training had been provided to 84.2% of the respondents. Laboratory technicians in Pakistan lack awareness of good laboratory practices and biosafety measures, and also face a lack of resources.

Human Factors Guidance for Control Room and Digital Human-System Interface Design and Modification, Guidelines for Planning, Specification, Design, Licensing, Implementation, Training, Operation and Maintenance

DOE Office of Scientific and Technical Information (OSTI.GOV)

R. Fink, D. Hill, J. O'Hara

2004-11-30

Nuclear plant operators face a significant challenge designing and modifying control rooms. This report provides guidance on planning, designing, implementing and operating modernized control rooms and digital human-system interfaces.

Operating Room Technology. Post Secondary Curriculum Guide.

ERIC Educational Resources Information Center

Simpson, Bruce; And Others

This curriculum guide was designed for use in postsecondary operating room technology education programs in Georgia. Its purpose is to provide for development of entry level skills in operating room technology in the areas of knowledge, theoretical structure, tool usage, diagnostic ability, related supportive skills, and occupational survival…

[Fire in the operating room].

PubMed

Koljonen, Virve; Mäkisalo, Heikki

2013-01-01

This article reviews the recent literature on operating room fires. Most of the reported cases have occurred from a spark from an ignition source in an oxygen-enriched atmosphere. Fire requires the presence of three components which all are ample in the operating room: heat, flammable materials or flammable gases.

42 CFR 438.2 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., and certified nurse midwife), licensed certified social worker, registered respiratory therapist, and certified respiratory therapy technician. Health insuring organization (HIO) means a county operated entity... furnishes them. Primary care case management means a system under which a PCCM contracts with the State to...

42 CFR 438.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., and certified nurse midwife), licensed certified social worker, registered respiratory therapist, and certified respiratory therapy technician. Health insuring organization (HIO) means a county operated entity... furnishes them. Primary care case management means a system under which a PCCM contracts with the State to...

42 CFR 438.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., and certified nurse midwife), licensed certified social worker, registered respiratory therapist, and certified respiratory therapy technician. Health insuring organization (HIO) means a county operated entity... furnishes them. Primary care case management means a system under which a PCCM contracts with the State to...

42 CFR 438.2 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., and certified nurse midwife), licensed certified social worker, registered respiratory therapist, and certified respiratory therapy technician. Health insuring organization (HIO) means a county operated entity... furnishes them. Primary care case management means a system under which a PCCM contracts with the State to...

Development and Evaluation of Vocational Competency Measures. Final Report.

ERIC Educational Resources Information Center

Chalupsky, Albert B.; And Others

A series of occupational competency tests representing all seven vocational education curriculum areas were developed, field tested, and validated. Seventeen occupations were selected for competency test development: agricultural chemicals applications technician, farm equipment mechanic, computer operator, word processing specialist, apparel…

29 CFR 505.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... for Occupational Safety and Health, U.S. Department of Labor, or authorized representative, to whom is assigned the performance of functions of the Secretary pertaining to safety and health under the National..., scenery designers, technicians, electricians and moving picture machine operators, as distinguished from...

29 CFR 505.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... for Occupational Safety and Health, U.S. Department of Labor, or authorized representative, to whom is assigned the performance of functions of the Secretary pertaining to safety and health under the National..., scenery designers, technicians, electricians and moving picture machine operators, as distinguished from...

Pharmacy technician involvement in community pharmacy medication therapy management.

PubMed

Lengel, Matthew; Kuhn, Catherine H; Worley, Marcia; Wehr, Allison M; McAuley, James W

To assess the impact of technician involvement on the completion of medication therapy management (MTM) services in a community pharmacy setting and to describe pharmacists' and technicians' perceptions of technician involvement in MTM-related tasks and their satisfaction with the technician's role in MTM. Prospective observational study. In the fall of 2015, pharmacists and selected technicians from 32 grocery store-based community pharmacies were trained to use technicians within MTM services. Completed MTM claims were evaluated at all pharmacies for 3 months before training and 3 months after training. An electronic survey, developed with the use of competencies taught in the training and relevant published literature, was distributed via e-mail to trained employees 3 months after training. The total number of completed MTM claims at the 32 pharmacy sites was higher during the posttraining time period (2687 claims) versus the pretraining period (1735 claims). Of the 182 trained participants, 112 (61.5%) completed the survey. Overall, perceived technician involvement was lower than expected. However, identifying MTM opportunities was the most commonly reported technician MTM task, with 62.5% of technicians and 47.2% of pharmacists reporting technician involvement. Nearly one-half of technicians (42.5%) and pharmacists (44.0%) agreed or strongly agreed they were satisfied with the technician's role in MTM services, and 40.0% of technicians agreed that they were more satisfied with their work in the pharmacy after involvement in MTM. Three months after initial training of technicians in MTM, participation of technicians was lower than expected. However, the technicians involved most often reported identifying MTM opportunities for pharmacists, which may be a focus for future technician trainings. In addition, technician involvement in MTM services may increase satisfaction with many aspects of work for actively involved technicians. Copyright © 2018 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

The costs and quality of operative training for residents in tympanoplasty type I.

PubMed

Wang, Mao-Che; Yu, Eric Chen-Hua; Shiao, An-Suey; Liao, Wen-Huei; Liu, Chia-Yu

2009-05-01

A teaching hospital would incur more operation room costs on training surgical residents. To evaluate the increased operation time and the increased operation room costs of operations performed by surgical residents. As a model we used a very common surgical otology procedure -- tympanoplasty type I. From January 1, 2004 to December 31, 2004, we included in this study 100 patients who received tympanoplasty type I in Taipei Veterans General Hospital. Fifty-six procedures were performed by a single board-certified surgeon and 44 procedures were performed by residents. We analyzed the operation time and surgical outcomes in these two groups of patients. The operation room cost per minute was obtained by dividing the total operation room expenses by total operation time in the year 2004. The average operation time of residents was 116.47 min, which was significantly longer (p<0.0001) than that of the board-certified surgeon (average 81.07 min). It cost USD $40.36 more for each operation performed by residents in terms of operation room costs. The surgical success rate of residents was 81.82%, which was significantly lower (p=0.016) than that of the board-certified surgeon (96.43%).

Alcohol based surgical prep solution and the risk of fire in the operating room: a case report

PubMed Central

Batra, Sumit; Gupta, Rajiv

2008-01-01

A few cases of fire in the operating room are reported in the literature. The factors that may initiate these fires are many and include alcohol based surgical prep solutions, electrosurgical equipment, flammable drapes etc. We are reporting a case of fire in the operating room while operating on a patient with burst fracture C6 vertebra with quadriplegia. The cause of the fire was due to incomplete drying of the covering drapes with an alcohol based surgical prep solution. This paper discusses potential preventive measures to minimize the incidence of fire in the operating room. PMID:18439304

Let’s Explore Health Services Delivery with Rams or A Vision for an Air Force Medical Home Concept of Operations

DTIC Science & Technology

2013-07-01

operational medical technicians, occupational health nurses, and physician assistants ) to effectively and efficiently provide occupational and operational...team and a provider/medical assistant triad. 8 A provider assigned to a squadron medical element only contributes 0.5 FTEs. 21 Distribution A...up appointments although medical assistants often perform that function during the post-visit. The front desk staff also makes confirmation calls to

Bar-Chart-Monitor System For Wind Tunnels

NASA Technical Reports Server (NTRS)

Jung, Oscar

1993-01-01

Real-time monitor system provides bar-chart displays of significant operating parameters developed for National Full-Scale Aerodynamic Complex at Ames Research Center. Designed to gather and process sensory data on operating conditions of wind tunnels and models, and displays data for test engineers and technicians concerned with safety and validation of operating conditions. Bar-chart video monitor displays data in as many as 50 channels at maximum update rate of 2 Hz in format facilitating quick interpretation.

Wearing long sleeves while prepping a patient in the operating room decreases airborne contaminants.

PubMed

Markel, Troy A; Gormley, Thomas; Greeley, Damon; Ostojic, John; Wagner, Jennifer

2018-04-01

The use of long sleeves by nonscrubbed personnel in the operating room has been called into question. We hypothesized that wearing long sleeves and gloves, compared with having bare arms without gloves, while applying the skin preparation solution would decrease particulate and microbial contamination. A mock patient skin prep was performed in 3 different operating rooms. A long-sleeved gown and gloves, or bare arms, were used to perform the procedure. Particle counters were used to assess airborne particulate contamination, and active and passive microbial assessment was achieved through air samplers and settle plate analysis. Data were compared with Student's t-test or Mann-Whitney U, and P < .05 was considered to be significant. Operating room B demonstrated decreased 5.0- µm particle sizes with the use of sleeves, while operating rooms A and C showed decreased total microbes only with the use of sleeves. Despite there being no difference in the average number of total microbes for all operating rooms assessed, the use of sleeves specifically appeared to decrease the shed of Micrococcus. The use of long sleeves and gloves while applying the skin preparation solution decreased particulate and microbial shedding in several of the operating rooms tested. Although long sleeves may not be necessary for all operating room personnel, they may decrease airborne contamination while the skin prep is applied, which may lead to decreased surgical site infections. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Operator's Manual, Boiler Room Operations and Maintenance. Supplement A, Air Pollution Training Institute Self-Instructional Course SI-466.

ERIC Educational Resources Information Center

Environmental Protection Agency, Research Triangle Park, NC. Air Pollution Training Inst.

This Operator's Manual is a supplement to a self-instructional course prepared for the United States Environmental Protection Agency. This publication is the Boiler Room Handbook for operating and maintaining the boiler and the boiler room. As the student completes this handbook, he is putting together a manual for running his own boiler. The…

Prospective Evaluation of Operating Room Inefficiency.

PubMed

Madni, Tarik D; Imran, Jonathan B; Clark, Audra T; Cunningham, Holly B; Taveras, Luis; Arnoldo, Brett D; Phelan, Herb A; Wolf, Steven E

2018-04-06

Previously, we identified that 60% of our facility's total operative time is nonoperative. We performed a review of our operating room to determine where inefficiencies exist in nonoperative time. Live video of operations performed in a burn operating room from 6/23/17 to 8/16/17 were prospectively reviewed. Preparation (end of induction to procedure start) and turnover (patient out of room to next patient in room) were divided into the following activities: 1) Preparation: remove dressing, position patient, clean patient, drape patient, and 2) Turnover: clean operating room, scrub tray set-up, anesthesia set-up. Ideal preparation time was calculated as the sum of time needed to perform preparation activities consecutively. Ideal turnover time was calculated as the sum of time needed to clean the operating room and to set up either the scrub tray or anesthesia (the larger of the two times as these can be done in parallel). We reviewed 101 consecutive operations. An average of 2.4±0.8 cases/day were performed. Ideal preparation and turnover time were 16.6 and 30.1 minutes, a 38.3% and 32.5% reduction compared to actual times. Attending surgeon presence in the operating room within 10 minutes of a patient's arrival was found to significantly decrease time to incision by 33% (52.7±14.3 minutes down to 35.7±20.4, p<0.0001). A reduction in preparation and turnover time could save $1.02 million and generate $1.76 million in additional revenue annually. Reducing preparation and turnover to ideal times could increase caseload to 4/day, leading to millions of dollars of savings annually.

Student Registered Nurse Anesthetists' Atittudes toward and Perceptions of Teamwork in the Operating Room

ERIC Educational Resources Information Center

Heiner, Jeremy S.

2013-01-01

Student registered nurse anesthetists are an important part of an operating room team, yet little research has investigated how they perceive teamwork or approach team related issues specific to the operating room. This mixed methods study evaluated junior and senior student registered nurse anesthetists' attitudes toward and perceptions of…

21 CFR 878.5070 - Air-handling apparatus for a surgical operating room.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Air-handling apparatus for a surgical operating room. 878.5070 Section 878.5070 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND....5070 Air-handling apparatus for a surgical operating room. (a) Identification. Air-handling apparatus...

21 CFR 878.5070 - Air-handling apparatus for a surgical operating room.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Air-handling apparatus for a surgical operating room. 878.5070 Section 878.5070 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND....5070 Air-handling apparatus for a surgical operating room. (a) Identification. Air-handling apparatus...

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

PubMed

Rogers, David A; Lingard, Lorelei; Boehler, Margaret L; Espin, Sherry; Schindler, Nancy; Klingensmith, Mary; Mellinger, John D

2013-09-01

Prior research has shown that surgeons who effectively manage operating room conflict engage in a problem-solving stage devoted to modifying systems that contribute to team conflict. The purpose of this study was to clarify how systems contributed to operating room team conflict and clarify what surgeons do to modify them. Focus groups of circulating nurses and surgeons were conducted at 5 academic medical centers. Narratives describing the contributions of systems to operating room conflict and behaviors used by surgeons to address those systems were analyzed using the constant comparative approach associated with a constructivist grounded theory approach. Operating room team conflict was affected by 4 systems-related factors: team features, procedural-specific staff training, equipment management systems, and the administrative leadership itself. Effective systems problem solving included advocating for change based on patient safety concerns. The results of this study provide clarity about how systems contribute to operating room conflict and what surgeons can do to effectively modify these systems. This information is foundational material for a conflict management educational program for surgeons. Copyright © 2013 Elsevier Inc. All rights reserved.

Room temperature single-photon detectors for high bit rate quantum key distribution

DOE Office of Scientific and Technical Information (OSTI.GOV)

Comandar, L. C.; Patel, K. A.; Engineering Department, Cambridge University, 9 J J Thomson Ave., Cambridge CB3 0FA

We report room temperature operation of telecom wavelength single-photon detectors for high bit rate quantum key distribution (QKD). Room temperature operation is achieved using InGaAs avalanche photodiodes integrated with electronics based on the self-differencing technique that increases avalanche discrimination sensitivity. Despite using room temperature detectors, we demonstrate QKD with record secure bit rates over a range of fiber lengths (e.g., 1.26 Mbit/s over 50 km). Furthermore, our results indicate that operating the detectors at room temperature increases the secure bit rate for short distances.

Operating room metrics score card-creating a prototype for individualized feedback.

PubMed

Gabriel, Rodney A; Gimlich, Robert; Ehrenfeld, Jesse M; Urman, Richard D

2014-11-01

The balance between reducing costs and inefficiencies with that of patient safety is a challenging problem faced in the operating room suite. An ongoing challenge is the creation of effective strategies that reduce these inefficiencies and provide real-time personalized metrics and electronic feedback to anesthesia practitioners. We created a sample report card structure, utilizing existing informatics systems. This system allows to gather and analyze operating room metrics for each anesthesia provider and offer personalized feedback. To accomplish this task, we identified key metrics that represented time and quality parameters. We collected these data for individual anesthesiologists and compared performance to the overall group average. Data were presented as an electronic score card and made available to individual clinicians on a real-time basis in an effort to provide effective feedback. These metrics included number of cancelled cases, average turnover time, average time to operating room ready and patient in room, number of delayed first case starts, average induction time, average extubation time, average time to recovery room arrival to discharge, performance feedback from other providers, compliance to various protocols, and total anesthetic costs. The concept we propose can easily be generalized to a variety of operating room settings, types of facilities and OR health care professionals. Such a scorecard can be created using content that is important for operating room efficiency, research, and practice improvement for anesthesia providers.

Noise in the operating rooms of Greek hospitals.

PubMed

Tsiou, Chrisoula; Efthymiatos, Gerasimos; Katostaras, Theophanis

2008-02-01

This study is an evaluation of the problem of noise pollution in operating rooms. The high sound pressure level of noise in the operating theatre has a negative impact on communication between operating room personnel. The research took place at nine Greek public hospitals with more than 400 beds. The objective evaluation consisted of sound pressure level measurements in terms of L(eq), as well as peak sound pressure levels in recordings during 43 surgeries in order to identify sources of noise. The subjective evaluation consisted of a questionnaire answered by 684 operating room personnel. The views of operating room personnel were studied using Pearson's X(2) Test and Fisher's Exact Test (SPSS Version 10.00), a t-test comparison was made of mean sound pressure levels, and the relationship of measurement duration and sound pressure level was examined using linear regression analysis (SPSS Version 13.00). The sound pressure levels of noise per operation and the sources of noise varied. The maximum measured level of noise during the main procedure of an operation was measured at L(eq)=71.9 dB(A), L(1)=84.7 dB(A), L(10)=76.2 dB(A), and L(99)=56.7 dB(A). The hospital building, machinery, tools, and people in the operating room were the main noise factors. In order to eliminate excess noise in the operating room it may be necessary to adopt a multidisciplinary approach. An improvement in environment (background noise levels), the implementation of effective standards, and the focusing of the surgical team on noise matters are considered necessary changes.

10 CFR 36.67 - Entering and leaving the radiation room.

Code of Federal Regulations, 2011 CFR

2011-01-01

... radiation room of a panoramic irradiator after an irradiation, the irradiator operator shall use a survey... irradiation, the irradiator operator shall: (1) Visually inspect the entire radiation room to verify that no...

10 CFR 36.67 - Entering and leaving the radiation room.

Code of Federal Regulations, 2010 CFR

2010-01-01

... radiation room of a panoramic irradiator after an irradiation, the irradiator operator shall use a survey... irradiation, the irradiator operator shall: (1) Visually inspect the entire radiation room to verify that no...

10 CFR 36.67 - Entering and leaving the radiation room.

Code of Federal Regulations, 2014 CFR

2014-01-01

... radiation room of a panoramic irradiator after an irradiation, the irradiator operator shall use a survey... irradiation, the irradiator operator shall: (1) Visually inspect the entire radiation room to verify that no...

10 CFR 36.67 - Entering and leaving the radiation room.

Code of Federal Regulations, 2012 CFR

2012-01-01

... radiation room of a panoramic irradiator after an irradiation, the irradiator operator shall use a survey... irradiation, the irradiator operator shall: (1) Visually inspect the entire radiation room to verify that no...

10 CFR 36.67 - Entering and leaving the radiation room.

Code of Federal Regulations, 2013 CFR

2013-01-01

... radiation room of a panoramic irradiator after an irradiation, the irradiator operator shall use a survey... irradiation, the irradiator operator shall: (1) Visually inspect the entire radiation room to verify that no...

Maximising safety in the boiler house.

PubMed

Derry, Carr

2013-03-01

Last month's HEJ featured an article, the second in our new series of guidance pieces aimed principally at Technician-level engineers, highlighting some of the key steps that boiler operators can take to maximise system performance and efficiency, and thus reduce running both costs and carbon footprint. In the third such article, Derry Carr, C.Env, I.Eng, BSc (Hons), M.I.Plant.E., M.S.O.E., technical manager & group gas manager at Dalkia, who is vice-chairman of the Combustion Engineering Association, examines the key regulatory and safety obligations for hospital energy managers and boiler technicians, a number of which have seen changes in recent years with revision to guidance and other documentation.

Uneasiness among laboratory technicians.

PubMed

Arluke, A

1999-01-01

Four aspects of animal experimentation cause uneasiness among many animal laboratory technicians. First, if technicians form strong attachments to lab animals, they feel conflict between their nurturing and the experimental manipulations they perform. Most technicians learn to curtail these attachments. Second, the "sacrifice" of lab animals becomes routinized and stripped of special meaning for many technicians, making killing uncomfortably rote. Third, technicians sometimes encounter outsiders who are critical of animal experimentation and ridicule the technicians for doing this work. Most technicians avoid telling outsiders about their work or take an educational approach to deal with these awkward encounters. Finally, most technicians report some ethical uneasiness about certain types of experiments and their clinical value, as well as about the use of certain animals, and they feel they cannot turn to investigators or fellow technicians to pursue such issues.

Electromechanical Technology. Florida Vocational Program Guide.

ERIC Educational Resources Information Center

University of South Florida, Tampa. Dept. of Adult and Vocational Education.

This vocational program guide is intended to assist in the organization, operation, and evaluation of a program in electromechanical technology in school districts, area vocational centers, and community colleges. The following topics are covered: job duties of electromechanical technicians; program content (curriculum framework and student…

14 CFR 147.37 - Maintenance of facilities, equipment, and material.

Code of Federal Regulations, 2011 CFR

2011-01-01

... material. 147.37 Section 147.37 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.37 Maintenance of facilities, equipment, and material. (a) Each certificated aviation...

14 CFR 147.37 - Maintenance of facilities, equipment, and material.

Code of Federal Regulations, 2012 CFR

2012-01-01

... material. 147.37 Section 147.37 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.37 Maintenance of facilities, equipment, and material. (a) Each certificated aviation...

14 CFR 147.37 - Maintenance of facilities, equipment, and material.

Code of Federal Regulations, 2014 CFR

2014-01-01

... material. 147.37 Section 147.37 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.37 Maintenance of facilities, equipment, and material. (a) Each certificated aviation...

14 CFR 147.37 - Maintenance of facilities, equipment, and material.

Code of Federal Regulations, 2013 CFR

2013-01-01

... material. 147.37 Section 147.37 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.37 Maintenance of facilities, equipment, and material. (a) Each certificated aviation...

Radiation protection measures: Implications on the design of neurosurgery operating rooms.

PubMed

Delgado-López, Pedro David; Sánchez-Jiménez, Javier; Herrero-Gutiérrez, Ana Isabel; Inclán-Cuesta, María Teresa; Corrales-García, Eva María; Martín-Alonso, Javier; Galacho-Harriero, Ana María; Rodríguez-Salazar, Antonio

To describe pros and cons of some radiation protection measures and the implications on the design of a neurosurgery operating room. Concurring with the acquisition and use of an O-arm device, a structural remodeling of our neurosurgery operating room was carried out. The theater was enlarged, the shielding was reinforced and a foldable leaded screen was installed inside the operating room. Radiation doses were measured in front of and behind the screen. The screen provides whole-body radiation protection for all the personnel inside the theater (effective dose <5μSv at 2,5 m from the gantry per O-arm exploration; 0,0μSv received behind the screen per O-arm exploration; and undetectable cumulative annual radiation dose behind the screen), obviates the need for leaded aprons and personal dosimeters, and minimizes the circulation of personnel. Enlarging the size of the operating room allows storing the equipment inside and minimizes the risk of collision and contamination. Rectangular rooms provide greater distance from the source of radiation. Floor, ceiling and walls shielding, a rectangular-shaped and large enough theater, the presence of a foldable leaded screen, and the security systems precluding an unexpected irruption into the operating room during irradiation are relevant issues to consider when designing a neurosurgery operating theater. Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

KSC-2009-5248

NASA Image and Video Library

2009-09-25

CAPE CANAVERAL, Fla. – This ribbon cutting officially turns over NASA Kennedy Space Center's Launch Control Center Firing Room 1 from the Space Shuttle Program to the Constellation Program. Participating are (from left) Pepper Phillips, director of the Constellation Project Office at Kennedy; Bob Cabana, Kennedy's director; Robert Crippen, former astronaut; Jeff Hanley, manager of the Constellation Program at NASA's Johnson Space Center; and Nancy Bray, deputy director of Center Operations at Kennedy. The room has undergone demolition and construction and been outfitted with consoles for the upcoming Ares I-X rocket flight test targeted for launch on Oct. 27. As the center of launch operations at Kennedy since the Apollo Program, the Launch Control Center, or LCC, has played a central role in NASA's human spaceflight programs. Firing Room 1 was the first operational firing room constructed. From this room, controllers launched the first Saturn V, the first crewed flight of Saturn V, the first crewed mission to the moon and the first space shuttle. Firing Room 1 will continue this tradition of firsts when controllers launch the Constellation Program's first flight test. Also, this firing room will be the center of operations for the upcoming Ares I and Orion operations. Photo credit: NASA/Kim Shiflett

Auto identification technology and its impact on patient safety in the Operating Room of the Future.

PubMed

Egan, Marie T; Sandberg, Warren S

2007-03-01

Automatic identification technologies, such as bar coding and radio frequency identification, are ubiquitous in everyday life but virtually nonexistent in the operating room. User expectations, based on everyday experience with automatic identification technologies, have generated much anticipation that these systems will improve readiness, workflow, and safety in the operating room, with minimal training requirements. We report, in narrative form, a multi-year experience with various automatic identification technologies in the Operating Room of the Future Project at Massachusetts General Hospital. In each case, the additional human labor required to make these ;labor-saving' technologies function in the medical environment has proved to be their undoing. We conclude that while automatic identification technologies show promise, significant barriers to realizing their potential still exist. Nevertheless, overcoming these obstacles is necessary if the vision of an operating room of the future in which all processes are monitored, controlled, and optimized is to be achieved.

Game theory: applications for surgeons and the operating room environment.

PubMed

McFadden, David W; Tsai, Mitchell; Kadry, Bassam; Souba, Wiley W

2012-11-01

Game theory is an economic system of strategic behavior, often referred to as the "theory of social situations." Very little has been written in the medical literature about game theory or its applications, yet the practice of surgery and the operating room environment clearly involves multiple social situations with both cooperative and non-cooperative behaviors. A comprehensive review was performed of the medical literature on game theory and its medical applications. Definitive resources on the subject were also examined and applied to surgery and the operating room whenever possible. Applications of game theory and its proposed dilemmas abound in the practicing surgeon's world, especially in the operating room environment. The surgeon with a basic understanding of game theory principles is better prepared for understanding and navigating the complex Operating Room system and optimizing cooperative behaviors for the benefit all stakeholders. Copyright © 2012 Mosby, Inc. All rights reserved.

30 CFR 62.172 - Evaluation of audiograms.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.172 Evaluation of audiograms. (a) The mine operator must: (1... technician who is under the direction or supervision of a physician or audiologist: (i) Determine if the...

30 CFR 62.172 - Evaluation of audiograms.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR UNIFORM MINE HEALTH REGULATIONS OCCUPATIONAL NOISE EXPOSURE § 62.172 Evaluation of audiograms. (a) The mine operator must: (1... technician who is under the direction or supervision of a physician or audiologist: (i) Determine if the...

Training Unpolluters

ERIC Educational Resources Information Center

Manpower, 1970

1970-01-01

The shortage of trained manpower remains a troublesome problem that must be overcome if the national attack on water pollution succeeds. The total number of persons treating waste water in 1967 was 11,300 professionals, 10,300 technicians, 23,500 sewage treatment plant operators, and 50,000 maintenance workers. (BC)

Traffic signal operations workshop : an engineer's guide to traffic signal timing and design.

DOT National Transportation Integrated Search

2008-01-01

Scope: (1) Workshop is intended to show engineers and technicians how various guidelines and tools can be used to develop effective signal timing and detection design, (2) Participant is assumed to have a working knowledge of traffic signal equipment...

Fire Safety Technician

ERIC Educational Resources Information Center

Moore, Pam

2007-01-01

Fire protection is one of the most important considerations in the construction and operation of industrial plants and commercial buildings. Fire insurance rates are determined by fire probability factors, such as the type of construction, ease of transporting personnel, and the quality and quantity of fire protection equipment available. Because…

[Comprehensive system integration and networking in operating rooms].

PubMed

Feußner, H; Ostler, D; Kohn, N; Vogel, T; Wilhelm, D; Koller, S; Kranzfelder, M

2016-12-01

A comprehensive surveillance and control system integrating all devices and functions is a precondition for realization of the operating room of the future. Multiple proprietary integrated operation room systems are currently available with a central user interface; however, they only cover a relatively small part of all functionalities. Internationally, there are at least three different initiatives to promote a comprehensive systems integration and networking in the operating room: the Japanese smart cyber operating theater (SCOT), the American medical device plug-and-play interoperability program (MDPnP) and the German secure and dynamic networking in operating room and hospital (OR.NET) project supported by the Federal Ministry of Education and Research. Within the framework of the internationally advanced OR.NET project, prototype solution approaches were realized, which make short-term and mid-term comprehensive data retrieval systems probable. An active and even autonomous control of the medical devices by the surveillance and control system (closed loop) is expected only in the long run due to strict regulatory barriers.

National Manpower Inventory. Volume 3. Technical Documentation for Software for the Model

DTIC Science & Technology

1985-09-01

Technician APS-96 Search Radar IMA Technician USM-449 (V) & AAI 5500 Series ATE Int Maintenance Level Tech. CO CP-413/ASA-27A SACE TesI Bench IMA...MATE) Test Console IMA Technician ALQ-91/108 DECM IMA Technician ALQ-99 ECM Jammer/Tmilter & ALM-107 TesI Console IMA Technician ALQ-99 ECM Track...Receivers & ALM-109 TesI Console IMA Technician ECM Systems Intermediate Maintenance Technician ASM-347 (GT-1) SACE Programmer/Mainlenanca IMA

Improved Quick Disconnect (QD) Interface Through Fail Safe Parts Identification

NASA Technical Reports Server (NTRS)

Blanch-Payne, Evelyn

2001-01-01

An extensive review of existing Quick Disconnects (QDs) mating and demating operations was performed to determine which shuttle part interface identifications and procedures contribute to human factor errors. The research methods used consisted of interviews with engineers and technicians, examination of incident reports, critiques of video and audio tapes of QD operations, and attendance of a Hyper QD operational course. The data strongly suggests that there are inherit human factor errors involved in QD operations. To promote fail-safe operations, QD interface problem areas and recommendations were outlined and reviewed. It is suggested that dialogue, investigations and recommendations continue.

Social Media Influencing C2 in Underdeveloped and Degraded Operational Environments

DTIC Science & Technology

2013-06-01

gather highly skilled IT professionals and technicians who worked for several months to help citizens affected by the disaster . In just twelve hours, the...because the downtown bombing was perceived as the crucial event. • In several events, the disaster cause destruction of the communications...of emergencies and crises is rapidly changing the C2 operational environment for responses to natural disasters , terrorist threats and social

Flight and Operational Medicine Clinic (FOMC) Task Process Mapping

DTIC Science & Technology

2014-03-01

technicians, nurses, and physician assistants to accomplish the majority of the tasks; physician level tasks are few and primarily involve application of...condition 31, 37, 81? Complete evaluation Present 469 within 5 days of positive pregnancy test Is condition duty/fitness? NO End Process YES Send to ...info to Health IT Ancillary exam module provides requirements/ sends info to Health IT (Audiology, Optometry, Dental , Mental Health) Operational

KSC-05pd2600

NASA Image and Video Library

2005-12-14

KENNEDY SPACE CENTER, FLA. -- United Space Alliance technician Dell Chapman applies the glue (red) known as RTV, or room temperature vulcanization, to a strip of gap filler before installation on the orbiter Discovery, which is being processed in Orbiter Processing Facility Bay 3 at NASA’s Kennedy Space Center. This work is being performed due to two gap fillers that were protruding from the underside of Discovery on the first Return to Flight mission, STS-114. New installation procedures have been developed to ensure the gap fillers stay in place and do not pose any hazard during the shuttle's re-entry to the atmosphere. Discovery is the scheduled orbiter for the second space shuttle mission in the return-to-flight sequence.

KSC-02pd1507

NASA Image and Video Library

2002-10-10

KENNEDY SPACE CENTER, FLA. -- At Launch Complex 39A, technicians in the Payload Changout Room supervise the opening of the payload canister doors for transfer of the P1 truss. The P1 truss is the primary payload for Mission STS-113 to the International Space Station. It is the first port truss segment which will be attached to the Station’s central truss segment, S0. Once delivered, the P1 truss will remain stowed until flight 12A.1. The mission will also deliver the Expedition 6 crew to the Station and return Expedition 5 to Earth. Space Shuttle Endeavour is scheduled to launch no earlier than Nov. 10 on the 11-day mission.

Pegasus ICON Spacecraft Mate to Separation System

NASA Image and Video Library

2018-05-09

Technicians prepare NASA's Ionospheric Connection Explorer (ICON) to be attached to the spacecraft separation system May 9, 2018, in a clean room inside Building 1555 at Vandenberg Air Force Base in California. The explorer will launch on June 15, 2018, from Kwajalein Atoll in the Marshall Islands (June 14 in the continental United States) on Orbital ATK's Pegasus XL rocket, which is attached to the company's L-1011 Stargazer aircraft. ICON will study the frontier of space - the dynamic zone high in Earth's atmosphere where terrestrial weather from below meets space weather above. The explorer will help determine the physics of Earth's space environment and pave the way for mitigating its effects on our technology, communications systems and society.

Pegasus ICON Spacecraft Mate to Separation System

NASA Image and Video Library

2018-05-09

Technicians secure NASA's Ionospheric Connection Explorer (ICON) on the spacecraft separation system May 9, 2018, in a clean room inside Building 1555 at Vandenberg Air Force Base in California. The explorer will launch on June 15, 2018, from Kwajalein Atoll in the Marshall Islands (June 14 in the continental United States) on Orbital ATK's Pegasus XL rocket, which is attached to the company's L-1011 Stargazer aircraft. ICON will study the frontier of space - the dynamic zone high in Earth's atmosphere where terrestrial weather from below meets space weather above. The explorer will help determine the physics of Earth's space environment and pave the way for mitigating its effects on our technology, communications systems and society.

Pegasus ICON Spacecraft Move Into Cleanroom

NASA Image and Video Library

2018-05-01

Technicians prepare NASA's Ionospheric Connection Explorer (ICON) for its move to a clean room on May 4, 2018, inside Building 1555 at Vandenberg Air Force Base in California. The explorer will launch on June 15, 2018, from Kwajalein Atoll in the Marshall Islands (June 14 in the continental United States) on Orbital ATK's Pegasus XL rocket, which is attached to the company's L-1011 Stargazer aircraft. ICON will study the frontier of space - the dynamic zone high in Earth's atmosphere where terrestrial weather from below meets space weather above. The explorer will help determine the physics of Earth's space environment and pave the way for mitigating its effects on our technology, communications systems and society.

KSC-99pp1273

NASA Image and Video Library

1999-11-01

KSC technician David Rowell works on the wing of the modified X-34, known as A-1A, at the Dryden Flight Research Center, Calif. Looking on are Art Cape, with Dryden, and Mike Brainard, with Orbital Sciences Corporation. Rowell is one of eight NASA engineering technicians from KSC's Engineering Prototype Lab who have assisted Orbital and Dryden in the complex process of converting the X-34 A-1 vehicle from captive carry status to unpowered flight status, the A-1A. The other KSC technicians are Kevin Boughner, Roger Cartier, Mike Dininny, Mike Lane, Jerry Moscoso, James Niehoff Jr. and Bryan Taylor. The X-34 is 58.3 feet long, 27.7 feet wide from wing tip to wing tip, and 11.5 feet tall from the bottom of the fuselage to the top of the tail. The autonomously operated technology demonstrator will be air-launched from an L-1011 airplane and should be capable of flying eight times the speed of sound, reaching an altitude of 250,000 feet. The X-34 Project is managed by NASA's Marshall Space Flight Center in Huntsville, Ala

[Working conditions in the operating room: surgeons surveyed during the annual meeting of the German society of surgery 2004].

PubMed

Matern, U; Koneczny, S

2006-10-01

For the evaluation of working place conditions in the operating room a survey was conducted among the surgeons working in German hospitals. Questions regarded the personal profile, the architectural situation, the devices and instruments as well as the working posture. The answers to the 60 questions display a high potential for improvement within all fields. Every single group working in the operating room, as well as their professional organizations are asked to work on the optimization of the working place conditions in the operating room in terms of improvement of quality and efficiency.

Use of an operating microscope during spine surgery is associated with minor increases in operating room times and no increased risk of infection.

PubMed

Basques, Bryce A; Golinvaux, Nicholas S; Bohl, Daniel D; Yacob, Alem; Toy, Jason O; Varthi, Arya G; Grauer, Jonathan N

2014-10-15

Retrospective database review. To evaluate whether microscope use during spine procedures is associated with increased operating room times or increased risk of infection. Operating microscopes are commonly used in spine procedures. It is debated whether the use of an operating microscope increases operating room time or confers increased risk of infection. The American College of Surgeons National Surgical Quality Improvement Program database, which includes data from more than 370 participating hospitals, was used to identify patients undergoing elective spinal procedures with and without the use of an operating microscope for the years 2011 and 2012. Bivariate and multivariate linear regressions were used to test the association between microscope use and operating room times. Bivariate and multivariate logistic regressions were similarly conducted to test the association between microscope use and infection occurrence within 30 days of surgery. A total of 23,670 elective spine procedures were identified, of which 2226 (9.4%) used an operating microscope. The average patient age was 55.1±14.4 years. The average operative time (incision to closure) was 125.7±82.0 minutes.Microscope use was associated with minor increases in preoperative room time (+2.9 min, P=0.013), operative time (+13.2 min, P<0.001), and total room time (+18.6 min, P<0.001) on multivariate analysis.A total of 328 (1.4%) patients had an infection within 30 days of surgery. Multivariate analysis revealed no significant difference between the microscope and nonmicroscope groups for occurrence of any infection, superficial surgical site infection, deep surgical site infection, organ space infection, or sepsis/septic shock, regardless of surgery type. We did not find operating room times or infection risk to be significant deterrents for use of an operating microscope during spine surgery. 3.

Use of an operating microscope during spine surgery is associated with minor increases in operating room times and no increased risk of infection

PubMed Central

Basques, Bryce A.; Golinvaux, Nicholas S.; Bohl, Daniel D.; Yacob, Alem; Toy, Jason O.; Varthi, Arya G.; Grauer, Jonathan N.

2014-01-01

Study Design Retrospective database review. Objective To evaluate whether microscope use during spine procedures is associated with increased operating room times or increased risk of infection. Summary of Background Data Operating microscopes are commonly used in spine procedures. It is debated whether the use of an operating microscope increases operating room time or confers increased risk of infection. Methods The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database, which includes data from over 370 participating hospitals, was used to identify patients undergoing elective spinal procedures with and without an operating microscope for the years 2011 and 2012. Bivariate and multivariate linear regressions were used to test the association between microscope use and operating room times. Bivariate and multivariate logistic regressions were similarly conducted to test the association between microscope use and infection occurrence within 30 days of surgery. Results A total of 23,670 elective spine procedures were identified, of which 2,226 (9.4%) used an operating microscope. The average patient age was 55.1 ± 14.4 years. The average operative time (incision to closure) was 125.7 ± 82.0 minutes. Microscope use was associated with minor increases in preoperative room time (+2.9 minutes, p=0.013), operative time (+13.2 minutes, p<0.001), and total room time (+18.6 minutes, p<0.001) on multivariate analysis. A total of 328 (1.4%) patients had an infection within 30 days of surgery. Multivariate analysis revealed no significant difference between the microscope and non-microscope groups for occurrence of any infection, superficial surgical site infection (SSI), deep SSI, organ space infection, or sepsis/septic shock, regardless of surgery type. Conclusions We did not find operating room times or infection risk to be significant deterrents for use of an operating microscope during spine surgery. PMID:25188600

Information Foraging in Nuclear Power Plant Control Rooms

DOE Office of Scientific and Technical Information (OSTI.GOV)

R.L. Boring

2011-09-01

nformation foraging theory articulates the role of the human as an 'informavore' that seeks information and follows optimal foraging strategies (i.e., the 'information scent') to find meaningful information. This paper briefly reviews the findings from information foraging theory outside the nuclear domain and then discusses the types of information foraging strategies operators employ for normal and off-normal operations in the control room. For example, operators may employ a predatory 'wolf' strategy of hunting for information in the face of a plant upset. However, during routine operations, the operators may employ a trapping 'spider' strategy of waiting for relevant indicators tomore » appear. This delineation corresponds to information pull and push strategies, respectively. No studies have been conducted to determine explicitly the characteristics of a control room interface that is optimized for both push and pull information foraging strategies, nor has there been empirical work to validate operator performance when transitioning between push and pull strategies. This paper explores examples of control room operators as wolves vs. spiders and con- cludes by proposing a set of research questions to investigate information foraging in control room settings.« less

Flow analysis of airborne particles in a hospital operating room

NASA Astrophysics Data System (ADS)

Faeghi, Shiva; Lennerts, Kunibert

2016-06-01

Preventing airborne infections during a surgery has been always an important issue to deliver effective and high quality medical care to the patient. One of the important sources of infection is particles that are distributed through airborne routes. Factors influencing infection rates caused by airborne particles, among others, are efficient ventilation and the arrangement of surgical facilities inside the operating room. The paper studies the ventilation airflow pattern in an operating room in a hospital located in Tehran, Iran, and seeks to find the efficient configurations with respect to the ventilation system and layout of facilities. This study uses computational fluid dynamics (CFD) and investigates the effects of different inflow velocities for inlets, two pressurization scenarios (equal and excess pressure) and two arrangements of surgical facilities in room while the door is completely open. The results show that system does not perform adequately when the door is open in the operating room under the current conditions, and excess pressure adjustments should be employed to achieve efficient results. The findings of this research can be discussed in the context of design and controlling of the ventilation facilities of operating rooms.

Forensic Science Technician

ERIC Educational Resources Information Center

Tech Directions, 2010

2010-01-01

Forensic science technicians, also called crime laboratory technicians or police science technicians, help solve crimes. They examine and identify physical evidence to reconstruct a crime scene. This article discusses everything students need to know about careers for forensic science technicians--wages, responsibilities, skills needed, career…

From the ground up: building a minimally invasive aortic valve surgery program

PubMed Central

Lamelas, Joseph

2015-01-01

Minimally invasive aortic valve replacement (MIAVR) is associated with numerous advantages including improved patient satisfaction, cosmesis, decreased transfusion requirements, and cost-effectiveness. Despite these advantages, little information exists on how to build a MIAVR program from the ground up. The steps to build a MIAVR program include compiling a multi-disciplinary team composed of surgeons, cardiologists, anesthesiologists, perfusionists, operating room (OR) technicians, and nurses. Once assembled, this team can then approach hospital administrators to present a cost-benefit analysis of MIAVR, emphasizing the importance of reduced resource utilization in the long-term to offset the initial financial investment that will be required. With hospital approval, training can commence to provide surgeons and other staff with the necessary knowledge and skills in MIAVR procedures and outcomes. Marketing and advertising of the program through the use of social media, educational conferences, grand rounds, and printed media will attract the initial patients. A dedicated website for the program can function as a “virtual lobby” for patients wanting to learn more. Initially, conservative selection criteria of cases that qualify for MIAVR will set the program up for success by avoiding complex co-morbidities and surgical techniques. During the learning curve phase of the program, patient safety should be a priority. PMID:25870815

Sharp Injuries Among Medical Students.

PubMed

Ghasemzadeh, Iman; Kazerooni, Mitra; Davoodian, Parivash; Hamedi, Yaghoob; Sadeghi, Payam

2015-03-30

Sharp injuries threaten the health of healthcare employees. They cause the transmission of many diseases such as hepatitis B and C, AIDS, etc., which can increase the associated costs associated with them. The aim of this study was to investigate the frequency of sharp injuries among the students of Hormozgan University of Medical Sciences. This cross-sectional study was conducted during 2012-2013 in Hormozgan University of Medical Sciences, IR Iran. The target population consisted of the medical, nursing, midwifery, operating room technician, and medical laboratory students in the 2012-2013 academic year. Census sampling was conducted, and accordingly, 500 students participated in the study Data was collected using modified questionnaire of the University of San Diego's injury report form. The collected data were entered into SPSS V.19 and analyzed using descriptive statistical tests. Finally 377 students (75.4%) returned the questionnaire. Among the studied students, 184 students (39.3%) had had sharp injuries. The frequency of damaging Vein puncture was the most common mechanism of injury The prevalence of sharp injuries is high among students which can increase the risk of disease and its subsequent risks, and thus, increase the cost and stress among students. It seems that holding workshops and increasing students' awareness and skills to face these risks can be effective in mitigating them.

From the ground up: building a minimally invasive aortic valve surgery program.

PubMed

Nguyen, Tom C; Lamelas, Joseph

2015-03-01

Minimally invasive aortic valve replacement (MIAVR) is associated with numerous advantages including improved patient satisfaction, cosmesis, decreased transfusion requirements, and cost-effectiveness. Despite these advantages, little information exists on how to build a MIAVR program from the ground up. The steps to build a MIAVR program include compiling a multi-disciplinary team composed of surgeons, cardiologists, anesthesiologists, perfusionists, operating room (OR) technicians, and nurses. Once assembled, this team can then approach hospital administrators to present a cost-benefit analysis of MIAVR, emphasizing the importance of reduced resource utilization in the long-term to offset the initial financial investment that will be required. With hospital approval, training can commence to provide surgeons and other staff with the necessary knowledge and skills in MIAVR procedures and outcomes. Marketing and advertising of the program through the use of social media, educational conferences, grand rounds, and printed media will attract the initial patients. A dedicated website for the program can function as a "virtual lobby" for patients wanting to learn more. Initially, conservative selection criteria of cases that qualify for MIAVR will set the program up for success by avoiding complex co-morbidities and surgical techniques. During the learning curve phase of the program, patient safety should be a priority.

A simulator-based nuclear reactor emergency response training exercise.

PubMed

Waller, Edward; Bereznai, George; Shaw, John; Chaput, Joseph; Lafortune, Jean-Francois

Training offsite emergency response personnel basic awareness of onsite control room operations during nuclear power plant emergency conditions was the primary objective of a week-long workshop conducted on a CANDU® virtual nuclear reactor simulator available at the University of Ontario Institute of Technology, Oshawa, Canada. The workshop was designed to examine both normal and abnormal reactor operating conditions, and to observe the conditions in the control room that may have impact on the subsequent offsite emergency response. The workshop was attended by participants from a number of countries encompassing diverse job functions related to nuclear emergency response. Objectives of the workshop were to provide opportunities for participants to act in the roles of control room personnel under different reactor operating scenarios, providing a unique experience for participants to interact with the simulator in real-time, and providing increased awareness of control room operations during accident conditions. The ability to "pause" the simulator during exercises allowed the instructors to evaluate and critique the performance of participants, and to provide context with respect to potential offsite emergency actions. Feedback from the participants highlighted (i) advantages of observing and participating "hands-on" with operational exercises, (ii) their general unfamiliarity with control room operational procedures and arrangements prior to the workshop, (iii) awareness of the vast quantity of detailed control room procedures for both normal and transient conditions, and (iv) appreciation of the increased workload for the operators in the control room during a transient from normal operations. Based upon participant feedback, it was determined that the objectives of the training had been met, and that future workshops should be conducted.

Astronauts Grissom and Young during water egress training in Gulf of Mexico

NASA Technical Reports Server (NTRS)

1965-01-01

A technician adjusts the suit of Astronaut Virgil I. Grissom during water egress training operations in the Gulf of Mexico. Astronaut John W. Young (standing) observes. Grissom and Young are the prime crew for the Gemini-Titan 3 flight scheduled this spring.

49 CFR 1245.6 - Cross reference to standard occupational classification manual.

Code of Federal Regulations, 2011 CFR

2011-10-01

.... Assist. Chemist 1845. X-ray Technician 365. Supv. Estimating 149. Junior Engineer 1639. Engineer Trainee...) 8319. Grain Elevator Operator (electrical) 8319. 414Machinists: Machinist 6813. 415Sheet Metal Workers: Sheet Metal Worker 6824. 416Skilled Trades, Helpers, Maintenance of Equipment and Stores: Helper 861...

The Evolution of the Language Laboratory: Changes During Fifteen Years of Operation

ERIC Educational Resources Information Center

Stack, Edward M.

1977-01-01

This article summarizes conditions and changes in language laboratories. Types of laboratories and equipment are listed; laboratory personnel include technicians, librarians and student assistants. Most maintenance was done by institution personnel; student use is outlined. Professional attitudes and equipment statistics are surveyed. (CHK)

76 FR 13205 - Piedmont National Wildlife Refuge, Jones and Jasper Counties, GA; Final Comprehensive...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-10

..., reptiles and amphibians. We will initiate basic inventories for fish species and invertebrates, including... maintain current fire management programs but intensify management of a 5,000-acre Piedmont savanna focus... (law enforcement), refuge operations specialist, prescribed fire/fuels technician, engineering...

National Emission Standards for Hazardous Air Pollutants (NESHAP) for Area Source Boilers Tune-up Guides

EPA Pesticide Factsheets

This page contains two tune-up guides for area source boilers for industrial, commercial, and institutional boilers and process heaters. The first guide is for owners and operators, and the second is for technicians for the area source boilers.

International Conference on Remote Emergency Medical Services

NASA Technical Reports Server (NTRS)

1975-01-01

An emergency medical system is characterized. Applications of NASA technology in biomedical telecommunication and bioinstrumentation are explored. The training and effectiveness of paramedics, technicians, nurses, and physicians are evaluated as applied to emergency situations and the operations of trauma centers. Civilian and military aeromedical evacuation is discussed.

Impact of the reduction of anaesthesia turnover time on operating room efficiency.

PubMed

Sokolovic, E; Biro, P; Wyss, P; Werthemann, C; Haller, U; Spahn, D; Szucs, T

2002-08-01

We investigated whether an increase in anaesthesia staffing to permit induction of anaesthesia before the previous case had ended ('overlapping') would increase overall efficiency in the operating room. Hitherto, the average duration of operating sessions was too long, thus impeding the timely commencement of physicians' ward duties. The investigation was designed as a prospective, non-randomized, interrupted time-series analysis divided into three phases: (a) a baseline of 3.5 months, (b) a 2.5 month intervention phase, in which anaesthesia staffing was increased by one attending physician and one nurse, and (c) a further 2 months under baseline conditions. Data focussed on process management were collected from operating room staff, anaesthesia personnel and surgeons using a structured questionnaire collected daily during the entire study. Turnover time between consecutive operations decreased from 65 to 52 min per operation (95% CI: 9; 17; P = 0.0001). Operating room occupancy increased from 4:28 to 5:27 h day-1 (95% CI: 50; 68; P = 0.005). The surgeons began their work on the ward 35 min (95% CI: 30; 40) later than before the intervention and their overtime increased from 22:36 to 139:50 h. The time between surgical operations decreased significantly. Increased operating room efficiency owing to overlapping induction of anaesthesia allows more intense scheduling of operations. Thus, physicians and nurses can be released to spend more time with their patients in the ward. Improving the efficiency of the operating room alone is insufficient to improve human resource management at all levels of a surgical clinic.

[Handling modern imaging procedures in a high-tech operating room].

PubMed

Hüfner, T; Citak, M; Imrecke, J; Krettek, C; Stübig, T

2012-03-01

Operating rooms are the central unit in the hospital network in trauma centers. In this area, high costs but also high revenues are generated. Modern operating theater concepts as an integrated model have been offered by different companies since the early 2000s. Our hypothesis is that integrative concepts for operating rooms, in addition to improved operating room ergonomics, have the potential for measurable time and cost savings. In our clinic, an integrated operating room concept (I-Suite, Stryker, Duisburg) was implemented after analysis of the problems. In addition to the ceiling-mounted arrangement, the system includes an endoscopy unit, a navigation system, and a voice control system. In the first 6 months (9/2005 to 2/2006), 112 procedures were performed in the integrated operating room: 34 total knee arthroplasties, 12 endoscopic spine surgeries, and 66 inpatient arthroscopic procedures (28 shoulder and 38 knee reconstructions). The analysis showed a daily saving of 22-45 min, corresponding to 15-30% of the daily changeover times, calculated to account for potential savings in the internal cost allocation of 225-450 EUR. A commercial operating room concept was evaluated in a pilot phase in terms of hard data, including time and cost factors. Besides the described effects further savings might be achieved through the effective use of voice control and the benefit of the sterile handle on the navigation camera, since waiting times for an additional nurse are minimized. The time of the procedure of intraoperative imaging is also reduced due to the ceiling-mounted concept, as the C-arm can be moved freely in the operating theater without hindering cables. By these measures and ensuing improved efficiency, the initial high costs for the implementation of the system may be cushioned over time.

Operating room myths: what is the evidence for common practices.

PubMed

Pada, Surinder; Perl, Trish M

2015-08-01

In order to ensure patient safety and prevent surgical site infections (SSIs), operating theaters/rooms have evolved into complex, highly technical environments. Prevention of healthcare-associated infections, and strategies to limit patient harm, have gained momentum over the last decade. This article aims to examine and dispute some commonly held beliefs with specific reference to: laminar airflow, noise and operating theater door openings and how these impact SSI. Laminar airflow may not be necessary for prosthetic implant surgery. Some recent data suggest that there may be patient harm. With the development of better surgical techniques and perioperative care, such costly systems may not be needed. Operating rooms with a high number of door openings have also been shown to experience higher SSI rates, as have operating rooms with high noise levels. These may serve as surrogate markers for operating room discipline. Initiatives which target these areas may be worth considering when devising strategies to reduce SSIs. Improved surveillance systems for SSIs are needed and should include operating theater airflow type. This will allow further analysis of the effect of laminar air flow on SSIs and provide evidence for a decisive recommendation. Cultivating a culture of good operating theater discipline may also reduce SSIs.

Cognitive Task Analysis of the HALIFAX-Class Operations Room Officer

DTIC Science & Technology

1999-03-10

Image Cover Sheet CLASSIFICATION SYSTEM NUMBER 510918 UNCLASSIFIED llllllllllllllllllllllllllllllllllllllll TITLE COGNITIVE TASK ANALYSIS OF THE...DATES COVERED 00-00-1999 to 00-00-1999 4. TITLE AND SUBTITLE Cognitive Task Analysis of the HALIFAX-Class Operations Room Officer 5a. CONTRACT...Ontario . ~ -- . ’ c ... - Incorporated Cognitive Task Analysis of the HALIFAX-Class Operations Room Officer: PWGSC Contract No. W7711-7-7404/001/SV

A NASA Technician directs loading of the crated SOFIA primary mirror assembly into a C-17 for shipment to NASA Ames Research Center for finish coating

NASA Image and Video Library

2008-05-01

Technicians at NASA's Dryden Aircraft Operations Facility in Palmdale, Calif., loaded the German-built primary mirror assembly of the Stratospheric Observatory for Infrared Astronomy, or SOFIA, onto an Air Force C-17 for shipment to NASA's Ames Research Center on May 1, 2008. In preparation for the final finish coating of the mirror, the more than two-ton mirror assembly had been removed from its cavity in the rear fuselage of the highly modified SOFIA Boeing 747SP two weeks earlier. After arrival at NASA Ames at Moffett Field near Mountain View, Calif., the mirror would receive its aluminized finish coating before being re-installed in the SOFIA aircraft.

[Cleanliness in the operating room].

PubMed

Suzuki, Toshiyasu

2010-05-01

With regard to recent findings in the cleanliness of the operating room, concerning handwashing and performing operations, the traditional method of excessive scrubbing using a brush is not effective, and handwashing using only an alcohol-containing antiseptic hand rub (rubbing method) has become common practice. Use of a brush has already been abolished in some medical institutions. In addition, sterilized water used for handwashing when performing operations has no scientific basis and use of tap water is considered sufficient. Furthermore, the concept of operating room zoning has also undergone a dramatic change. It was discovered that a layout focusing on work efficiency is more desirable than the one that follows an excessively rigid zoning pattern. One-footwear System not requiring change of shoes also has various advantages in improving the efficiency of the operation room, and this is thought to become commonplace in the future.

A System Approach to Navy Medical Education and Training. Appendix 15. Biotronics Technicians.

DTIC Science & Technology

1974-08-31

curricula based upon job analysis was implemented to a level of methodology determination. These methods and curriculum materials constituted a third...Therapy Technician 8495 Dermatology Technician 8496 Embalming Technician 8497 Medical Illustration Technician 8498 Medical Equipment Repair Technician... WET COMPRESSES/SOAKS/PACKS 24 ICONTROL BLEEDING BY PRESSURE DRESSING 25 1APPLY/CHANGE BANDAGES, E.G. ROLLER, TRIANGULAR, KURLEX GO TO RIGHT HAND PAGE

Training pharmacy technicians to administer immunizations.

PubMed

McKeirnan, Kimberly C; Frazier, Kyle R; Nguyen, Maryann; MacLean, Linda Garrelts

To evaluate the effectiveness of an immunization training program for pharmacy technicians on technicians' self-reported confidence, knowledge, and number of vaccines administered. A one-group pre- and posttest study was conducted with certified pharmacy technicians from Albertsons and Safeway community pharmacies in Idaho. Thirty pharmacy technicians were recruited to participate in an immunization administration training program comprising a 2-hour home study and a 2-hour live training. Pharmacy technician scores on a 10-question knowledge assessment, responses on a pre- and posttraining survey, and number of immunizations administered in the 6-month period following the training were collected. Twenty-five pharmacy technicians completed the home study and live portions of the immunization training program. All 29 pharmacy technicians who took the home study assessment passed with greater than 70% competency on the first attempt. Technicians self-reported increased confidence with immunization skills between the pretraining survey and the posttraining survey. From December 2016 to May 2017, the technicians administered 953 immunizations with 0 adverse events reported. For the first time, pharmacy technicians have legally administered immunizations in the United States. Trained pharmacy technicians demonstrated knowledge of vaccination procedures and self-reported improved confidence in immunization skills and administered immunizations after participating in a 4-hour training program. Copyright © 2018 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

Operator Support System Design forthe Operation of RSG-GAS Research Reactor

NASA Astrophysics Data System (ADS)

Santoso, S.; Situmorang, J.; Bakhri, S.; Subekti, M.; Sunaryo, G. R.

2018-02-01

The components of RSG-GAS main control room are facing the problem of material ageing and technology obsolescence as well, and therefore the need for modernization and refurbishment are essential. The modernization in control room can be applied on the operator support system which bears the function in providing information for assisting the operator in conducting diagnosis and actions. The research purpose is to design an operator support system for RSG-GAS control room. The design was developed based on the operator requirement in conducting task operation scenarios and the reactor operation characteristics. These scenarios include power operation, low power operation and shutdown/scram reactor. The operator support system design is presented in a single computer display which contains structure and support system elements e.g. operation procedure, status of safety related components and operational requirements, operation limit condition of parameters, alarm information, and prognosis function. The prototype was developed using LabView software and consisted of components structure and features of the operator support system. Information of each component in the operator support system need to be completed before it can be applied and integrated in the RSG-GAS main control room.

Study of a dry room in a battery manufacturing plant using a process model

NASA Astrophysics Data System (ADS)

Ahmed, Shabbir; Nelson, Paul A.; Dees, Dennis W.

2016-09-01

The manufacture of lithium ion batteries requires some processing steps to be carried out in a dry room, where the moisture content should remain below 100 parts per million. The design and operation of such a dry room adds to the cost of the battery. This paper studied the humidity management of the air to and from the dry room to understand the impact of design and operating parameters on the energy demand and the cost contribution towards the battery manufacturing cost. The study was conducted with the help of a process model for a dry room with a volume of 16,000 cubic meters. For a defined base case scenario it was found that the dry room operation has an energy demand of approximately 400 kW. The paper explores some tradeoffs in design and operating parameters by looking at the humidity reduction by quenching the make-up air vs. at the desiccant wheel, and the impact of the heat recovery from the desiccant regeneration cycle.

24 CFR 291.530 - Eligible firefighter/emergency medical technicians.

Code of Federal Regulations, 2010 CFR

2010-04-01

... medical technicians. 291.530 Section 291.530 Housing and Urban Development Regulations Relating to Housing... medical technicians. A person qualifies as a firefighter/emergency medical technician for the purposes of... technician by a fire department or emergency medical services responder unit of the federal government, a...

The Operating Room of the Future Versus the Future of the Operating Room.

PubMed

Kassam, Amin B; Rovin, Richard A; Walia, Sarika; Chakravarthi, Srikant; Celix, Juanita; Jennings, Jonathan; Khalili, Sammy; Gonen, Lior; Monroy-Sosa, Alejandro; Fukui, Melanie B

2017-06-01

Technological advancement in the operating room is evolving into a dynamic system mirroring that of the aeronautics industry. Through data visualization, information is continuously being captured, collected, and stored on a scalable informatics platform for rapid, intuitive, iterative learning. The authors believe this philosophy (paradigm) will feed into an intelligent informatics domain fully accessible to all and geared toward precision, cell-based therapy in which tissue can be targeted and interrogated in situ. In the future, the operating room will be a venue that facilitates this real-time tissue interrogation, which will guide in situ therapeutics to restore the state of health. Copyright © 2017 Elsevier Inc. All rights reserved.

5 CFR 315.610 - Noncompetitive appointment of certain National Guard technicians.

Code of Federal Regulations, 2010 CFR

2010-01-01

... National Guard technicians. 315.610 Section 315.610 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... technicians. (a) An agency may appoint noncompetitively a National Guard technician who— (1) Was involuntarily... 3 years as a technician; (3) Meets the qualifications requirements of the job: and (4) Is appointed...

Current status, crisis and trends in Chinese dental technicians.

PubMed

Chaoyi, Ma; Liwei, Zheng; Li, Yue; Min, Zhou; Haiyang, Yu

2012-04-01

Chinese dental technicians play a significant role in the globalised market of dental prosthesis fabrication, but this subject has not been investigated in detail. The demand for dental prostheses increases as individuals pay increasing attention to their oral health. Therefore, it is important to investigate the status of Chinese dental technicians. To evaluate the current status of Chinese dental technicians. Dental technicians' resumés, which reveal information regarding dental technician manpower, degrees, working age and salary, etc., were analysed and compared with those abroad. We also estimated the future demands of dental technician manpower, and discussed some potential solutions. There are fewer dental technicians in China than in other developed countries; they are also of a lower standard. Male technicians outnumber females. The education level of technicians is insufficient, and the education programme is still in its exploratory stage. The development of dental technician teams in China represents both an opportunity and a challenge. It is important to move forward from the current situation to yield long-term development. This article provides information on the Chinese dental technology industry, identifies the problems and offers solutions for its development. © 2012 FDI World Dental Federation.

40 CFR 62.15105 - Who must complete the operator training course? By when?

Code of Federal Regulations, 2011 CFR

2011-07-01

... supervisors, and control room operators who have obtained full certification from the American Society of... supervisors, and control room operators who have obtained provisional certification from the American Society...

40 CFR 62.15105 - Who must complete the operator training course? By when?

Code of Federal Regulations, 2010 CFR

2010-07-01

... supervisors, and control room operators who have obtained full certification from the American Society of... supervisors, and control room operators who have obtained provisional certification from the American Society...

KSC-2009-4423

NASA Image and Video Library

2009-08-04

CAPE CANAVERAL, Fla. –At NASA's Kennedy Space Center in Florida, the crawler-transporter delivers space shuttle Discovery atop the mobile launcher platform onto Launch Pad 39A. Traveling from the Vehicle Assembly Building, the shuttle took nearly 12 hours on the journey as technicians stopped several times to clear mud from the crawler's treads and bearings caused by the waterlogged crawlerway. First motion out of the VAB was at 2:07 a.m. EDT Aug. 4. Rollout was delayed approximately 2 hours due to lightning in the area. In the background is the blue water of the Atlantic Ocean. At left is the White Room at the end of the orbiter access arm. When in place against shuttle, the White Room provides entry into the cockpit. Discovery's 13-day flight will deliver a new crew member and 33,000 pounds of equipment to the International Space Station. The equipment includes science and storage racks, a freezer to store research samples, a new sleeping compartment and the COLBERT treadmill. Launch of Discovery on its STS-128 mission is targeted for late August. Photo credit: NASA/Troy Cryder

Middle-Skilled Workforce Needs in a Changing Oil and Gas Industry: the Role of Flexibility. As the Oil Industry continues to shed jobs due to the global downturn in oil prices, one of the most vulnerable sectors to job loss are the middle-skilled workers such as the technicians and drill operators. We present options and ideas to mitigate the problem.

NASA Astrophysics Data System (ADS)

Waddell, K.

2015-12-01

Middle-skilled workers are those whose jobs require considerable skill but not an advanced degree. Nationwide, one-third of the projected job growth for 2010-2020 will require middle-skilled workers. The educational paths to these jobs include career and technical education (CTE), certificates and associate's degrees from community colleges, apprenticeship programs, and training provided by employers. In the oil industry, the demand is expected to about 150,000 jobs. In environmental restoration and monitoring, there will be a need for at least 15,000 middle-skilled workers. Examples of the types of jobs include geological and petroleum technicians, derrick and drill operators, and pump system and refinery operators for the oil and gas sector. For the environmental restoration and monitoring sector, the types of jobs include environmental science technicians, and forest (and coastal) conservation technicians and workers. However, all of these numbers will be influenced by the growth and contraction of the regional or national economy that is not uncommon in the private sector. Over the past year, for example, the oil and gas industry has shed approximately 75,000 jobs (out of a workforce of 600,000) here in the United States, due almost exclusively to the drop of oil prices globally. A disproportionate number of the lost jobs were among the middle-skilled workforce. Meanwhile, the recent settlements stemming from the Deepwater Horizon oil spill are expected to create a surge of environmental restoration activity in the Gulf of Mexico region that has the potential to create thousands of new jobs over the next decade and beyond. Consequently, there is a need to develop education, training and apprenticeship programs that will help develop flexibility and complementary skill sets among middle-skilled workers that could help reduce the impacts of economic downturns and meet the needs of newly expanding sectors such as the environmental restoration field. This presentation will discuss the programs, activities, and frameworks needed to build this capacity in the middle-skilled workforce over the coming years.

Indoor air bacterial load and antibiotic susceptibility pattern of isolates in operating rooms and surgical wards at jimma university specialized hospital, southwest ethiopia.

PubMed

Genet, Chalachew; Kibru, Gebre; Tsegaye, Wondewosen

2011-03-01

Surgical site infection is the second most common health care associated infection. One of the risk factors for such infection is bacterial contamination of operating rooms' and surgical wards' indoor air. In view of that, the microbiological quality of air can be considered as a mirror of the hygienic condition of these rooms. Thus, the objective of this study was to determine the bacterial load and antibiotic susceptibility pattern of isolates in operating rooms' and surgical wards' indoor air of Jimma University Specialized Hospital. A cross sectional study was conducted to measure indoor air microbial quality of operating rooms and surgical wards from October to January 2009/2010 on 108 indoor air samples collected in twelve rounds using purposive sampling technique by Settle Plate Method (Passive Air Sampling following 1/1/1 Schedule). Sample processing and antimicrobial susceptibility testing were done following standard bacteriological techniques. The data was analyzed using SPSS version 16 and interpreted according to scientifically determined baseline values initially suggested by Fisher. The mean aerobic colony counts obtained in OR-1(46cfu/hr) and OR-2(28cfu/hr) was far beyond the set 5-8cfu/hr acceptable standards for passive room. Similarly the highest mean aerobic colony counts of 465cfu/hr and 461cfu/hr were observed in Female room-1 and room-2 respectively when compared to the acceptable range of 250-450cfu/hr. In this study only 3 isolates of S. pyogenes and 48 isolates of S. aureus were identified. Over 66% of S. aureus was identified in Critical Zone of Operating rooms. All isolates of S. aureus showed 100% and 82.8% resistance to methicillin and ampicillin respectively. Higher degree of aerobic bacterial load was measured from operating rooms' and surgical wards' indoor air. Reducing foot trafficking, improving the ventilation system and routine cleaning has to be made to maintain the aerobic bacteria load with in optimal level.

Instructional Design, Computers, and Teacher Education.

ERIC Educational Resources Information Center

Bunderson, C. Victor

Use of computers for individualized instruction will bring about some new roles for what we now call teachers. In turn, these new roles will have many implications for colleges of education which must prepare teachers for these roles. In addition to master teachers, instructional managers, operations technicians, librarians, and proctors, a key…

Technicians for Intelligent Buildings. Final Report.

ERIC Educational Resources Information Center

Prescott, Carolyn; Thomson, Ron

"Intelligent building" is a term that has been coined in recent years to describe buildings in which computer technology is intensely applied in two areas of building operations: control systems and shared tenant services. This two-part study provides an overview of the intelligent building industry and reports on issues related to the…

76 FR 72559 - Enhancements to Emergency Preparedness Regulations

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-23

... allow the assignment of the on-shift health physics technician (HP Tech.) as the interim operations... public health and safety. These modifications were issued to licensees by NRC Order EA-02-026, ``Order... health and safety through improvements in the response to unlikely initiating events that could lead to...

Battery Second Use for Plug-In Electric Vehicles Analysis | Transportation

Science.gov Websites

batteries, and how much will it cost? NREL's investigation found that regional repurposing facilities . As technician labor is the primary cost element of such an operation, repurposing facilities are /kilowatt-hour (kWh)-nameplate. NREL's repurposing cost calculator is available freely for download

Mentoring and the Business Environment: Asset or Liability?

ERIC Educational Resources Information Center

Caruso, Richard E.

A study examined mentoring as a means of furthering the career development of managers, technicians, and highly skilled workers employed by Motorola Incorporated, which has had a formal mentoring program in operation since 1980. Senior managers and new employees who were paired in Motorola's mentoring program were surveyed to determine their…

41 CFR 61-300.2 - What definitions apply to this part?

Code of Federal Regulations, 2010 CFR

2010-07-01

... payroll of an employer who is an employee for purposes of the employer's withholding of Social Security... interaction with the CEO. Examples of these kinds of managers are: Chief executive officers, chief operating... and surgeons; social scientists; teachers; and surveyors. (iii) Technicians means individuals in...

Analytical Methods for Trace Metals. Training Manual.

ERIC Educational Resources Information Center

Office of Water Program Operations (EPA), Cincinnati, OH. National Training and Operational Technology Center.

This training manual presents material on the theoretical concepts involved in the methods listed in the Federal Register as approved for determination of trace metals. Emphasis is on laboratory operations. This course is intended for chemists and technicians with little or no experience in analytical methods for trace metals. Students should have…

Robotic Arms. A Contribution to the Curriculum. An Occasional Paper.

ERIC Educational Resources Information Center

Arnold, W. F.; Carpenter, C. J.

This report examines ways of providing technician training in the operating principles of robotic devices. The terms "robotics" and "robotic arms" are first defined. Some background information on the principal features of robotic arms is given, including their geometric arrangement, type of actuator used, control method, and…

Portable Breathing Assembly

NASA Image and Video Library

2017-06-12

In the Space Station Processing Facility at NASA's Kennedy Space Center in Florida, Jacobs Test and Operations Support Contract, or TOSC, technicians fill portable breathing apparatuses, or PBAS. The PBAs are to be use on board the International Space Staton to provide astronauts with breathable air in the event of a fire or other emergency situation.

14 CFR 147.31 - Attendance and enrollment, tests, and credit for prior instruction or experience.

Code of Federal Regulations, 2010 CFR

2010-01-01

... accredited vocational, technical, trade or high school; (iii) A military technical school; (iv) A... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES AVIATION MAINTENANCE TECHNICIAN SCHOOLS Operating Rules § 147.31 Attendance and enrollment, tests, and credit for prior...

47 CFR 97.119 - Station identification.

Code of Federal Regulations, 2013 CFR

2013-10-01

... on the common data base coordinated, maintained and disseminated by the special event call sign data... part of the communications are transmitted by a RTTY or data emission; (4) By an image emission... from Novice or Technician to General Class: AG; (3) For a control operator who has requested a license...

47 CFR 97.119 - Station identification.

Code of Federal Regulations, 2011 CFR

2011-10-01

... on the common data base coordinated, maintained and disseminated by the special event call sign data... part of the communications are transmitted by a RTTY or data emission; (4) By an image emission... from Novice or Technician to General Class: AG; (3) For a control operator who has requested a license...

47 CFR 97.119 - Station identification.

Code of Federal Regulations, 2014 CFR

2014-10-01

... on the common data base coordinated, maintained and disseminated by the special event call sign data... part of the communications are transmitted by a RTTY or data emission; (4) By an image emission... from Novice or Technician to General Class: AG; (3) For a control operator who has requested a license...

47 CFR 97.119 - Station identification.

Code of Federal Regulations, 2012 CFR

2012-10-01

... on the common data base coordinated, maintained and disseminated by the special event call sign data... part of the communications are transmitted by a RTTY or data emission; (4) By an image emission... from Novice or Technician to General Class: AG; (3) For a control operator who has requested a license...

Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.

PubMed

Zahiri, Hamid R; Stromberg, Jeffrey; Skupsky, Hadas; Knepp, Erin K; Folstein, Matthew; Silverman, Ronald; Singh, Devinder

2011-03-01

This study sought to identify and provide preventative recommendations for potentially devastating safety violations in the operating room. A Medline database search from 1950 to current using the terms patient safety and operating room was conducted. All topics identified were reviewed. Three patient safety violations with potential for immediate and devastating outcomes were selected for discussion using evidence-based literature. The search identified 2851 articles, 807 of which were directly related to patient safety in the operating room. Topics addressed by these 807 included infectious complications (26%), fires (11%), communication/teamwork (6%), retained foreign objects (3%), safety checklists (1%), and wrong-site surgery (1%). Fires, gossypiboma, and wrong-site surgery were selected for discussion. Although fire, gossypiboma, and wrong-site surgery should be "never events" in the operating room, they continue to persist as 3 common patient safety violations. This study provides the epidemiology, common etiologies, and evidence-based preventative recommendations for each.

Simulating environmental and psychological acoustic factors of the operating room.

PubMed

Bennett, Christopher L; Dudaryk, Roman; Ayers, Andrew L; McNeer, Richard R

2015-12-01

In this study, an operating room simulation environment was adapted to include quadraphonic speakers, which were used to recreate a composed clinical soundscape. To assess validity of the composed soundscape, several acoustic parameters of this simulated environment were acquired in the presence of alarms only, background noise only, or both. These parameters were also measured for comparison from size-matched operating rooms at Jackson Memorial Hospital. The parameters examined included sound level, reverberation time, and predictive metrics of speech intelligibility in quiet and noise. It was found that the sound levels and acoustic parameters were comparable between the simulated environment and the actual operating rooms. The impact of the background noise on the perception of medical alarms was then examined, and was found to have little impact on the audibility of the alarms. This study is a first in kind report of a comparison between the environmental and psychological acoustical parameters of a hospital simulation environment and actual operating rooms.

Retrospective Chart Review of Skin-to-Skin Contact in the Operating Room and Administration of Analgesic and Anxiolytic Medication to Women After Cesarean Birth.

PubMed

Wagner, Debra L; Lawrence, Stephen; Xu, Jing; Melsom, Janice

2018-04-01

Transporting a newborn out of the operating room after cesarean birth can contribute to maternal awareness of discomfort, anxiety, and the need for administration of analgesics and anxiolytics for relief. This retrospective study analyzed the association between skin-to-skin contact in the operating room and administration of analgesics and anxiolytics to women in the operating and recovery rooms after cesarean birth. Our results indicated a trend toward decreased medication administration for women who experienced skin-to-skin contact and add to evidence supporting the incorporation of skin-to-skin contact in the operating room as the standard of care for cesarean birth. This practice has the potential to enhance the birth experience, promote breastfeeding, and provide greater safety with less exposure to opioids and benzodiazepines for women and their newborns. © 2018 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses.

Software Support during a Control Room Upgrade

DOE Office of Scientific and Technical Information (OSTI.GOV)

Michele Joyce; Michael Spata; Thomas Oren

2005-09-21

In 2004, after 14 years of accelerator operations and commissioning, Jefferson Lab renovated its main control room. Changes in technology and lessons learned during those 14 years drove the control room redesign in a new direction, one that optimizes workflow and makes critical information and controls available to everyone in the control room. Fundamental changes in a variety of software applications were required to facilitate the new operating paradigm. A critical component of the new control room design is a large-format video wall that is used to make a variety of operating information available to everyone in the room. Analogmore » devices such as oscilloscopes and function generators are now displayed on the video wall through two crosspoint switchers: one for analog signals and another for video signals. A new software GUI replaces manual configuration of the oscilloscopes and function generators and helps automate setup. Monitoring screens, customized for the video wall, now make important operating information visible to everyone, not just a single operator. New alarm handler software gives any operator, on any workstation, access to all alarm handler functionality, and multiple users can now contribute to a single electronic logbook entry. To further support the shift to distributed access and control, many applications have been redesigned to run on servers instead of on individual workstations.« less

Performance analysis of air conditioning system and airflow simulation in an operating theater

NASA Astrophysics Data System (ADS)

Alhamid, Muhammad Idrus; Budihardjo, Rahmat

2018-02-01

The importance of maintaining performance of a hospital operating theater is to establish an adequate circulation of clean air within the room. The parameter of air distribution in a space should be based on Air Changes per Hour (ACH) to maintain a positive room pressure. The dispersion of airborne particles in the operating theater was governed by regulating the air distribution so that the operating theater meets clean room standards ie ISO 14664 and ASHRAE 170. Here, we introduced several input parameters in a simulation environment to observe the pressure distribution in the room. Input parameters were air temperature, air velocity and volumetric flow rate entering and leaving room for existing and designed condition. In the existing operating theatre, several observations were found. It was found that the outlet air velocity at the HEPA filter above the operating table was too high thus causing a turbulent airflow pattern. Moreover, the setting temperature at 19°C was found to be too low. The supply of air into the room was observed at lower than 20 ACH which is under the standard requirement. Our simulation using FloVent 8.2™ program showed that not only airflow turbulence could be reduced but also the amount of particle contamination could also be minimized.

Implementation and evaluation of an interprofessional simulation-based education program for undergraduate nursing students in operating room nursing education: a randomized controlled trial.

PubMed

Wang, Rongmei; Shi, Nianke; Bai, Jinbing; Zheng, Yaguang; Zhao, Yue

2015-07-09

The present study was designed to implement an interprofessional simulation-based education program for nursing students and evaluate the influence of this program on nursing students' attitudes toward interprofessional education and knowledge about operating room nursing. Nursing students were randomly assigned to either the interprofessional simulation-based education or traditional course group. A before-and-after study of nursing students' attitudes toward the program was conducted using the Readiness for Interprofessional Learning Scale. Responses to an open-ended question were categorized using thematic content analysis. Nursing students' knowledge about operating room nursing was measured. Nursing students from the interprofessional simulation-based education group showed statistically different responses to four of the nineteen questions in the Readiness for Interprofessional Learning Scale, reflecting a more positive attitude toward interprofessional learning. This was also supported by thematic content analysis of the open-ended responses. Furthermore, nursing students in the simulation-based education group had a significant improvement in knowledge about operating room nursing. The integrated course with interprofessional education and simulation provided a positive impact on undergraduate nursing students' perceptions toward interprofessional learning and knowledge about operating room nursing. Our study demonstrated that this course may be a valuable elective option for undergraduate nursing students in operating room nursing education.

In-office vs. operating room procedures for recurrent respiratory papillomatosis.

PubMed

Miller, Anya J; Gardner, Glendon M

2017-01-01

We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man and 16 women, aged 30 to 86 years (mean: 62). The mean number of in-office laser procedures per patient was 4.2, and the mean interval between procedures was 5.4 months (although 10 patients underwent only 1 office procedure); the mean number of operating room procedures was 13.5, and the mean interval between procedures was 14.3 months. An equal number of patients reported complications or adverse events with the two types of procedures-5 each. The difference in cost between the office procedure (mean: $3,413.00) and the operating room procedure (mean: $12,382.59) was almost $9,000, but these savings were offset by the fact that the office procedures needed to be performed three times as often. Patients reported slightly more anxiety and discomfort during the office procedures and, overall, they appeared to prefer the operating room procedure. We conclude that office procedures are significantly more cost-effective than operating room procedures, but their use may be limited by patient tolerance and the increased frequency of the procedure.

Buoyancy driven acceleration in a hospital operating room indoor environment

NASA Astrophysics Data System (ADS)

McNeill, James; Hertzberg, Jean; Zhai, John

2011-11-01

In hospital operating rooms, centrally located non-isothermal ceiling jets provide sterile air for protecting the surgical site from infectious particles in the room air as well as room cooling. Modern operating rooms are requiring larger temperature differences to accommodate increasing cooling loads for heat gains from medical equipment. This trend may lead to significant changes in the room air distribution patterns that may sacrifice the sterile air field across the surgical table. Quantitative flow visualization experiments using laser sheet illumination and RANS modeling of the indoor environment were conducted to demonstrate the impact of the indoor environment thermal conditions on the room air distribution. The angle of the jet shear layer was studied as function of the area of the vena contracta of the jet, which is in turn dependent upon the Archimedes number of the jet. Increases in the buoyancy forces cause greater air velocities in the vicinity of the surgical site increasing the likelihood of deposition of contaminants in the flow field. The outcome of this study shows the Archimedes number should be used as the design parameter for hospital operating room air distribution in order to maintain a proper supply air jet for covering the sterile region. This work is supported by ASHRAE.

The Attitudes and Behaviors of Anaesthesiology and Reanimation Specialists in Anaesthesia Care Applications Outside the Operating Room in Turkey: A Survey Study

PubMed Central

Yıldız, Mehmet; İyilikçi, Leyla; Duru, Seden; Hancı, Volkan

2014-01-01

Objective We aimed to investigate the attitudes and behaviors of anaesthesiologists in “non-operating room anaesthesia” applications, which can be described as anaesthesia applications performed outside the operating room, and their reflection on practice all over Turkey. Methods Our study was conducted between November 5, 2012 and January 7, 2013 with the approval of the Research Ethics Board. Survey data were obtained through distributing printed questionnaires to be completed either by hand or via the web. The questionnaire consisted of 38 questions. The data obtained were analyzed with the Statistical Package for Social Sciences (SPSS) program. Results A total of 500 anaesthesiologists replied to our survey; 93% of anaesthesia specialists reported that there was a request that the anaesthesia and anaesthesia outside the operating room was given in their institution. Among anaesthesiologists, 56% reported that there were other sections that can provide sedation other than the anaesthesiology department in their institutions. Anaesthesia care team members; equipment; anaesthetic techniques; monitoring methods; and hypnotic, analgesic, and antagonist agents had statistically significant differences according to the participants’ institutions. Equipment used in the anaesthesia practice outside the operating room, anaesthesia, and monitoring methods had statistically significant differences according to geographical distribution (p<0.05). Conclusion Outside the operating room, anaesthesia practices and security measures are compliant with the standards set by the guidelines, the key to the prevention of complications. In our study, the current status of anaesthetic procedures outside the operating room in our country have been analyzed. PMID:27366420

9 CFR 355.15 - Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly...

Code of Federal Regulations, 2012 CFR

2012-01-01

... storage rooms; outer premises, docks, driveways, etc.; fly-breeding material; nuisances. 355.15 Section....15 Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly... departments where certified products are prepared, handled, or stored. Docks and areas where cars and vehicles...

9 CFR 355.15 - Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly...

Code of Federal Regulations, 2014 CFR

2014-01-01

... storage rooms; outer premises, docks, driveways, etc.; fly-breeding material; nuisances. 355.15 Section....15 Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly... departments where certified products are prepared, handled, or stored. Docks and areas where cars and vehicles...

9 CFR 355.15 - Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly...

Code of Federal Regulations, 2013 CFR

2013-01-01

... storage rooms; outer premises, docks, driveways, etc.; fly-breeding material; nuisances. 355.15 Section....15 Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly... departments where certified products are prepared, handled, or stored. Docks and areas where cars and vehicles...

Orthodontic soldering techniques: aspects of quality assurance in the dental laboratory.

PubMed

Heidemann, Jutta; Witt, Emil; Feeg, Martin; Werz, Rainer; Pieger, Klaus

2002-07-01

In Germany, the dental technician is required by the Medical Products Act (MPG) to produce workpieces of high safety and quality and to document these properties. Soldering continues to be the prevailing joining technique in the dental laboratory, although problems arise from the susceptibility to corrosion and the low strength of soldered joints. This study aimed to reveal sources of defects in dental laboratory workpieces in order to achieve optimization in terms of quality assurance. The joints were produced by various dental technicians using three different soldering techniques. These joining techniques were investigated for their quality and their corrosion properties during immersion in ferric chloride, orthodontic appliance cleanser, and artificial saliva. Observance of the soldering instructions by the dental technicians was checked. Corrosion attack was confirmed by scanning electron microscopy and by measuring the ion concentrations of copper, silver and zinc in the corrosive agents, using atomic emission spectroscopy with stimulation by inductively coupled plasma (ICP-AES analysis). Incomplete filling of the soldering gap, porosities resulting from the production process, poor corrosion properties, and in particular a high variability of the measured values point to insufficient reliability of two soldering techniques. Variations in quality were also detected among the technicians' modes of operation. The analyses confirm the need for quality assurance of soldering techniques and for increased support for alternative joining techniques such as laser welding in the future. The results of the studies on laser welding are presented in a separate publication.

Academic practice groups: strategy for survival.

PubMed

Rodriguez, J L; Jacobs, D M; Zera, R T; Van Camp, J M; Muehlstedt, S G; West, M A; Bubrick, M P

2000-10-01

The mission of public academic health centers (puAHC) and their affiliated practice groups (APG) focuses on teaching, research, and the clinical care of at-risk populations. Resources to accomplish this mission, however, are becoming scarce. For puAHC to survive and remain competitive, innovative strategies will need to be developed by the APG. We hypothesized that the integration of a surgical academic practice of the APG with a nonacademic integrated health care delivery system (NAIDS) in a managed care environment would benefit all involved. A surgical academic practice was integrated with a NAIDS in a 95% managed care market. Faculty alone provided care the first year, and third-year residents were added the following year. To assess outcome, we collected benefit and cost data for the 1-year period before integration and compared them with the two, 1-year periods after integration. In the second year of integration, revenues from the NAIDS referrals to the puAHC and APG increased 89% and 150%, respectively. The NAIDS' general surgical and endoscopy caseload increased by 25%. Additionally, there was a 92% reduction in operating room technician cost with no increase in operating time per case. Finally, the third-year resident experienced a caseload increase of 163%. In an environment where resources are diminishing and managed care consists of many large NAIDS that drive referrals and revenue, the integration of a surgical academic practice with a NAIDS benefits all shareholders. Academic practice groups that develop strategies that leverage their competitive advantage will have the best chance of surviving in today's turbulent health care market.

Highway Surveying. Instructor's Guide for an Adult Course. Highway Technicians Program Unit III.

ERIC Educational Resources Information Center

Fimmano, Ralph; Kacharian, John C.

The revised instructor's guide, which is part of the New York State Highway Technician's Program to provide needed technicians and engineers by upgrading people in the lower-level technician jobs, is geared toward the improvement of technical skills and knowledge in highway surveying. In view of the shortage of qualified technicians and engineers…

The Doctrinal Basis for Medical Stability Operations

DTIC Science & Technology

2010-01-01

lead actor, preferably a HN agency, but sometimes the military must take the lead in medical stability operations when overwhelming violence prevents...34 Assessment Tasks Administration of hospital Communications Obstetrics , Pediatrics, Emergency room. Operating room Nursing procedures Medical supply

Estimation of Blood Loss: Comparing the Accuracy of Operating Room Personnel

DTIC Science & Technology

1991-02-01

Operating Room Services to reserve an unutilized room for the day of the experiment . The experimental period was on June 14, 1990, from 8:30 AM to 12:00...moderate loss he may experience a decrease in pulse pressure, tachycardia, tachypnea, and postural hypotension. A major blood loss may constitute...during the procedure. In discussing his experience with 3,000 transfusions, Blain (1929) emphasized that the amount of blood lost during operations

Impact of Hospital-Employed Physician Assistants on a Level II Community-Based Orthopaedic Trauma System.

PubMed

Althausen, Peter L; Shannon, Steven; Owens, Brianne; Coll, Daniel; Cvitash, Michael; Lu, Minggen; O'Mara, Timothy J; Bray, Timothy J

2016-12-01

The American Academy of Orthopedic Surgeons and the Orthopedic Trauma Association have released guidelines for the provision of orthopedic trauma services such as adequate stipends, designated operating rooms, ancillary staff, and guaranteed reimbursement for indigent care. One recommendation included a provision for hospital-based physician assistants (PAs). Given current reimbursement arrangements, PA collections for billable services may not meet their salary and benefit expenses. However, their actions may indirectly affect emergency room, operating room, and hospital reimbursement and patient care itself. The purpose of our study is to define the true impact of hospitalbased PAs on orthopaedic trauma care at a level II community hospital. Retrospective case series. Level II trauma center. One thousand one hundred four trauma patients with orthopaedic injuries. PA involvement. Emergency room data such as triage time, time until seen by the orthopedic service, and total emergency room time was recorded. Operating room data such as time to surgery, set-up time, total operating time, and out of room time was entered as well. Charts were reviewed to determine if patients were given postoperative antibiotics and Deep Venous Thrombosis (DVT) prophylaxis. Intraoperative and postoperative complications were noted, and lengths of stay were calculated for all patients. At our institution, PA collections from patient care cover only 50% of their costs for salary and benefits. However, with PA involvement, trauma patients with orthopedic injuries were seen 205 minutes faster (P = 0.006), total Emergency Room (ER) time decreased 175 minutes (P = 0.0001), and time to surgery improved 360 minutes (P . 0.03). Operating room parameters were minimally improved, but postoperative DVT prophylaxis increased by a mean of 6.73% (P = 0.0084), postoperative antibiotic administration increased by 2.88% (P = 0.0302), and there was a 4.67% decrease in postoperative complications (P = 0.0034). Average length of stay decreased by 0.61 days (P = 0.27). Although the PA's collections do not cover their costs, the indirect economic and patient care impacts are clear. By increasing emergency room pull through and decreasing times to Operating Room (OR), operative times, lengths of stay, and complications, their existence is clearly beneficial to hospitals, physicians, and patients as well. Economic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Is work in education child's play? Understanding risks to educators arising from work organization and design of work spaces.

PubMed

Seifert, Ana María

2007-01-01

The educational sector exposes its primarily female work force to numerous psychosocial risk factors. At the request of the education workers', ergonomists developed a participatory research project in order to understand the determinants of the difficulties experienced by special education technicians. These technicians work with students presenting behavioral and learning difficulties as well as developmental and mental health problems. Eighteen technicians were interviewed and the work of seven technicians and two teachers was observed. Technicians prevent and manage crisis situations and help students acquire social skills. Coordination with teachers is made difficult by the fact that most technicians work part time, part year, and many technicians' work areas and classrooms are physically distant one from another. Most technicians change schools each year and must continually reconstruct work teams. Management strategies and poorly adapted working spaces can have important repercussions on coordination among educators and on technicians' capacity to help students and prevent aggressive behavior.

Can they do it? Comparing the views of pharmacists and technicians to the introduction of an advanced technician role.

PubMed

Napier, Patti; Norris, Pauline; Green, James; Braund, Rhiannon

2016-04-01

This study aimed to investigate the opinions of pharmacists and technicians regarding the ability of New Zealand technicians to take on an advanced checking technician role. A survey was developed to investigate the opinions regarding the introduction of this new role. The questions covered are: perceived ability to take on the role, training requirements and competence. Surveys were sent to pharmacists whose contact details are available for research purposes (n = 2095) and to all pharmacies in New Zealand (both community and hospital) for the attention of technicians (n = 858). The results were analysed using IBM SPSS and thematic analysis of comments was conducted. A total of 1221 surveys were returned (pharmacists = 736 and technicians = 485). The majority of the technicians (83%) believed that 'some' technicians could work in a CT role, compared with 73% of the pharmacists. Over two-thirds (69%) of the technicians felt comfortable checking a prescription at their current level of training compared with 53% of pharmacists. Both groups' comfort increased with further specific training for the technicians. The majority of both of these groups supported the change in roles. Pharmacists were less confident that technicians could take on this role now, but were more comfortable after extra training had been completed. The technicians, however, were confident they could take on this role now but would take on extra training if needed. © 2015 Royal Pharmaceutical Society.

Preoperative Safety Briefing Project

PubMed Central

DeFontes, James; Surbida, Stephanie

2004-01-01

Context: Increased media attention on surgical procedures that were performed on the wrong anatomic site or wrong patient has prompted the health care industry to identify and address human factors that lead to medical errors. Objective: To increase patient safety in the perioperative setting, our objective was to create a climate of improved communication, collaboration, team-work, and situational awareness while the surgical team reviewed pertinent information about the patient and the pending procedure. Methods: A team of doctors, nurses, and technicians used human factors principles to develop the Preoperative Safety Briefing for use by surgical teams, a briefing similar to the preflight checklist used by the airline industry. A six-month pilot of the briefing began in the Kaiser Permanente (KP) Anaheim Medical Center in February 2002. Four indicators of safety culture were used to measure success of the pilot: occurrence of wrong-site/wrong procedures, attitudinal survey data, near-miss reports, and nursing personnel turnover data. Results: Wrong-site surgeries decreased from 3 to 0 (300%) per year; employee satisfaction increased 19%; nursing personnel turnover decreased 16%; and perception of the safety climate in the operating room improved from “good” to “outstanding.” Operating suite personnel perception of teamwork quality improved substantially. Operating suite personnel perception of patient safety as a priority, of personnel communication, of their taking responsibility for patient safety, of nurse input being well received, of overall morale, and of medical errors being handled appropriately also improved substantially. Conclusions: Team members who work together and communicate well can quickly detect and more easily avoid errors. The Preoperative Safety Briefing is now standard in many operating suites in the KP Orange County Service Area. The concepts and design of this project are transferable, and similar projects are underway in the Departments of Radiology and of Labor and Delivery at KP Anaheim Medical Center. PMID:26704913

9 CFR 355.15 - Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly...

Code of Federal Regulations, 2010 CFR

2010-01-01

...-breeding material; nuisances. All operating and storage rooms and departments of inspected plants used for... storage rooms; outer premises, docks, driveways, etc.; fly-breeding material; nuisances. 355.15 Section... premises of every inspected plant shall be kept in clean and orderly condition. All catchbasins on the...

9 CFR 355.15 - Inedible material operating and storage rooms; outer premises, docks, driveways, etc.; fly...

Code of Federal Regulations, 2011 CFR

2011-01-01

...-breeding material; nuisances. All operating and storage rooms and departments of inspected plants used for... storage rooms; outer premises, docks, driveways, etc.; fly-breeding material; nuisances. 355.15 Section... premises of every inspected plant shall be kept in clean and orderly condition. All catchbasins on the...

Study of a dry room in a battery manufacturing plant using a process model

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ahmed, Shabbir; Nelson, Paul A.; Dees, Dennis W.

The manufacture of lithium ion batteries requires some processing steps to be carried out in a dry room, where the moisture content should remain below 100 parts per million. The design and operation of such a dry room adds to the cost of the battery. This paper studies the humidity management of the air to and from the dry room to understand the impact of design and operating parameters on the energy demand and the cost contribution towards the battery manufacturing cost. The study is conducted with the help of a process model for a dry room with a volumemore » of 16000 cubic meters. For a defined base case scenario it is found that the dry room operation has an energy demand of approximately 400 kW. The paper explores some tradeoffs in design and operating parameters by looking at the humidity reduction by quenching the make-up air vs. at the desiccant wheel, and the impact of the heat recovery from the desiccant regeneration cycle.« less

Data analyst technician: an innovative role for the pharmacy technician.

PubMed

Ervin, K C; Skledar, S; Hess, M M; Ryan, M

2001-10-01

The development of an innovative role for the pharmacy technician is described. The role of the pharmacy technician was based on a needs assessment and the expertise of the pharmacy technician selected. Initial responsibilities of the technician included chart reviews, benchmarking surveys, monthly financial impact analysis, initiative assessment, and quality improvement reporting. As the drug-use and disease-state management (DUDSM) program expanded, pharmacist activities increased, requiring the expansion of data analyst technician (DAT) duties. These new responsibilities included participation in patient assessment, data collection and interpretation, and formulary enforcement. Most recently, technicians' expanded duties include maintenance of a physician compliance profiling database, quality improvement reporting and graphing, active role in patient risk assessment and database management for adult vaccination, and support of financial impact monitoring for other institutions within the health system. This pharmacist-technician collaboration resulted a threefold increase in patient assessments completed per day. In addition, as the DUDSM program continues to expand across the health system, an increase in DAT resources from 0.5 to 1.0 full-time equivalent was obtained. The role of the DAT has increased the efficiency of the DUDSM program and has provided an innovative role for the pharmacy technician.

Technical Support. Focus on Careers.

ERIC Educational Resources Information Center

Thiers, Naomi

1996-01-01

Describes work conditions, education and training needs, and salaries of the following technician careers: auto/diesel technicians, auto body repairers, general maintenance mechanics, heating/air conditioning/refrigeration, paralegals, engineering technicians, science technicians, computer repairers, and drafters. (SK)

A Variable Flow Modelling Approach To Military End Strength Planning

DTIC Science & Technology

2016-12-01

programming MAPE mean average percentage error MLRPS Manpower Long-Range Planning System MT marine technician OR operations research RAN Royal...OR Practice—The Army Manpower Long-Range Planning System. Operations Research , 36(1), 5–17. http://dx.doi.org/10.1287/opre.36.1.5 Guerry, M. A...unlimited. 12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) The purpose of this thesis is to develop a model to assist military manpower planners in

KSC-2011-6513

NASA Image and Video Library

2011-08-18

CAPE CANAVERAL, Fla. -- Technicians lower NASA's twin Gravity Recovery and Interior Laboratory (GRAIL) spacecraft into place atop a United Launch Alliance Delta II rocket on Space Launch Complex 17B at Cape Canaveral Air Force Station in Florida. The lunar probes are attached to a spacecraft adapter ring in their side-by-side launch configuration and wrapped in plastic to prevent contamination outside the clean room. The spacecraft will fly in tandem orbits around the moon for several months to measure its gravity field. GRAIL's primary science objectives are to determine the structure of the lunar interior, from crust to core, and to advance understanding of the thermal evolution of the moon. Launch is scheduled for Sept. 8. For more information, visit www.nasa.gov/grail. Photo credit: NASA/Kim Shiflett

KSC-2012-3131

NASA Image and Video Library

2012-05-30

CAPE CANAVERAL, Fla. – A technician performs a black light inspection on one of NASA's Radiation Belt Storm Probes inside the clean room high bay at Astrotech payload processing facility. Black light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Kim Shiflett

KSC-2012-3132

NASA Image and Video Library

2012-05-30

CAPE CANAVERAL, Fla. – Barely visible behind equipment, a technician uses a black light to inspect one of NASA's twin Radiation Belt Storm Probes inside the clean room high bay at Astrotech payload processing facility. Black light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Kim Shiflett

KSC-2012-3135

NASA Image and Video Library

2012-05-30

CAPE CANAVERAL, Fla. – Using a black light, a technician closely inspects one of NASA's twin Radiation Belt Storm Probes inside the clean room high bay at Astrotech payload processing facility. Black light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Kim Shiflett

KSC-2012-3134

NASA Image and Video Library

2012-05-30

CAPE CANAVERAL, Fla. – Working in near-darkness inside the high bay clean room at the Astrotech payload processing facility, two technicians use black lights to inspect of one of NASA's twin Radiation Belt Storm Probes. Black light inspection uses UVA fluorescence to detect possible microcontamination, small cracks or fluid leaks. The Radiation Belt Storm Probes, or RBSP, mission will help us understand the sun’s influence on Earth and near-Earth space by studying the Earth’s radiation belts on various scales of space and time. RBSP will begin its mission of exploration of Earth's Van Allen radiation belts and the extremes of space weather after its launch aboard a United Launch Alliance Atlas V rocket. For more information, visit http://www.nasa.gov/rbsp. Photo credit: NASA/Kim Shiflett

Using Wearable Computers in Shuttle Processing: A Feasibility Study

NASA Technical Reports Server (NTRS)

Centeno, Martha A.; Correa, Daisy; Groh-Hammond, Marcia

2001-01-01

Shuttle processing operations are performed following prescribed instructions compiled in a Work Authorization Document (WAD). Until very recently, WADs were printed so that they could be properly executed, including the buy off of each and every step by the appropriate authorizing agent. However, with the development of EPICs, Maximo, and PeopleSoft applications, some of these documents are now available in electronic format; hence, it is possible for technicians and engineers to access them on line and buy off the steps electronically. To take full advantage of these developments, technicians need access to such documents at the point of job execution. Body wearable computers present an opportunity to develop a WAD delivery system that enables access while preserving technician's mobility, safety levels, and quality of work done. The primary objectives of this project were to determine if body wearable computers are a feasible delivery system for WADs. More specifically, identify and recommend specific brands of body wearable computers readily available on the market. Thus, this effort has field-tested this technology in two areas of shuttle processing, and it has examined the usability of the technology. Results of two field tests and a Human Factors Usability Test are presented. Section 2 provides a description of the body wearable computer technology. Section 3 presents the test at the Space Shuttle Main Engine (SSME) Shop. Section 4 presents the results of the integration test at the Solid Rocket Boosters Assembly and Refurbishing Facility (SRBARF). Section 5 presents the results of the usability test done at the Operations Support Building (OSB).

KSC-2010-5762

NASA Image and Video Library

2010-12-02

CAPE CANAVERAL, Fla. -- A backscatter device is being used to examine space shuttle Discovery's external fuel tank on Launch Pad 39A at NASA's Kennedy Space Center in Florida. The device bounces radiation off the tank, allowing technicians to see under the tank's foam insulation. The foam cracked during initial loading operations for Discovery’s STS-133 launch attempt on Nov. 5, and technicians later identified two cracked stringers, which are the composite aluminum ribs located vertically on the tank’s intertank area. Those two stringers have been replaced and reinforced with doublers, which are shaped metal pieces twice as thick as the original stringers. Launch is no earlier than Dec. 17 at 8:51 p.m. EST. For more information on STS-133, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Frank Michaux

KSC-2010-5760

NASA Image and Video Library

2010-12-02

CAPE CANAVERAL, Fla. -- An engineer uses a backscatter device to examine space shuttle Discovery's external fuel tank on Launch Pad 39A at NASA's Kennedy Space Center in Florida. The device bounces radiation off the tank, allowing technicians to see under the tank's foam insulation. The foam cracked during initial loading operations for Discovery’s STS-133 launch attempt on Nov. 5, and technicians later identified two cracked stringers, which are the composite aluminum ribs located vertically on the tank’s intertank area. Those two stringers have been replaced and reinforced with doublers, which are shaped metal pieces twice as thick as the original stringers. Launch is no earlier than Dec. 17 at 8:51 p.m. EST. For more information on STS-133, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Frank Michaux

KSC-2010-5761

NASA Image and Video Library

2010-12-02

CAPE CANAVERAL, Fla. -- A backscatter device is being used to examine space shuttle Discovery's external fuel tank on Launch Pad 39A at NASA's Kennedy Space Center in Florida. The device bounces radiation off the tank, allowing technicians to see under the tank's foam insulation. The foam cracked during initial loading operations for Discovery’s STS-133 launch attempt on Nov. 5, and technicians later identified two cracked stringers, which are the composite aluminum ribs located vertically on the tank’s intertank area. Those two stringers have been replaced and reinforced with doublers, which are shaped metal pieces twice as thick as the original stringers. Launch is no earlier than Dec. 17 at 8:51 p.m. EST. For more information on STS-133, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Frank Michaux

KSC-2010-5764

NASA Image and Video Library

2010-12-02

CAPE CANAVERAL, Fla. -- A backscatter device is being used to examine space shuttle Discovery's external fuel tank on Launch Pad 39A at NASA's Kennedy Space Center in Florida. The device bounces radiation off the tank, allowing technicians to see under the tank's foam insulation. The foam cracked during initial loading operations for Discovery’s STS-133 launch attempt on Nov. 5, and technicians later identified two cracked stringers, which are the composite aluminum ribs located vertically on the tank’s intertank area. Those two stringers have been replaced and reinforced with doublers, which are shaped metal pieces twice as thick as the original stringers. Launch is no earlier than Dec. 17 at 8:51 p.m. EST. For more information on STS-133, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Frank Michaux

KSC-2010-5765

NASA Image and Video Library

2010-12-02

CAPE CANAVERAL, Fla. -- Engineers will use a backscatter device to examine space shuttle Discovery's external fuel tank on Launch Pad 39A at NASA's Kennedy Space Center in Florida. The device bounces radiation off the tank, allowing technicians to see under the tank's foam insulation. The foam cracked during initial loading operations for Discovery’s STS-133 launch attempt on Nov. 5, and technicians later identified two cracked stringers, which are the composite aluminum ribs located vertically on the tank’s intertank area. Those two stringers have been replaced and reinforced with doublers, which are shaped metal pieces twice as thick as the original stringers. Launch is no earlier than Dec. 17 at 8:51 p.m. EST. For more information on STS-133, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Frank Michaux

KSC-2010-5758

NASA Image and Video Library

2010-12-02

CAPE CANAVERAL, Fla. -- An engineer uses a backscatter device to examine space shuttle Discovery's external fuel tank on Launch Pad 39A at NASA's Kennedy Space Center in Florida. The device bounces radiation off the tank, allowing technicians to see under the tank's foam insulation. The foam cracked during initial loading operations for Discovery’s STS-133 launch attempt on Nov. 5, and technicians later identified two cracked stringers, which are the composite aluminum ribs located vertically on the tank’s intertank area. Those two stringers have been replaced and reinforced with doublers, which are shaped metal pieces twice as thick as the original stringers. Launch is no earlier than Dec. 17 at 8:51 p.m. EST. For more information on STS-133, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Frank Michaux

KSC-2010-5754

NASA Image and Video Library

2010-12-02

CAPE CANAVERAL, Fla. -- An engineer uses a backscatter device to examine space shuttle Discovery's external fuel tank on Launch Pad 39A at NASA's Kennedy Space Center in Florida. The device bounces radiation off the tank, allowing technicians to see under the tank's foam insulation. The foam cracked during initial loading operations for Discovery’s STS-133 launch attempt on Nov. 5, and technicians later identified two cracked stringers, which are the composite aluminum ribs located vertically on the tank’s intertank area. Those two stringers have been replaced and reinforced with doublers, which are shaped metal pieces twice as thick as the original stringers. Launch is no earlier than Dec. 17 at 8:51 p.m. EST. For more information on STS-133, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Frank Michaux