In other words, if you submit a digital image to us, you must own all rights to such image or you must have the authorization of the person who does own those rights. You may only submit Materials to the Service for which you hold all intellectual property rights. BY CLICKING THE ACCEPT TERMS AND CONDITIONS BUTTON, YOU AGREE TO BE BOUND BY ALL TERMS OF THIS AGREEMENT AND ALL SPECIFICATIONS AND GUIDELINES INCORPORATED BY REFERENCE.ġ) Eligibility. Any individual or entity that wants to use the Service must accept the terms of this Agreement without change. and "you" means the individual or entity submitting materials to Prime Publishing. As used in this Agreement, "we" or "Prime Publishing" means Prime Publishing, LLC. You must enter into this Agreement if you want to submit digital images or other content to Prime Publishing through Sharing Customer Images (the "Service"). Follow the steps below to learn how it's done.įor awesome tips and tricks like this, along with all the best knitting patterns, delivered straight to your inbox every day, subscribe to our newsletter! It certainly helps that this technique is so easy! You just need a darning needle, contrasting yarn, and the ability to identify which stitch it is that you want to go over. While this technique is great for small portions of color, it is unlike fair isle or intarsia in that it's best for smaller, isolated bits of color where it would be wasteful to continuously carry the yarn as you're doing your work. If you like to knit amigurumi, this is also a great way to add little accents onto the faces or bodies of your stuffies without having to worry about stranded knitting in the round. There are a ton of things you can do with this technique: you can add some polka dots to a simple knit hat, or even create a cute little design on an otherwise plain scarf. This technique is called the duplicate stitch, and it's a way of going over completed stockinette stitch with a whole new color. Colorwork can seem like a daunting technique for knitters who have never attempted it before, but a lesser-known way of adding some color variation to your work is actually after the fact! That's right, you can add some colorwork to your knitting after you've already finished the main body of work, and the best part is that it will still look like knitting, rather than embroidery.
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Granny Smith Apples- I’ve tested this with a few different varieties of apple but it’s never as good as it is with granny smith. Garlic and Ginger- Fresh garlic and ginger are ideal but I’ve also used garlic powder and ground ginger with great results.Onion, Celery, and Carrot- I always start my soups with a mirepoix because they create the prefect flavor base.You should have between 3-4 cups of cooked squash in total. So depending on the size of your squash and whether or not you like a thicker texture, you might want to use two. I often found myself using two acorn squash to get an extra thick and creamy consistency. Acorn Squash- When I first posted this recipe, it called for one medium acorn squash which I think might be a little vague and can cause varying results depending on your interpretation of what a medium squash is.Roasted Acorn Squash Apple Soup Ingredients (and Tips!) It will always be a favorite in our house so I thought it deserved a little facelift and a few tips on how to tweak it to your personal liking. I originally shared the recipe five years ago and we still make it almost every week once the cool weather rolls in. It’s comforting, bursting with flavor, and is seriously the best way to warm up on a chilly day. Not only is it super easy to whip up but I love the velvety texture and the way that it blends savory and sweet so perfectly. I know that sounds like an exaggeration but I promise you it’s not. If I could only have one soup every year, it would without question be this Acorn Squash and Apple Soup. You could use either interchangeably in this recipe.Roasted Acorn Squash and Apple Soup- b lended with ground turmeric, ginger, and coconut milk, this healthy soup makes for the ultimate cozy and comforting meal! (vegan and gluten-free) Acorn is less sweet so it pairs best with more savory spices like coriander and paprika. Butternut squash is a bit sweeter and nuttier so it tends to pair better with sweeter spices like cinnamon and ginger. What’s the difference between acorn squash soup and butternut squash soup?Īcorn squash and butternut squash are very similar. Yep – no gluten included in this soup recipe. Yes! This acorn squash soup uses vegetable broth which makes it entirely vegan and dairy-free. In freezer – will keep for up to 4 months in an airtight container in the freezer. In fridge – Will keep for up to 1 week in refrigerator. If using a regular blender you may need to blend in batches. Add water or additional stock to soup if too thick for preference. Using a regular blender or immersion blender, blend soup until smooth. STEP 4: Turn off stove and allow soup to cool for at least 10 minutes. Once boiling, bring soup to a simmer on low and let simmer for 30 minutes, uncovered. STEP 3: Stir in acorn squash and top with vegetable stock and spices. Add in garlic and cook for 1 more minute. Cook until transluscent (about 3-4 minutes). STEP 2: Add remaining 1 tbsp of olive oil to a large pot over medium-high heat. Roast for 20 minutes or until acorn squash is tender. Spread out acorn squash on baking sheet and drizzle with 1 tbsp of olive oil and sprinkle with salt.
The entire system stood around 9 feet tall. Since we had two kits, we opted for a configuration that gave us two additional side frames and an additional set of wire grids and braces for a second shelf. For our shop, we mounted them lower on the side frames and then placed the included wire shelf nearer to the top. Storage is similar except that you may mount the braces lower or higher depending upon your needs. Then you drop in the steel-reinforced platform.īecause the braces feature both locking stems and 45-degree braces, the platform stays very square regardless of your standing height. You then mount the braces midway (or higher) up the frames to provide the proper reach. In scaffold mode, you’re using both sets of side frames. From the side braces with well-built interlocking pins to the sturdy platform, the system feels robust. The integrity of the overall system impressed us. It also stands 6 feet tall with all of the ladders installed. With the Metaltech Scaffoldbench in scaffold mode, you get a system that can hold up to 1,100 pounds. We brought two of these in-house and tested them in most configurations. In the case of the Metaltech Scaffoldbench, we can run by each function individually to describe what you might expect. When you have a system like this covering so many bases, whether it performs each task well becomes the primary concern. With that height, the maximum support weight drops to 735 lbs. If you max out the system you can assemble an 18-ft tall Baker SafeClimb scaffold with top guardrail and outriggers for around $1,530. These include a top guardrail system ($128), basic 14″ outriggers ($109), 3-tier 46″ outriggers ($237), 6-foot Safeclimb Baker Style scaffold ($159), and material support rollers ($20 each). If that’s not enough, the system has some interesting options to expand functionality. You also get four mounting brackets and multiple accessories to secure just about any miter saw to the table. The locking pins not only lock the casters to the ladders, but they also pin the braces in place as well. Each box contains two upper and two lower ladders which stack, two side braces and two shelf braces, one platform (which doubles as a miter table), 11 wire grid shelf sections, four 5-inch casters, and 12 locking pins. Everything comes in a box, safely packaged and ready for assembly in whatever configuration you want. To other additions are needed while working with other components and codecs. XviD4PSP works well for video remuxing, audio, and video encoding. Other formats include Bluray, iTouch, Nokia, Sonny Ericsson, XboX 360, Nintendo DS, iPhone, Blackberry, iPod, PS3, and PSP. It can convert files fro PC like MP3 audio, AC3, AAC, MPEG2, Xvid, MKV with H.264, M2TS, MP4, DV, and AVI. Similar to other video conversion software, XviD4PSP can take a little while depending on the quality and the video file size, People who have little experience can take advantage of its extraordinary features by just choosing the video formats they’re comfortable working on, while those who are more skilled can can tinker on other special features. Novice users can easily navigate while advanced users can exploit other features. Its interface is designed for beginners and advanced users in mind. It is a powerful tool that will convert videos to any format fast and with high quality. Virtually all video format in any platform can be converted using XviD4PSP. It has a built-in video player where you can preview the video you’re working on. XviD4PSP highlights comprehensive settings window that will allow you to configure every single element of the video conversion. The Bottom LineĪs you see, with VideoProc Vlogger Volgger, you just need to spend several minutes and a few clicks, and you can finish demuxing MP4.While video conversion is not a daily task for most of the people, XviD4PSP will surely come in handy when the time comes to convert videos that would need to be compatible with iPhone, PSP, iPod, and other arrays of video formats, XviD4PSP is a rich and accurate application that can transform multimedia files easily with high quality. It will take you dozens of seconds, based on your audio file size. Then in the new window, name the audio file, choose the saving location, switch the Format option to MP3 or another audio format which you like, and lastly just choose the Start button to make VideoProc Vlogger start processing the file. Click on the Export button, which is right located in the right lower position of the preview window. After all set, now what you need to do is just export the audio file. Optional: If you want to continue with more editing on the audio file, still right-click on the audio file in the timeline and choose the Audio Editor, which will lead you to the audio editing page, with options like Fade In, Fade Out, Equalizer, Effects, and more. Then you will see the audio in the MP4 moving to the Audio Track. Next, find Detach Audio option and click it. Right-click on the video file in the timeline. Now, you can start with the demuxing job. Then drag the video file into the Video Track in the timeline. Now in the top left corner of the interface, click on the + menu, and then choose the Add Media option to import the video file. Name the project and click on the + New Project button to the next step. After installation finishes, open the application, and it will require you create a project. After you download VideoProc Vlogger, first, please run the downloaded file and install it on your Windows or Mac computer. So why not download it now, and follow the step below to check how VideoProc Vlogger help you with the job? How to Demux MP4 with VideoProc Vlogger For audio, you can also use it to adjust the sound volume, reverse-play the audio, fade in/out the audio, add effects to the audio, and more. VideoProc Vlogger can help you more than just demuxing MP4. And in this guide, we recommend you use VideoProc Vlogger. So people can edit the audio track individually, only save the audio track for sharing, or more purposes.Īnyway, this is a very simple but common work when we are editing a video file. Mostly, it is just about the audio track. To put it simply, demuxing MP4 simply means extract the audio or subtitle track from the MP4 file. The problem I have is that this MP4 format (xvcs hd - sony ax53) is not accepted by any program except My MP4Box GUI 0.6.0.6, that does the demux part, but can't mux it back! Is there a program that does that? - A user from Sony Community Hi, since I record metal shows I am in the position where I need to demux the MP4 files, so I can edit the audio part. Hot Tub Time Machine 2 is in theaters Feb. Hot Tub Time Machine (HBO): Three embittered former high-school buddies get a chance to relive the past when a magical hot tub at a ski resort sends them back to 1986. "Jacuzzi is a brand name," explains Jacob. So I was fully on board."Īnd it's not about a "Jacuzzi time machine," mind you, as Jacob points out to Adam Scott's character Adam Jr. It's, literally, a movie about a hot tub time machine. Bianca Haase (Sophie) says the name Hot Tub Time Machine 2 is what convinced her she should take the part of Jacob's love interest in the sequel. On the other hand, the movie's title is beautiful, because it's so simple. Sure, maybe laypeople (or "lei-people," as Jones cleverly referred to movie fans who were at the premiere wearing leis) wouldn't understand it, but it would be funny, right? A 2010 comedy film directed by Steve Pink (also known for doing Accepted) that features an ensemble cast including John Cusack, Rob. "I also wanted it to say 'From the guys who brought you 'Hot Tub Time Machine, Hot Tub Time Machine 2'" on the poster. "Me, (Rob) Corddry and the writer were lobbying hard for (the '3'), but Paramount smartly said, 'No, that would confuse people,'" he said. A malfunctioning time machine takes a man, his pals, and his nephew back to relive. "There's no 'Hot Tub 2,' because they went into the future and skipped it, so it should be called '3.'Ĭlark Duke (Jacob) also liked the idea of using a meta title. , of course) Jason Jones (who plays Gary Winkle) explained: Hot Tub Time Machine is a 2010 American science-fiction comedy film directed by Steve Pink and starring John Cusack, Rob Corddry, Craig Robinson, Clark Duke, Crispin Glover, Lizzy Caplan, and Chevy Chase. 2 as an insider joke about the time-traveling plot. That's right: The movie almost skipped No. It follows four men who travel back in time to 1986 via a hot tub, and must find a way to return to 2010. We may even call it the best movie name ever.īut that was until we heard what the comedy could've been called. A malfunctioning time machine at a ski resort takes a man back to 1986 with his two friends and nephew, where they must relive a fateful night and not change. The film title Hot Tub Time Machine 2 is a special string of words. A malfunctioning time machine takes a man, his pals, and his nephew back to relive a fateful night, where they must make sure the nephew gets born. Anyone who has played the strategy game that combines RPGs will be quite familiar with this turn-based gameplay. When it is your turn, you will choose each hero’s skill, move him to various locations, and choose the adversary to inflict damage to. The conflict takes place on a square-shaped map (called fields). The game’s instructions state that in order to combat the enemies attempting to cross The Wall, you must call upon the heroes of the Night’s Watch. The Night King and his White Walkers should be your first point of aim. Download Game of Thrones Beyond the Wall MOD APK You can get the most popular downloaded apps and games from here free of cost. If you are really a fan of the Mod Version of APK, then APK Download Hunt should be your destination. When Jon battles the White Walkers by himself, Benjen Stark risks his life to save Jon’s life. When Jon was submerged under the ice, it failed so badly that he was almost unable to get out. Immediately after, Night King killed Viserion as he, Jon, Daenerys, and their remaining dragons traveled to the north to look for a way to put an end to the war. The absence of a leader for the Night’s Watch led to some little mayhem. The Lord Commander, Brynden Rivers, going missing signals the start of the Game of Thrones Beyond the Wall event. MENU MODĭescription of Game of Thrones Beyond the Wall MOD APK? Any unused portion of a free trial period will be forfeited when purchasing a subscription prior to the end of the free trial period. You may manage/cancel your subscriptions and turn off auto-renewal in your Google Play account user Account Settings. After all, as he mentions several times throughout the season, he didn't want the throne anyway.Your subscription will automatically renew itself every week unless you turn off the auto-renew feature at least 24 hours before the end of the current billing period. Or perhaps there really is no formal Night's Watch anymore and Jon and his crew are starting anew far north? Either way, it seems like Jon is content with his fate. It's possible that they're keeping an eye out for new threats that they and the new Night's Watch can protect the Seven Kingdoms from. Joining also absolves members of any past crimes, and surely crime doesn't stop in Westeros just because there's a new king in charge.Īt the end of the episode, we see Jon meeting up with Tormund and the Free Folk (and Ghost!) and heading beyond the Wall. There are probably other people in Westeros who have a similar experience as Jon and might want to join the Night's Watch for the same reasons. At Castle Black, he gains another family (like his closest friend, Sam) and rises in the ranks. At the time, he thinks he's the bastard son of Ned Stark, which makes him feel ostracized from his family and home. Tyrion tells Jon, "The world will always need a home for bastards and broken men." Part of the reason Jon decides to don black the first time is due to a sense of not belonging. What exactly is Jon supposed to do without those threats around? Isn't the whole point of the Night's Watch to guard the Wall and ensure threats beyond it are taken care of? The Wall has been breached, and previous major threats - the Wildings/Free Folk and the White Walkers - are allies and dead, respectively. Jon looks as confused as we all must have in the moment. Though the Unsullied want Jon dead for killing their queen, Bran sends him back to the Night's Watch. Her death leaves a melted Iron Throne, thanks to a distraught Drogon, and Bran becomes the new King of the Six Kingdoms (Sansa is keeping the North for herself), after a vote from Westeros's lords and ladies. Naturally, since she believed torching King's Landing was a good idea, Tyrion is concerned that she'll do the same elsewhere and urges Jon to do something about it. Heading back to the Night's Watch is Jon's punishment for stabbing Daenerys, who was determined to "liberate" the rest of the known world. ends up right back where he started? He actually asks something many fans are probably thinking: "There's still a Night's Watch?" Remember those guys? Jon Snow reveals his interest in joining in the very first episode of the series, explaining that even a bastard like him can make a mark there while defending the North from threats beyond the Wall. If that expression sounds familiar, it's because it's something the Night's Watch says when one of their members dies. Warning: spoilers ahead for the Game of Thrones finale!Īfter a very controversial season, Game of Thrones wraps up in its finale, and we can all say our watch is ended. 41 As early as the 1877 Granger Cases 42 the Supreme Court upheld various regulatory state laws without raising any question as to whether a corporation could advance due process claims. A historical controversy has been waged concerning whether the framers of the Fourteenth Amendment intended the word “person” to mean only natural persons, or whether the word was substituted for the word “citizen” with a view to protecting corporations from oppressive state legislation. “Person”.-The Due Process Clause provides that no states shall deprive any “person” of “life, liberty or property” without due process of law. Though application of these rights against the states is no longer controversial, the incorporation of other substantive rights, as is discussed in detail below, has been. 40 Through the process of “selective incorporation,” most of the provisions of the first eight Amendments, such as free speech, freedom of religion, and protection against unreasonable searches and seizures, are applied against the states as they are against the federal government. Passage of the Reconstruction Amendments (13th, 14th, and 15th) gave the federal courts the authority to intervene when a state threatened fundamental rights of its citizens, 39 and one of the most important doctrines flowing from this is the application of the Bill of Rights to the states through the Due Process Clause. In reality, substantive due process has had greater political import, as significant portions of a state legislature’s substantive jurisdiction can be restricted by its application.Īlthough the extent of the rights protected by substantive due process may be controversial, its theoretical basis is firmly established and forms the basis for much of modern constitutional case law. In theory, the issues of procedural and substantive due process are closely related. Substantive due process has generally dealt with specific subject areas, such as liberty of contract or privacy, and over time has alternately emphasized the importance of economic and noneconomic matters. Substantive due process, although also based on principles of “fundamental fairness,” is used to evaluate whether a law can be applied by states at all, regardless of the procedure followed. Relevant issues, as discussed in detail below, include notice, opportunity for hearing, confrontation and cross-examination, discovery, basis of decision, and availability of counsel. Procedural due process, based on principles of “fundamental fairness,” addresses which legal procedures are required to be followed in state proceedings. No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States nor shall any State deprive any person of life, liberty, or property, without due process of law nor deny to any person within its jurisdiction the equal protection of the laws.ĭue process under the Fourteenth Amendment can be broken down into two categories: procedural due process and substantive due process. All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and the State wherein they reside.
Most disasters will be triggered initially by a preceding eclipse. Since the Challenger explosion, I have become aware of the significance of the Kite Pattern in certain disasters, especially disasters that resulted in important changes in regulations, defenses and fortifications. In the Summer 1995 issue of AMETHYST, I wrote an article on the significant astrological factors surrounding the Oklahoma City bombing. In this case, the electrical energy of Uranus opposing a planet in the Grand Trine was like a rod thrust into the spokes of a spinning wheel! The motion of the Grand Trine abruptly halted and exploded with the bomb.ĮCLIPSES, DISASTER CYCLES AND THE KITE PATTERN Lo and behold, there was the Grand Fire Trine with a Kite pattern formed by Uranus in Aquarius opposing the Sun in Leo! For the first time, I was aware of exactly what Kite energy feels like. A friend reminded me, “Isn’t that the night of the bombing in Atlanta?!” Indeed, it was! At 1:20 AM on July 27, a bomb exploded at Atlanta’s Centennial Park. I knew exactly when these compulsions began, the evening of July 26, and I checked the aspects for that night. I felt a nervous, compulsive energy and, when I was not eating, my hands would shake with a neuro-muscular irregularity. This is unusual for me, as I do not normally have such hormonal reactions. At first, I presumed that it was a hormonal thing as it lasted persistently for about 2 weeks. Recently, I recognized that I was feeling out of control with my eating. People who were born at the time of a Kite pattern feel this energy all the time – it was bad enough for just one day! The energies were so bad that day that we felt lucky to have arrived in Chicago at all! That strange, disruptive electrical energy that we had felt all day was the energy of the Kite Grand Fire Trine opposing Uranus in Aquarius! The massive power of the Fire Trine had been blocked energetically by Uranus and it erupted in the plane disaster. When we turned on the news, we heard about the plane crash in New York. Almost 12 hours after our journey had begun, we finally arrived at our hotel. Soon, everyone became irritable and cranky from the heat and patience was running short. To complicate matters, this airport experienced a disruption in their air conditioning system. First, we found ourselves stuck in a Kentucky airport for 5 hours. We learned from airport staff that airports around the country were being affected. There was a strange, negative and disruptive electrical sensation in the air. A friend and I were traveling to Chicago to attend the AFA convention. On July 17 of this year, I was able to experience and feel the energies involved in the Kite configuration. THIRD STAGE OF RESEARCH: What Kite energy feels like. One girl was born at the time of a great flood in Wales.Īs I looked back over the disasters, they were often disasters that resulted in changes in policies, structures, procedures – that is, significant preventative measures were taken. It got so that, whenever a client would come in with a Kite pattern, I would look in a book of disasters and find what happened somewhere in the world. There was one case of Chiron but most had a true Kite Pattern. Sometimes, I would have to make a stretch and include the Ascendant as part of the Grand Trine and Transpluto. A collection built up quickly and I noticed that the charts of catastrophes, government changes, plane crashes, disasters in nature all had a kite pattern. In the 1980s, when I got my first computer, it became more practical to calculate the horoscopes of major and minor disasters. Asking for help and working cooperatively with others is the big hang up with a kite. “I am going to do it my way even if this means that I have to come up with the money myself.” This limitation based upon an inability to compromise keeps them from ever using the Grand Trine. They were going to do it themselves (financially) so that they would not have to take orders from anyone. With this specific Pattern, the control attitude was that they were not going to compromise their vision. This problem attitude was POWER and CONTROL, symbolized by Pluto (and Transpluto). I observed that these people often had a distortion or wrong attitude where money was concerned that kept them from using the Kite. My earliest research involved Pluto oppositions to Aquarius in a Grand Air Trine, common in the 1940s (the month of February with Aquarius) with Uranus in Gemini and Neptune in Libra. When I examined my old notes on the Kite, I had written that the Kite often affected money issues. Sometimes, there can be more than one opposition. The Kite pattern occurs - and it does more frequently than an unopposed grand trine - when a planet opposes one of the planets in the Grand Trine. This is totally logical, because the incoherence of the rhythmic activity of your heart inhibits higher cognitive functions such as attention, perception, memory and problem-solving. You may have noticed that when you’re stress, your creative thinking is impaired, you have trouble sleeping, your immune system gets disturbed etc. This is called an “incoherent heart rhythm pattern” by scientists. When you’re stressed or generally expressing negative emotions (fear, anger, hate, frustration…), your heart rhythm patterns look chaotic. Your emotions are reflected in your heart rhythm patterns. Positive emotions lead to coherent heart rhythm patterns. In a situation of big stress, the brain will respond by releasing hormones like cortisol which can turn to be harmful for our health if it is produced in excess. In fact, the type of chemicals that are released into our bodies depend on the quality of the emotional signal sent from the heart to the brain. Therefore, this negative emotional experience will be reinforced. If we experience negative emotions, the heart will send a signal via its rhythmic pattern to the brain which will mirror these feelings. It sends signals to our brain and that plays a key role in determining the quality of our emotional experience at a precise moment. However, we now know that the rhythmic activity of our heart can directly affect how we feel. So this is clear that our heart directly responds to how we feel. The importance of heart-brain communication.Īs you may have noticed, when you are in a situation of fear, your heartbeat starts to accelerate. It can sense, process information, make decisions and even demonstrate a type of learning and memory.ĭid you know that the heart sends more information to the brain than vice versa? The signals sent from the heart to the brain can regulate our emotional experience. In fact, the heart has the ability to function in an independent way. These thousands of neurons are also the reason why we can call the heart “intelligent”. Our heart possesses a network of 40,000 neurons called “sensory neurites” which provide a direct line of communication to the brain. The heart plays a major role in our emotional intelligence. It is the highest level of function where all our bodies are working together as one at an optimal performance level. The term “Coherence” is used by scientists to describe a highly efficient physiological state in which the following systems, nervous, cardiovascular, hormonal and immune, are all working efficiently and harmoniously. “Coherence” refers to a state of optimal performance. One thing is for sure, our heart is much more than we used to think. “To reach your destination, follow the directions of your heart. Could the heart be our inner guide and the key to help us find our purpose in life? HeartMath Institute’s studies also tend to confirm that the heart plays a key role in intuition. In other words, heart intelligence can also be defined as the ability of our heart to sync all of the systems of our body to bring a higher state of awareness, and to bring more clarity and focus to our lives. We then experience a deeper intuitive inner guidance. When our emotions and mind are brought into coherent alignment with the heart, our brain and heart are operating in a synergetic way. Heart Intelligence is defined as a “flow of intuitive awareness” by the HeartMath Institute, pioneer research institute in this field. You’ll also learn simple techniques to achieve heart coherence and experience its amazing benefits. In this article, you’ll find out how developing heart intelligence can literally help you perceive the world in a different way and help you live a more harmonious and happier life. But the benefits go far beyond what you can ever imagine. More importantly, the state of heart coherence can give you access to better health, both physically and mentally. In a few words, heart coherence focuses on the fact that when the heart is allowed to guide the body and the mind, great things can be achieved. Another example would be medication errors causing permanent harm. Some examples of sentinel events include surgery on the wrong site. I'll talk about root cause analysis at one of the later lessons. But I also want you to know that depending on which state you're in, they may also have additional examples of sentinel events that would require a root cause analysis if they occur. I'll show you some examples in just a minute. Now, the Joint Commission has a very specific list of sentinel events. Their definition is a patient safety event, not primarily related to the natural course of the patient's illness or underlying condition, that reaches the patient and results in death, permanent harm, or severe temporary harm. Now, the first definition that I'm going to mention to you is one developed by The Joint Commission, and I think it does a really nice job capturing the essence of what a sentinel event is. The next topic I want to talk to in a little bit more detail is Sentinel Event. We‘ll also cover the JIRA process, the need for excellent documentation, and ways in which requests for change are communicated. Having these tools in your arsenal is essential as a Health IT support specialist. These can range from standard question templates to tip sheets to complex matrices and knowledge base articles (KBAs). When a call comes in, there are some important resources you’ll need to access in order to troubleshoot the problem. You’ll learn about the different priority levels for tickets as well as the tiers of IT support. We’ll introduce you to the concept of self-service tickets and the guidance given to hospital staff on how to submit a ticket. Supporting a high reliability organization means being familiar with the existing processes and protocols for handling calls, creating tickets, escalating issues, and resolving matters. When there are disruptions in technology, you’ll need to use training, tip sheets, and problem-solving skills to determine how best to handle the situation. You'll see a scenario with a medical device installation where issues related to IP addresses, networking, and MAC addresses come up. As an IT support specialist, you’ll be asked to troubleshoot issues with a wide variety of tools. Telemedicine, patient portals, barcode scanners, printers, and medical devices are just some of the technologies that impact providers and patients. Some modules also contain tools, resources, or videos.Now that you've been introduced to the world of Health IT and the important role played by electronic health records (EHRs), we'll focus on other technologies that play a role in maintaining ongoing operations in healthcare. The CANDOR toolkit from the Agency for Healthcare Research and Quality contains eight different modules, each containing PowerPoint slides with facilitator notes. Health care institutions and practitioners can use the CANDOR process to respond in a timely, thorough, and just way when unexpected events cause patient harm. Tools for Building a Clinician and Staff Support ProgramĪ collection of tools to support clinicians and staff following an adverse event, assembled by MITSS (Medically Induced Trauma Support Services).Ĭommunication and Optimal Resolution (CANDOR) Toolkit
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