CRIB Pte Ltd is committed to protecting your privacy. This privacy policy applies to the CRIB’s website and governs data collection and usage. By using the CRIB Pte Ltd website, you consent to the data practices described in this policy.

PERSONAL INFORMATION

CRIB Pte Ltd does not sell, rent or lease its member lists and the personal information therein collected on our website or through any other business activities to third parties. We will not send you mailings on behalf of other organizations.

CRIB Pte Ltd may share data with trusted partners to help us perform statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these services to CRIB Pte Ltd, and they are required to maintain the confidentiality of your information.

Payment information

Payments such as membership subscription, event fees, funding or any other forms of revenue made directly to CRIB Pte Ltd contain payers’ information that we will handle according to the Personal Data Protection Act guidelines. These information will not be shared with or sold to any third-party without the payer’s consent.

What we do with your information

When you fill in a form on our website or make a payment through an online portal we use, as part of that process, we collect the personal information you give us such as your name, address and email address.

When you browse our website, we also automatically receive your computer’s internet protocol (IP) address in order to provide us with information that helps us learn about your browser and operating system.

We may send you emails about CRIB, new events and volunteering opportunities and other updates and you may let us know at any point that you do not wish to receive such emails.

CONSENT

How do you get my consent?

When you provide us with your personal information to complete a payment, sign up as a member, apply for a volunteer or full time position, or enquire about CRIB, we imply that you consent to our collecting it and using it for that specific reason only.

If we ask for your personal information for a secondary reason, like marketing, we will either ask you directly for your expressed consent, or provide you with an opportunity to say no.

How do I withdraw my consent?

If after you opt-in, you change your mind, you may withdraw your consent for us to contact you, for the continued collection, use or disclosure of your information, at anytime, by contacting us at info@crib.com.sg or mailing us at 442 Orchard Road, #03-01, Claymore Connect, Singapore 068574

Disclosure

We may disclose your personal information if we are required by law to do so or if you violate our Terms of Service.

WordPress Hosting

Our website is hosted on WordPress. Your data is stored through WordPress’ data storage, databases and the general WordPress application.

Third Party Services

In general, the third-party providers used by us will only collect, use and disclose your information to the extent necessary to allow them to perform the services they provide to us.

However, certain third-party service providers, such as payment gateways and other payment transaction processors, have their own privacy policies in respect to the information we are required to provide to them for your donation-related transactions.

For these providers, we recommend that you read their privacy policies so you can understand the manner in which your personal information will be handled by these providers.

Links

Certain links on our website may direct you away from our site. Once you leave our website or are redirected to a third-party website or application, you are no longer governed by this Privacy Policy or our website. We are not responsible for the privacy practices of other sites and encourage you to read their privacy statements.

CRIB EQUIP ONLINE

Registration

Registration is required for an unique identification to be created for you in order to post, edit, add comments and contact others.

Conduct

The use of vulgar, abusive and profane language as well as sexist, racist, political or any prejudiced comments will not be tolerated at any time. We reserve the right to decide on which language comes under this term. Please avoid overly personal posts that will prevent majority of the forum users looking for genuine and useful advice from using the website.

All appropriate member posts and vendor advertisements will be published on the website. We appreciate it that you will report anyone who emails you to solicit any business or with offers of service that you feel is inappropriate. We reserve the right to delete or edit any spam, multiple postings, advertisements and/or comments which we consider inappropriate and will contact you if needed to clarify content prior to approval.

We reserve the right to remove and ban any user and make any changes deemed necessary to website at any time and the decision of the administrators or moderators is final.

Disclaimer

While we seek to moderate the content as much as possible, we cannot be held responsible or liable for any advertisements, comments or views expressed or posted. Any and all advertisements and views expressed by our users are entirely personal ones, and will not reflect or represent opinions held by us. We shall not be responsible for any advertisements, messages and/or posts made, including any false claims, as well as any malicious, defamatory and slanderous remarks.

Whilst the advertisers endeavor to ensure accuracy and reliability of their content, these should not be construed as statements of fact and they do not constitute any part of an offer or contract. We strongly recommend that all information provided about any service should be verified by you and disclaim all liability in respect of your use of this website.

TERMS OF SERVICE

Security

To protect your personal information, we take reasonable precautions and follow industry best practices to make sure it is not inappropriately lost, misused, accessed, disclosed, altered or destroyed.

Cookies

The CRIB Pte Ltd website uses cookies to improve the customization and services we can offer. You have the ability to accept or decline cookies. Most Web browsers automatically accept cookies, but you can usually modify your browser setting to decline cookies if you prefer. If you choose to decline cookies, you may not be able to fully experience the interactive features of our website.

Changes to the CRIB Privacy Policy

We reserve the right to modify this privacy policy at any time, so please review it frequently. Changes and clarifications will take effect immediately upon their posting on the website. If we make material changes, we will notify you here that it has been updated, so that you are aware of what information we collect, how we use it, and under what circumstances, if any, we use and/or disclose it.

Questions and Contact Information

If you would like to access, correct, amend or delete any personal information we have about you, register a complaint, or simply want more information, please contact us at info@crib.com.sg or by mail at 442 Orchard Road, #03-01, Claymore Connect, Singapore 068574.

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MedicalEnvironment Update

September1, 2016

SECTION:Vol. 26 No. 9 ISSN: 1520-8222

Editor’snote: Inthis story, which originally appeared in Facility Care, consultant Brad Keyes,CHSP, explains the complex world of eyewash stations.

   Whenand where are eyewash stations required in a healthcare facility? This isone of the more frequent issues with which healthcare professionals struggle.There is a tendency to place these stations nearly everywhere, but in realitythere aren’t as many locations that require eyewashstations as one may think.

   Eyewash stations are required wherever thereis a possibility that caustic or corrosive chemicals could splash into anindividual’s eye. It is important to note that blood and body fluids are notconsidered to be caustic or corrosive. It is also important to note that theuse of PPE such as face shields, glasses, or goggles does not exempt a facilityfrom needing an eyewash station.

   Where to place a station

   Most accreditation organizations base theirpositions on whether an eyewash station (or an emergency shower) is required onthe healthcare organization’s decision to conduct a risk assessment, and on thefindings of that assessment. Areas where work is done with corrosive andcaustic chemicals do not necessarily require an eyewash station or emergencyshower unless chemicals could be splashed into the eyes or onto the skin. Anexception is if an eyewash station is part of regulation or accreditationrequirements.

   For example, if an environmental servicesworker opens a 1-gallon container of a liquid cleaner that is consideredcaustic or corrosive, and inserts a suction tube for a mixer, that may notpresent much of a splash hazard, and a risk assessment could state that aneyewash station is not warranted.

On the other hand, if therisk assessment determines the removal of the suction tube constitutes a splashhazard, then an eyewash station would be required. Similarly, if the employeepours this chemical from its original container into another container, now therisk of a splash is much greater, and a risk assessment would likely require aneyewash station. All risk assessments are conducted with the presumption thatstaff will not be wearing any PPE, although eye protection, face shields, andgloves and aprons must be worn during the use of caustic or corrosivematerials.

   If there are no corrosive or causticchemicals present, there is no need to conduct a risk assessment and thereforeno need for an eyewash station. Whether the term “corrosive” or the term“injurious corrosive” is used to describe a chemical, it’s all the same. Eitherwould cause an injury.

   If there is a possibility that a corrosiveor caustic material can be splashed onto the skin, then an emergency shower is required.But if a risk assessment determines there is no possibility of the chemicalssplashing onto the skin through normal use, there would not be a requirementfor an emergency shower. The risk assessment should also consider emergencyspills as well. Just like eyewash stations, if regulation or accreditationstandards require the presence of emergency showers, you would need to installone regardless of whether corrosive or caustic materials are present.

   Nofair substitute

   While portablesqueeze bottles are not prohibited, they are not a substitute for an approvedANSI Z358.1-2014 eyewash station because they don’t provide hands-free use anddo not flow water continuously for 15 minutes. In fact, portable squeezebottles are a potential problem for healthcare organizations since they areusually placed around an area where a potential hazard may occur. In otherwords, they are placed in locations where somebody decided that there is somesort of splash risk present and that a portable bottle would be of some use.This can lead to the incorrect assumption that portable bottles are an approvedeyewash station.

   In addition,portable squeeze bottles need to have their water changed every two years orso, and that can be overlooked at times, leading to a citation. Also, thesebottles are a huge red flag to a surveyor-once he or she sees the portablebottle, a tracer is likely to follow.

   Amandatory guidance?    

   The ANSI Z358.1-2014 standard for eyewashstations is based on recommendations from OSHA letters of interpretation. OSHArequires an employer to provide suitable facilities for quick drenching orflushing of the eyes and body when employees may be exposed to injuriouscorrosive materials. ANSI standards become mandatory OSHA standards only whenthey are adopted by OSHA. ANSI Z358.1 has not; however, it provides detailedinformation regarding the installation and operation of emergency eyewash andshower equipment. OSHA, therefore, has often referred employers to ANSI Z358.1as a source of guidance for protecting employees who may be exposed toinjurious corrosive materials. Accreditation organizations seem to have latchedon to ANSI Z358.1 as the standard with which to comply.

   A proper assessment

   The organization is expected to conduct arisk assessment (or survey) of its facility’s operation and process areas todetermine if and where eyewash stations are needed. If the facility hasdetermined that an eyewash station is needed, that station needs to conform toANSI Z358.1-2014, which has the following specifications:

   * Only eyewashstations that are capable of providing a flow of clean, potable water at a rateof 0.4 gallons per minute at 30 psi for 15 minutes are permitted. Someself-contained eyewash stations provide this flow requirement, but normallyplumbed eyewash stations are installed.

   * The flownozzles of the eyewash station must be mounted a minimum of 33 inches and amaximum of 45 inches above the floor, and a minimum of 6 inches from any wall,post, or other barrier.

   * Activation ofthe eyewash station must occur within one second or less of operating thecontrol valve, so this typically eliminates the faucet-mounted eyewash stationsthat require the operation of three -levers to obtain a balanced flow of water.The control valve must remain open on its own until it is intentionally turnedoff.

   * Approvedeyewash stations are required to be located within 10 seconds’ travel time (or55 feet) of the hazard, and the path to an eyewash station must not be hinderedor obstructed. The ANSI Z358.1-2014 standard has changed (for chemicals NOTconsidered to be corrosive) to allow one door in the path to an eyewashstation, provided the door cannot be locked and the door swings toward theeyewash station.

   * While thereis no standard that prohibits small, supplemental personal wash bottles, theycannot meet the flow rate requirements for a 15-minute flush, and therefore arenot a substitute for a plumbed eyewash station. They can serve as asupplemental aid, but the plumbed eyewash station still needs to be locatedwithin 10 seconds’ travel time (or 55 feet) of the hazard. The presence ofpersonal wash bottles may indicate a need for a plumbed eyewash station.

   * Thetemperature of the water must be tepid. The ANSI standard defines tepid wateras being between 60 and 100 degrees Fahrenheit. To achieve this temperaturerange, the organization may have to install mixing valves. Some accreditationorganizations allow water temperatures outside of this range, provided a riskassessment is conducted by qualified individuals who analyze the hazard and thetemperature of the water to flush the hazard. Qualifying individuals mustinclude an individual with clinical or medical training.

   * Weeklyactivation of the plumbed eyewash stations is required to clear any sediment orbacteria. There is no specified time that the water must flow. An annualinspection of the eyewash station is required to determine conformances withthe installation requirements are maintained.

Tipsfor evaluating compliance

   Here are some recommendations on evaluatingyour existing eyewash stations for compliance:

   * In ahealthcare setting, eyewash stations are typically found where cleaningchemicals are mixed (such as housekeeping areas); where plant operations takeplace; and in kitchens, generator rooms, boiler rooms, environmental servicesstorage rooms for battery-powered floor scrubbers, in-house laundries, dialysismixing rooms, and laboratories. Find out whether a risk assessment has beenconducted to determine the need for eyewash stations.

   * All requiredeyewash stations must be operated in one second or less. This means thefaucet-mounted type that requires turning aa hot water lever and a cold waterlever, and then pulling a center lever, is not permitted.

   * Access to theeyewash station must be within 10 seconds (or 55 feet) of the hazard. The individualseeking an eyewash station may travel through one door to get to an eyewashstation, provided the chemical is NOT corrosive and the door is unlockable andswings toward the eyewash station.

   * If an eyewashstation is observed outside of an area where one is typically needed, ask thestaff who work in the area why it is there. See if they have conducted a riskassessment that requires it to be there. Advise them that if there is no validreason for the eyewash station to be there, it can be removed, which may savethem the time and resources spent in maintaining it.

   * Eyewashstations may need to have a mixing valve to maintain a flow of water in the 60-to 100-degree Fahrenheit range. Ask to see the risk assessment to determinewhether a mixing valve is required.

   * Every plumbedeyewash station needs to be tested weekly by flowing water to clear anysediment and bacteria. There is no requirement regarding how long the watermust flow. Every eyewash station must be inspected annually to determinewhether the eyewash station still conforms to the installation parameters. Theweekly test and annual inspections must be documented.

   * The presenceof eyewash bottles indicates someone in the organization decided the bottleswere needed. Investigate and ask why the bottles are there. Determine whetherthere is a need for a plumbed eyewash station within 10 seconds’ travel time(or 55 feet) of the perceived hazard. Check the expiration date on the bottles.

   * Finally,always check with your state and local authorities to determine whether theyhave any additional requirements.

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TOKYO -- Mitsubishi MotorsCorp.’s fraudulent fuel-economy testing and the subsequent plunge in its stockprice and sales could cost Mitsubishi Corp., its second-largest shareholder,about 335 billion yen ($3 billion), as the Japanese carmaker’s disclosurereverberates.

MitsubishiCorp., which owns 10 percent of Mitsubishi Motors, is the first of theautomaker’s major shareholders to measure the potential impact of improper fueleconomy testing dating back 25 years. It also joined Mitsubishi HeavyIndustries Ltd., the carmaker’s biggest stock owner; in saying it can’t commentat this point whether to extend aid to the carmaker.

“We cannot say anythingparticular about the support, as we do not know the whole picture,” PresidentTakehiko Kakiuchi said at a briefing in Tokyo today. As a shareholder ofMitsubishi Motors, the fraud at the carmaker is “extremely regrettable,” hesaid.

Support from shareholders maybe crucial to Mitsubishi Motors’ weathering a scandal that could result in thecompany having to compensate customers, Japan’s government and minicar partnerNissan Motor Co. On Monday, Mitsubishi Heavy said it wanted to wait for theresults of an investigation into the fraud before deciding whether to extendaid. The heavy machinery maker hasn’t received any appeal for help from theautomaker in which it owns 12.6 percent stake, President Shunichi Miyanaga toldreporters in Tokyo on Monday, without elaborating.

“They are submitting a reportand we don’t know how that will turn out yet,” Miyanaga said. “We also have towait until the results of a third-party investigation.”

Mitsubishi Heavy andMitsubishi Corp. are among the Mitsubishi Group companies that bailed out themaker of Lancer sedans and Montero SUVs more than 10 years ago after it wasfound to have covered up safety defects. Orders for its vehicles in Japan haveplunged after the company first revealed it had overstated the fuel economy ofits minicars by as much as 10 percent.

“I think it’s the rightjudgment at this stage,” Takeshi Miyao, an analyst with Tokyo-based marketresearcher Carnorama, said by phone. “Even if you want to rescue MitsubishiMotors, it’s not good to make a decision before the facts are out. You may facecriticism from the public.”

Shares of Mitsubishi Motorshave tumbled about 44 percent since the announcement on April 20.

Japan’s transport ministry hasgiven Mitsubishi Motors until May 11 to re-submit findings from itsinvestigation of improper testing methods after saying an initial report wasinsufficient.

The government will also setup a task force to look into concrete measures to prevent irregularities invehicle testing, Transport Minister Keiichi Ishii told reporters on April 26.

Mitsubishi Motors hasestablished a third-party group to investigate the falsified fuel efficiency labelingthat will take about three months, the company said last month. The committeeconsists of three lawyers, including a former member of the Tokyo HighProsecutors Office.

Carmakers are bracing forincreased scrutiny of the way they label and advertise fuel efficiency andtailpipe pollutants after revelations in September that Volkswagen AG cheatedon diesel emissions. Since then, government fraud investigators have raidedFrench manufacturer PSA Group as part of broader checks into vehicle emissions,while Daimler AG said it initiated an internal probe into its certificationprocess at the behest of the U.S. Department of Justice.

Mitsubishi Motors delayed itsprofit forecast for the current fiscal year, saying it’s assessing the futureimpact from testing irregularities involving an untold number of models since1991. The automaker’s shareholders from the Mitsubishi group also includeMitsubishi UFJ Financial Group Inc., which holds a 4.2 percent stake, accordingto data compiled by Bloomberg.

Mitsubishi bailout

Mitsubishi Heavy, which spunoff the carmaker in 1970, bought 40 billion yen of preferred shares inMitsubishi Motors in 2004, part of a 496 billion yen bailout of the company.The automaker recalled more than 200,000 faulty vehicles and said it covered updefects.

Mitsubishi Corp. injected 140billion yen into the automaker from June 2004 through January 2006. The companyalso cooperates with Mitsubishi Motors to develop sales mostly outside of Japanand across related businesses, according to its statement.

Of the estimated exposure tothe carmaker, 125 billion yen was related to the value of Mitsubishi’sshareholding in the carmaker, and about 210 billion yen was from investments inrelated businesses as of March 31, according to Mitsubishi Corp. The companyhasn’t factored in the impact of the scandal in its current fiscal-yearforecasts.

“I’d say the Mitsubishi Group-- I’m not sure whether it’s going to be Mitsubishi Heavy -- would rescueMitsubishi Motors somehow in the end,” Carnorama’s Miyao said. “They don’t wantthe Mitsubishi name tainted and they have the means to do it.”

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Dr. Nicholas David Belascospecializes mainly in family medicine and is now offering his holistic care andservices in Goshen, New York. Because of his strong-willed, motivated andcompassionate qualities, he then became one of the most well-known physiciansin the region.

Dr. Nicholas was among the mostbrilliant students of New York Institute of Technology (NYIT) College ofOsteopathic Medicine where he graduated with honors in 2006. He also hadthorough training in Medicare Electronic Health Record (EHR) Incentive Program.

Dr.Nicholas David Belasco is consistently giving his 100% trustworthy andsympathetic care to his patients for more than a decade now, and his expertisein the medical arena has been witnessed by several individuals. Unsurprisingly,most of his patients have resorted to his aid more than once and he's alwaysreceiving positive reviews from them. The renowned physician has also successfullypassed background checks regarding screening for medical permit verificationand malpractice history.

Without a doubt, Dr. Nicholas hasbuilt an outstanding credibility in his field. He also has otherspecializations that a lot of patients depend on. With his distinctivebackground, he can give his patients the finest medical treatment. He isaccepting new patients at his medical office and practice location in Goshen,New York. He's also available for appointments, preventative care, medical careand ongoing patient care. It is possible to reach him by phone at (845)651-0646 and schedule an appointment with one of the finest professionaldoctors to discuss your health concerns.

Family doctors like Dr. NicholasDavid Belasco can answer most of the health care concerns of your family.Some of the benefits you can get from such doctors include them being yourprimary care physicians at any point in your life because they have a totalunderstanding of your life cycle and your family history, resulting in accuratediagnoses of your health issues. You can be certain that you’re getting doubleattention from Dr. Nicholas since he guarantees to offer the best medical carefor you and your family.

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Are you planning to have a holiday trip with your family? Asone of the experts in travel, BacallAssociates views that it will be a great idea because it could create specialand sempiternal memories with your family members. Don't stress yourself toomuch, just focus on the fun and relaxing aspect of it because the Bacall teamis here to guide you in planning your getaway.

Get atravel journal

Having your own traveljournal can help you prioritize things and be in control of anypredicament because this can be a tool for you to cope with differentsituations since you're knowledgeable about the plans you've made and they'rekept in a single place, so the moment you begin planning your holiday trip, geta notebook and write down all your ideas. But if you prefer an electronicjournal, you can go with it, just remember that things might go wrong withelectronics so it's better to have a printed version of your travel plans.

On the other hand, most prefer a handwritten journal becauseit provides an emotional experience. You know that whatever you write there isimportant to you, and you can see your thoughts in your own writing, makingmemories to every single page. Handwritten journals give stronger impression thanelectronic journals.

Choose yourtop travel destinations

If you have a few places in mind, write down those places inyour journal and see to it that you'll only make a short list of it, so that itwill be easier for you to decide on which place you're going to for yourholiday trip. The list may include your top three preferred destinations.

Researcheach place on the list

Research everything you can about each place on your list tohelp you compare them a lot more carefully. You can use search engines likeGoogle or Bing with your research, or you can ask your close friends andrelatives for more information about each place. You must know thetransportation available in each place, and how long will it take you to reachyour destination using different types of vehicles. Also include in yourresearch about crossing borders so that you'll know if you need visas or ifyour passport is in order.

Know theweather

Once you're done choosing your final destination for yourtrip, the next thing you have to do is consider the things you need to bring aswell as the weather condition of that place during the time of your travel. Isit going to be a cold or a warm weather? Pay attention to it because you needto match your clothing to the place's climate. You should include in yourjournal the list of clothing items you're going to bring, along with the listof cosmetics and toiletries you need. You may also create another list ofthings you want to bring such as a gadget list, etc.

Prioritizeyour packing

In case you end up with a lot of things to carry, tryeliminating things that aren’t really needed for your trip - just bring thethings that are very important to you. Avoid bringing very expensive itemsbecause you’ll just worry about their safety during your vacation. You don'twant to lose them or get stolen by a thief, right? So just remove these thingson your list that may trigger stress to you. If possible, pack lightly becausethe less baggage you have, the less stressed you will be on your vacation.

Book inadvance

Perhaps you've seen this tip a lot of times on differentarticles. Bacall Associates also consider this tip to be very cost effective.The organization advises you to make your travel arrangements well in advanceto get awesome discounts. You can also manage the arrangements perfectly ifyou're just staying in one place for your holiday trip.

Contact aprofessional if needed

In case you want a professional help, contact a reliabletravel agent to assist you in your travel needs. If you feel that there’salready too much stress to handle, and your worries are starting to becomeoverwhelming, give them a call to get the reassurance that everything will bealright. Write in your travel journal all the reservations your travel agentmade in your stead. If anything goes wrong on your journey, your travel agentcan be your lifesaver and stress-minimizer because they're the one who'sresponsible for fixing any problems.

You might not enjoy your holiday trip if you're alreadystressed out before you even begin. Bacall Associates suggests that you mustremain calm all the time so that you can surely enjoy your vacation with yourfamily and build special memories with them that you will cherish forever.

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