Medical gas and vacuum systems. Second edition.
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Asbestos has been used in a vast assortment of materials installed in hospitals since the turn of the century. While there is a perception that many regulations pertaining to asbestos have become less stringent, new regulations are continuing to be enacted that require building owners and facilities managers to implement methods of recognition and control for asbestos-containing building materials. Several states have initiated regulations on asbestos consultants and contractors that supersede federal requirements. This document is intended to summarize some of the most important management practices that hospitals should undertake when conducting work that would disturb, or have the potential to disturb, asbestos-containing building materials.
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If you are the lead person during a project, it is your responsibility to follow-up on every detail and task involved to guarantee overall success. Team members look to you as the example and as the communicator. Although other people may fail to accomplish their tasks, you must have the ability and energy to push the issue to completion without losing your cool or throwing your hands up. Projects usually require the coordination of multiple issues, tasks, and personnel. The process can be rewarding, or it can be your worst nightmare. Make it fun, but keep it organized. Communicate properly, and design each project process to fit the project needs.
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Before 1989 seismic upgrading of hospital structures was not a primary consideration among hospital owners. However, after extensive earthquake damage to hospital buildings at Loma Prieta in Northern California in 1989 and then at Northridge in Southern California in 1994, hospital owners, legislators, and design teams become concerned about the need for seismic upgrading of existing facilities. Because the damage hospital structures sustained in the earthquakes was so severe and far-reaching, California has enacted laws that mandate seismic upgrading for existing facilities. Now hospital owners will have to upgrade buildings that do not conform to statewide seismic adequacy laws. By 2030, California expects all of its hospital structures to be sufficiently seismic-resistant. Slowly, regions in the Midwest and on the East Coast are following their example. This article outlines reasons and ways for seismic upgrading of existing facilities.
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