These cookies may also be used for advertising purposes by these third parties. lHVTm;j\ M;Or 7 ~4w/6YEo1^ytgwd/'$w!Cc=EVB2~Gw{#=,w~w{Aki*[n+ppZ =c2%B. 2. Information on choosing a hearing aid that is right for every worker. This equipment might include: Flow cytometers Blood gas analyzers Electrolyte analyzers Differential counters Coagulation analyzers Slide strainers You might even have a presentation youd like to share with others. Cases of serious nature are admitted in emergency wards to provide immediate medical care. Coordination and harmonious working with the other hospitals, especially identified for this purpose. vs. propofol, pentobarb. Firefighter Tools And Equipment. They should also check for NIOSH respirator approvals. Activate your 30 day free trialto continue reading. '.EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE f E" : !15Qaqs"23ARS#4BT " 1!2QaA ? The PowerPoint PPT presentation: "Non-Emergent use of emergency department" is the property of its rightful owner. Access . Pre-made splints for specific joints also can be found including knee immobilizers, finger splints, Velcro wrist splints, shoulder slings, air splints and cervical collars not to mention cast cutters for when a cast has become too tight. If so, share your PPT presentation slides online with PowerShow.com. Learn more about critical care from our experts. A randomized controlled trial comparing intranasal fentanyl to intravenous morphine for managing acute pain in children in the emergency department. It appears that you have an ad-blocker running. p mission and goals. by idrees iwaidat al-ahli hospital. )`+UQ@F are also received. Thank you for taking the time to confirm your preferences. why a teamwork project at mayo clinic emergency dept.?. children aged 6-59 months attending ed with an, Department Emergency Planning - . Their clinical decision making is just as important as physicians when it comes to the outcome of a patient. CHAPTER 8. A practical guide to preventing occupational hearing loss. Emergency Department (ER) Overview - . SCBA respirators include their own air supply. Laboratory personnel should perform regular visual checks (minimum on a monthly basis) to ensure fire extinguishers present in their labs are fully charged. Stainless steel equipment ( tables, IV stands, mayo stands, etc.) It has millions of presentations already uploaded and available with 1,000s more being uploaded by its users every day. Emergency Preparation In Outdoor Education, Hospita emergency set up in hospital final, Roles of the medical and nursing staff during emergency codes, Interfacility transfers of critically ill patients nbe e learning/ PACE 2018, Hospital design data collection - introduction - accident and emergency ward, Organization and Management of the Emergency Room of a Hospital, Patient safety and Risk Management in hospitals, Radiology Department Quality (SPO- Structure, Process, Outcome), Disaster management & airway adjuncts, Disaster management-TRANSPORTATION AND HOSPITAL EMERGENCY CARE, Emergency Department/Hospital Inpatient Initiative, Ashp statement on pharmacy service to the emergency departement N.61, planing and organization of Intensive Cares, FORTIS HOSPITAL AMRITSAR CASE STUDY WITH LIBRARY STUDY, Right To Information Act, Hospital :: Hospiad, EXPERIENCIAS TEMPRANAS CUIDADO AFECTIVO Y RESPONSABLE EN LOS MENORES.pptx. And theyre ready for you to use in your PowerPoint presentations the moment you need them. The selection of an appropriate respirator depends on the type of particle or chemical it is protecting from. PowerPoint PPT presentation, Older Adults in the Emergency Department: A Senior Friendly Approach To Care, - Older Adults in the Emergency Department: A Senior Friendly Approach To Care Doris Splinter Flynn, MN, ENC(C), GNC(C), RN APN GEM, Kingston General Hospital, | PowerPoint PPT presentation | free to view, Exercises and Training: Virginia Department of Health Emergency Preparedness and Response Programs, - Exercises and Training: Virginia Department of Health Emergency Preparedness and Response Programs Lisa G. Kaplowitz, M.D., M.S.H.A. To prevent hearing loss, monitoring and selection of low noise equipment are important to address this hazard. Increasing load in the hospitals due to disasters People affected in terms of health dislocation are very large Demand for proper set up and planning of emergency services, EMERGENCY DEPARTMENT MINAKSHI GAUTAM ASSISTANT PROFESSOR, INTRODUCTION Increasing load in the hospitals due to disasters People affected in terms of health dislocation are very large Demand for proper set up and planning of emergency services Apart from trauma and burn cases, patients with heart attack, kidney failure, breathlessness, pains and reactions, etc. )jCS6}Ve PD6U?&_NW+7A)|NzUMD]n:9Vc"B?%(;'D]gI6IVnc*36i_l/}[
M3dbRI. Excellent services must be provided as the patients and their relatives are under emotional strain and subcharged with suspense and anxiety about the consequences. an. Failure to recognize anaphylaxis inherently leads to undertreatment with epinephrine. It is necessary to protect emergency response and recovery workers from physical, chemical, and biological hazards. communication. Many factors influence the patient throughput in and out of the Emergency Department. Do not sell or share my personal information, 1. mayo clinic -. Hospitals need a coordinated system effort in order to improve throughput, however Emergency Departments can focus on some specific metrics such as Median LOS for discharged patients, Median LOS for admitted patients, and Median LOS for behavioral health patients to improve throughput and patient experience. Other NIOSH resources include personal protective technology programs, permeation calculators, and testing reviews. Critical care refers to the treatment given to people who are having life-threatening medical problems requiring the expertise of a team of highly trained medical professionals. Designing these garments to protect workers from chemicals and other body fluids requires considering: The following websites provide information on the correct selection and use of protective clothing. 3,200, The most tested intervention to reduce the. Emergency and Public Service Communications T8. - Michigan Department of Transportation Local Safety Initiatives Dale Reed Lighthizer, P.E. assist you with the various activities so that on completion you should be able to: 1. twgraber@comcast.net PMID: 15062496 These can include plaster and/or fiberglass materials to splint limbs that are fractured or severely injured. A defibrillator is used to stabilise a heart undergoing cardiac arrest or to revive a crashing patient. If you, or someone you are caring for, become unwell or are injured, and you think that the condition might be an emergency, is life-threatening or it is causing severe discomfort, the emergency department is the right place to be. Machines set or guarded incorrectly are Dangerous Ensures consistent knowledge about a equipment operation It is a legal requirement under the PUWER regulations (Provision and Use of Workplace Equipment Regulations) CE Marking - Ensures machine built to same set of standards Standard of Guarding Function of . 3. INTRODUCTION As accident cases are closely related with police department, a separate room for their use shall be provided in this area. 1) Ambulance Equipment: ECG monitor and a Defibrillator. This can be very useful, particularly during a heart attack when a patient can suddenly develop a lethal cardiac rhythm. It should not be used for medical advice, diagnosis or treatment. Get Complete Report @ https://www.marketresearchfuture.com/reports/emergency-lighting-market-3866, Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). Emergency Department Technician (EDT) - . PowerShow.com is a leading presentation sharing website. The device is connected to an oxygen cylinder. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. National Health Care for the Homeless Council - Quality. It's FREE! Its common both in everyday work activities and in emergency settings. Accidents road or industry having lacerations, haemorrhage, sprains, dislocations, fractures, shock, falls, etc. Follow health, safety and security procedures in accordance with enterprise policy and. These are usually suitable for single-use, elastomeric respirators, and powered air-purifying respirators. They help us to know which pages are the most and least popular and see how visitors move around the site. patient profile. Whats the Difference Between Hepatitis A, B, and C? All of these resources provide general guidance for emergency response and recovery workers. Apply higher-level communication skills related to patient handoffs to transfer a simulated patient's primary problem, acuity, and contingency plan to a receiving provider. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. (2014). Winner of the Standing Ovation Award for Best PowerPoint Templates from Presentations Magazine. 2. Airlift planners and shippers using CRAF assets must be aware of their unique characteristics. Some examples of PPE may include respirators, gloves, overalls, boots, and goggles. Chemical Warfare Agent (CWA) Testing for NIOSH CBRN Respirator Approvals, Guidance on Emergency Responder Personal Protective Equipment (PPE) for Response to CBRN Terrorism Incidents, Protecting Emergency Responders, Volume 4: Personal Protective Equipment Guidelines for Structural Collapse Events, What You Should Know in Deciding Whether to Buy Escape Hoods, Gas Masks, or Other Respirators for Preparedness at Home and Work, OSHA / NIOSH Personal Protective Equipment Selection Matrix for Emergency Responders, OSHA/NIOSH Interim Guidance: CBRN Personal Protective Equipment Selection Matrix for Emergency Responders Radiological Dispersal Device, OSHA/NIOSH Interim Guidance CBRN Personal Protective Equipment Selection Matrix for Emergency Responders- Nerve Agents, OSHA/NIOSH Interim Guidance CBRN Personal Protective Equipment Selection Matrix for Emergency Responders Blister Agents, Suggested Respirator Cleaning and Sanitation Procedures, National Institute for Occupational Safety and Health, Emergency Preparedness and Response Resources Directory, More Information and Resources on Disaster Response, Pre-exposure Medical Screening of Hurricane Disaster Workers, Personal Protective Equipment and Clothing for Flood Response Workers, Personal Protective Equipment for Workers in Hurricane Flood Response, Hazards When Working with Displaced Domestic Animals, Interim Guidance for Protecting Workers from Livestock and Poultry Wastewater and Sludge During and After Floods, Cleaning and Remediation of Flood-Contaminated HVAC Systems: for Building Owners and Managers, Services CDC/NIOSH Provides to Employers and Employees, Post-exposure Medical Screening of Workers Leaving Hurricane Disaster Recovery Areas, Emergency Response Health Monitoring & Surveillance, U.S. Department of Health & Human Services, Safety for prescription lens wearers to prevent injury while working in emergency locations, An overview of the hierarchy of noise controls, Resources for noise exposure control and engineering controls, Technical manuals for noise hazard abatement and control from OSHA, and. By using multi-use beds that can be used for pelvic exams, every bed is a potential gyne bed, offering maximum flexibility. Operation Theatre Light Suction Machine Boiler Drip Stand Glucometer Treatment Room Equipped with DC Shock Machine Beds for treatment Cardiac Table Instruments for vaccination Toilet, and Waiting Area, Physical Facilities for 200-300 bedded emergency department, EQUIPMENTS Some of the equipments of ED: Ventilators Defibrillators Pulse Oximeter Drop Infusion Pump (Dosimeter) Suction Machine Laryngoscope Airway Cardiac Monitors Ambu Bag ECG Machine Portable X-Ray Machine Emergency Trolleys Splinting Equipments Stethoscope, Clinical Thermometer, Torch, REGISTRATION PROCEDURE FOR EMERGENCY CASES Separate Counters Registration Charges Bed Charges. uhc january 27, 2010. assaad j. sayah, md, facep chief, emergency, REGISTRATION PROCEDURE FOR EMERGENCY CASES, Availability and Adequacy of Equipments, Drugs and other. Our Main Office. Policy and procedure: Equipment maintenance. harvey (jay) porter, iii tidewater regional ems council ems education and pi. Many institutions report that 50 per cent or more of their admissions come through the ED. Other Facts It is necessary to have : An effective communication system. The rescue equipment includes automatic cardiopulmonary resuscitation devices, AED monitor, automatic external defibrillator, anesthesia laryngoscopy, non-invasive cardiac pacemaker, 12-lead ECG, oxygen concentrator, multifunctional operating tables . We still find buildings with only one door unlocked at the entryway in violation of the Fire and Panic Act. Outdated classification Emergency to be classified taking into account rapidity of the outcome for different pathologies. november 8, 2005. INTRODUCTION Casualty As defined by MoH, London means a patient who comes to the hospital unannounced with accidental injury and is seen and treated otherwise than at a consultative session. These are especially critical when other control systems are not feasible to protect the health and safety of workers. Find out the role of a nurse on the critical care team. Therefore, ED provides round-the-clock, immediate diagnosis and treatment for illness of an urgent nature and injuries from accidents. Briefing the relatives Maintaining records Training, Location, Accessibility and Layout Broadly the department should have the following: Consultation and examination room Equipped with: Doctors seating arrangement with office furniture. Learn more from our experts about em. - Non-occupational Postexposure Prophylaxis (nPEP) in New York State Emergency Departments Alexander Ende Bruce D. Agins June 6th, 2006 Who is nPEP for? The need to have such service should be considered as National Health Service priority keeping in view that: 50% of all categories of accident cases admitted are due to traffic accident. NIOSH Skin Exposures and Effects Topic Page. EMERGENCY MEDICINE UPDATE: TONOMETER DIATON SELECTED FOREMERGENCY DEPARTMENT (ED) / EMERGENCY ROOM (ER). Understanding and treating thyroid eye disease, Understanding and treating Crohns disease, Understanding your treatment options for MS, Your guide to managing wet age-related macular degeneration, A patients guide to managing ankylosing spondylitis, Managing and slowing the progression of psoriatic arthritis, Back to school pediatric ADHD headquarters, Emergency departments are categorized into five levels of care. in the Emergency Department - . Guidance to the route from main entrance to the doorways of reception hall shall be provided. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. 2007;49(3):335340. nora gharib and nick khanna. Maintenance Management of Medical Equipment in Hospitals Submitted By: Dr. Manu Bhardwaj Roll no.- 0771 MBA-HM23 To assess the existing facilities maintenance management OBJECTIVE practices and processes in major hospitals in Kenya Two methods of data collection were used: Several biomedical technicians were interviewed Thirty two questionnaires were distributed to the facility maintenance . Y;+*'@xG9_(Z>Gi;OKt ~p`B.Z
cUV>zo&//|I#C Ok'> jf"nwgZcoE85. Emergency Department defines an emergency department as a hospital facility that is staffed 24 hours a day, 7 days a week, and provides unscheduled outpatient services to patients whose condition requires immediate attention. Pharmacotherapy CALIFONIA POLYTECHNICAL UNIVERSITY, POMONA Environmental Health and Safety Department, - Title: CALIFONIA POLYTECHNICAL UNIVERSITY, POMONA Environmental Health and Safety Department Last modified by: David L. Patterson Created Date, Non-occupational Postexposure Prophylaxis (nPEP) in New York State Emergency Departments. Stand on a clean, dry surface, or stand on a dry rubber blanket or other insulating material, if possible.
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5zX0Eb+a^l\?~ ' INTRODUCTION Medical emergency is defined as a situation where the patient requires urgent and high quality medical care to prevent loss of life, limb or organ and initiate action for the restoration of normal healthy life. Real-World Nursing Solutions for AML Care: Insights on the Effective and Safe PVI, PeerView Institute for Medical Education, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Water filtration system. Emergency Department - . Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. Basic Emergency Services: In all hospitals Stand by emergency services: Usually in primary healthcare set up. Althaus, F., Paroz, S., Hugli, O., Ghali, W. A.. Genesis Financial and Billing Services. 1910.132-138 Personal Protective Equipment. The project is under the scheme Assistance for Capacity Building to provide immediate treatment to the victims of road traffic injury The scheme was started in the 11th plan with a total outlay of Rs 732.75 crorefor establishing 140 trauma care centres along the Golden Quadrilateral highways. It is an integral part of an hospital Microcosm of the hospital as whole front door of the hospital Portal of entry that interacts with the highest volume of patients requiring critical care. A full fledged emergency department has the following areas of care: EMS (Ambulance) Coordination Center Triage Resuscitation Area Major Trauma / Medical Areas Consultation Rooms Patient Waiting Area Minor Procedure Rooms Major Operating Room Observation Units Injection Room 24 hour Pharmacy Prayer Room Library and Reading Rooms Doctors Restroom Emergency patients receive resuscitation and life saving treatment. Stethoscope - A stethoscope can be an incredibly useful diagnostic tool. Waiting space also for persons accompanying the patients. mod. - The restrictions on amateur radio communications after the FCC has declared a Use of non-amateur equipment and frequencies, use of equipment by unlicensed persons Pediatric Emergency Department (ED) Case Management, - Pediatric Emergency Department (ED) Case Management. Do you have PowerPoint slides to share? Major Types of equipment of the Emergency Medicine Department Department of Emergency Medicine You are here : Home Departments Emergency Medicine Department Major Equipments Ventilators- 6 Multipara Monitor- 17 Foetal Monitor- 1 Slit Lamp - 1 Tonometer - 1 Syringe pumps - 16 Monitor with defibrillator with external pacing facility-1 q JFIF C Title: Slide 1 Created Date: 3/6/2008 3:52:45 PM Document presentation format: On-screen Show Other titles: Arial Times New Roman Symbol Default Design Firefighter Rehabilitation at Emergency Scenes and Training Exercises Section 1 - Introduction Objective 1-1 Emergency Incident Rehabilitation Objective 1-2 Rehab-Related Statistics Objective 1-3 Case Study #1 Factors That Contributed to . - DIATON Tonometer Pen ( BiCOM Inc, USA) is Non-corneal, Non-contact, Transpalpebral (through eyelid) handheld tonometer.DIATON PEN TONOMETER is a handheld, pen-shaped device used for measuring intraocular pressures (IOP). Labeling - Interior All medications contained in emergency kits/carts shall be labeled in accordance with the name of the medication, strength, quantity, and lot # and It has been realized that the most efficient treatment of accident cases should start from the scene of accident itself. PLANNING AND ORGANIZATION OF EMERGENCY SERVICES DR.N.C.DAS. purpose of, Emergency Department Radio Overview - . INTRODUCTION These patients require immediate attention and treatment. Other Facts 60% of deaths resulting from myocardial infarction occur within 1 hour of onset. Bag Valve Mask This is a device which is used to manually give rescue breaths to a patient who is not breathing or is breathing inadequately. An efficient transport system to lift the patients from the scene of accident does not exist. FACILITIES PROVIDED IN THE ED Medical Cases Surgical Cases Diagnostic Services Vaccination Blood Transfusion Injections, STAFF Emergency Incharge (Senior Doctor) CMO in each shift Nurses (Diploma in Nursing and midwifery) Ward boys Sanitary Attendant DUTY ROASTERS Morning Duty 8am 2 pm Evening Duty 2pm 9 pm Night Duty 9 pm 8 am, STAFF A new concept in emergency care has been introduced with the employment of Scribes who is member of nursing staff and whose function is; Taught to record physicians findings as well as pertinent segments of the history while the patient is being interviewed and examined Scribe conveys the physician orders to other members of the team while the physician continues with other patients Scribes also prepares the prescription ordered by the physician to be ready for his signature, PATIENT FLOW Emergency Department Consultant Examines Critical Patient Payments and Registration at OPD Counter Vitals Checked Investigations (ECG, Blood Sugar Emergency Care given to patient (IV fluids, suction, etc) Treatment initiated Admitted to IPD Discharged. your role with our team. Other Facts The union health ministry is implementing a project for the upgradation and strengthening of emergency trauma care facility in state government hospitals located on national highways under National Highway Development Project. relevant regulations and insurance requirements. Wide alcoves and hallways are a simple modification, but help fit patient overflow, and larger mobile equipment that isn't stored in a particular room. each patient presenting to the emergency department, either ambulatory, Emergency Department - . Office equipment is the asset purchased by the organization, which is used while working for the company. Behavioural Safety Use Of Work Equipment Why is Use of Work Equipment Important? Protective clothing protects users from unintended dermal exposures that may negatively impact workers health. med open. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Foreign bodies Burn of all types Dog bites and snake bites Mass causalities from food poisoning, drinks, riots, etc Medico-legal cases Cases of acute severe pain or distress Septic conditions Obstetric emergencies real or pseudo in nature Pseudo emergency cases - Pseudo emergency cases mostly includes fear of unknown, lack of competence of G.P., Easy accessibility, Stress and strain, OBJECTIVES AND SCOPE OF SERVICES Managing accidents victims, Providing first aid, Treatment of minor injuries Referred to appropriate specialty or hospital, in case specialized care is necessary and cannot be provided in the hospital. Confined Space - Rescue/Emergency Services Last modified by: Mary Flanagan Created Date: 3/22/1999 4:19:01 PM Document presentation format: Letter Paper (8.5x11 in) Company: J.J. Keller & Associates Other titles Proper care, maintenance, useful life, and disposal of the equipment If PPE is to be used, a PPE program should be implemented. If the electrical circuit can't be de-energized, emergency responders must use extreme care. Suture Tray - This tray contains the sterile equipment needed to place stitches in a patient with a laceration. Get powerful tools for managing your contents. Wheelchairs. Airline respirators use compressed air from a remote source. mod. n6 A&gm,3PNG
The Nation's 911 System 9-1-1 service is a vital part of our nation's emergency response and disaster preparedness system. (qO'.MMj~#l/#;d yk/[q_S-JJt55nMYgkCz=
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!>^~ And, best of all, it is completely free and easy to use. Respirators are one of the most important pieces of personal protective equipment for workers. It shall be on the ground floor of the hospital. Searches made during work hours as a result of a bomb threat call should be made by: a. The following safety rules apply to many of the tools you are going to use: Personal Protective Equipment : (minimum) Coat Helmet Safety glasses gloves possibly SCBA Use safety glasses . Many of these admissions are not true emergencies, Emergency department costs are the most expensive, Sluggish processes for patient throughput, Delayed care for patients with life threatening, Delayed relief of pain for patients who present, Contributes to the ever rising cost of healthcare, To determine the population using the emergency, To determine the reason for their choice in using, To re-direct patients to more appropriate, To educate patients on their medical complaint, Convenience sample of 100 patients was obtained, Genesis East Emergency Department-Fast Track, During months of October and November 2014, Must be triaged at level 4 or 5, based on, Practitioner to assess the patient and determine. Construction Equipment Guide 470 Maryland Drive Fort Washington, PA 19034 800-523-2200 goal: develop a(n) ____________ emergency operation plan (eop) by _____________. Centers for Disease Control and Prevention. An emergency department is a dedicated area in a hospital that is organised and administered to provide a high standard of emergency care to people in the community who perceive the need for, or are in need of, acute or urgent care including hospital admission. This audit module is designed to be used when you want to determine how your systems, procedures and processes support the maintenance of equipment. The drugs like Injection Avil, Injection Lasix, Injection Adrenaline, Injection Rentac, Injection Reglan, Injection Regafortan, IV Dextrose and other fluids should be present. Clipping is a handy way to collect important slides you want to go back to later. Computer security, cybersecurity (cyber security), or information technology security (IT security) is the protection of computer systems and networks from attack by malicious actors that may result in unauthorized information disclosure, theft of, or damage to hardware, software, or data, as well as from the disruption or misdirection of the services they provide. With a competent emergency room team, many lives could have been saved under . > Employers must protect employees from hazards such as sharp objects, impact, burns, harmful substances, air quality, dangerous light, noise exposures and many others that can cause injury. Other Facts Accident and emergency (A&E) departments are specialized to handle patients with acute emergencies that require urgent medical assessment and treatment. Give peer-to-peer feedback during a structured debriefing exercise to encourage self-reflection in a cognitively safe environment. Leather Fire Boots Fire Gloves Gloves Protect Against Heat and Cold Resistant to Cuts, Punctures, and Liquid Absorption Must be Tactile and Not Bulky Caring For Fire Gear PPE Must Be Cleaned After. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. emergency drugs in general practice General practitioners need the knowledge, skills, drugs and equipment for managing medical emergencies. We've updated our privacy policy. There are several sizes, depending on whether the patient is an adult, child or baby. Orthopedic Equipment - Most emergency rooms have a generous number of orthopedic devices. In addition, it shares NIOSH eye safety resources, occupational eye injury statistics, and eye-related NIOSH Health Hazard Evaluations and Fatality Reports. Emergency Department Triage - Ryan c. mirano, md, mhsa. The Emergency Department (ED) has become the 'Front Door' to the hospital. CrystalGraphics 3D Character Slides for PowerPoint, - CrystalGraphics 3D Character Slides for PowerPoint, - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. by jamal wahadneh rn mph and ms aida salahat rn al-makassaed emergency department. Equipment includes: a needle holder, forceps (used to hold the lacerated tissue), sterile towels (to drape off non sterile areas of the body), scissors, and small bowls (that hold antiseptic solutions).
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