zilongwang/ReadingBank huggingface dataset:
Original Language with Housekeeping edits Proposed Language 1 Proposed Language 2 Proposed Language 3 ii. Six (6) members from the RAC (including its subcommittees) with at least two (2) members from the Data Subcommittee and at least two (2) members from the Modeling Subcommittee, nominated by the RAC Governing Body. At least half of these six (6) members will be Data Submitters. These six (6) members are subject to approval by the RAC. ii. () members from the RAC (including its subcommittees) with at least two (2) members from the Data Subcommittee and at least two (2) members from the Modeling Subcommittee, nominated by the RAC Governing Body. At least half of these () members will be Data Submitters. These () members are subject to approval by the RAC. ii. () members from the RAC (including its subcommittees) with at least two (2) members from the Data Subcommittee and at least two (2) members from the Modeling Subcommittee, nominated by the RAC Governing Body. At least half of these () members will be Data Submitters. These () members are subject to approval by the RAC. ii. Six (6) members from the RAC (including its subcommittees) with at least two (2) members from the Data Subcommittee at least two (2) members from the Modeling Subcommittee, nominated by the RAC Governing Body. At least of these members will be Data Submitters. These members are subject to approval by the RAC. ColumbiaGrid In general, ColumbiaGrid welcomes participations from all WECC members in this group. However, after reviewing this issue in more detail, CG concluded that: The intent detailed in the charter of the ADSTF focuses on technical aspects and familiarity with the process of developing datasets and ensuring that these products are produced efficiently while meeting the needs of the users. We believe that the current charter (July 19 version) has adequately represented this concept. The original process of selecting members did not attempt to preclude any membership class in being appointed. We believe that WECC has followed the proper process to develop this charter so it is unreasonable to change it after the proper process has been concluded. NTTG NTTG is not opposed to Class 4 and 5 participation. NTTG firmly believes in an open stakeholder process and all members participating. All ADSTF meetings are open with participation and input accepted from all participants.
AGENDA FOR ALL DIRECTORS MEETING February 4, 2019 Embassy Suites 10:00 AM TO 4:00 PM Time Topic Presenters 9:30 – 10:00 AM Welcome! - Check- In & Continental Breakfast CCCCO 10:00 – 10:10 AM Preview of Goals for the Day Jill Jansen, DSPS Solutions 10:10 – 11:45 AM AB 705 Implementation Update (Keeley) Program Evaluation Plan Q & A, Case Management, New Regional Configuration (Vann) Mia Keeley, CCCCO Linda Vann, CCCCO 11:45 – 12:30 PM Lunch Break Open 12:30 – 2:35 PM Allocation Simulations for 2019-20; Weighted Student Count scenario using 17-18 data; College Effort - what it is and isn’t; Adjusted College Effort; How do we ensure accurate reporting of College Effort; DataMart - Gail Conrad (DSPS Solutions) Gail Conrad, DSPS Solutions 2:35 – 2:45 PM Afternoon break Open 2:45 – 3:30 PM Regional Breakouts Groups 3:30 – 4:00 PM Report out, Q & A, Evaluation Linda Vann and DSPS Solutions
Section 2: Cognitive Capacity ADL’s Complete Adult Cognitive Capacity and Activities of Daily Living sections for adult victim only Adult Cognitive Capacity Risk Factors Cannot identify current location Cannot identify location of events relevant to assessment Cannot provide any historical data relevant to assessment Cannot provide any personal data Cannot provide day, month, and/or year Cannot provide name Cognitive capacity is limited Limited or no awareness of current situation No ability to analyze risk or safety issues Provides first name only Provides limited personal information Struggles to remain on topic Unable to maintain information provided about assessment Unable to recall information provided about assessment Protective Factors Ability to analyze situation, including risk/safety issues Identifies current location Maintains cognitive capacity under stress Provides a cohesive description relevant to the assessment Provides historical data relevant to assessment Provides name Provides personal data relevant to assessment Provides today’s date Retains information through the assessment Adult Cognitive Capacity Notes
Activities of Daily Living Risk Factors Protective Factors Ability to dress/undress Ability to get in/out of bed Ability to self-administer medications Ability to use phone Able to communicate Access transportation Ambulatory Appropriately clothed Climbs stairs Dietary needs are met Does laundry Is able to shop Level of functioning intact Maintains housekeeping Maintains personal hygiene Maintains self-sufficiency or independent living Manages money/finances Oriented time/place or person Prepare meals Understands directions Unable to communicate Difficulty understanding directions Level of functioning limited by unknown impairments Disoriented to time/place or person Difficulty managing/handling money Difficulty accessing alternative transportation Difficulty using phone Difficulty with independent mobility Difficulty getting in/out of bed Difficulty in cooking Difficulty doing laundry Difficulty with shopping Difficulty in doing light housekeeping Difficulty in climbing stairs Difficulty in writing Difficulty with personal hygiene Difficulty dressing/undressing Difficulty choosing appropriate clothing Nourishment/hydration problems Difficulty with self-administered medications Incontinence problems Activities of Daily Living Notes: Need for Skill Development
Section 6: Chronology Information Investigation Related Data Event Report received Assigned By Supervisor Inv Worker Received Report: First Attempt to Make Contact: First Face to Face Contact Made with Victim: First FSOS Consultation: mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy Roles of Individuals Interviewed Alleged Perpetrator Alleged Victim Attorney Clergy Custodial Parent Day Care Provider Employer EMS/Fire Department Former Spouse Family Friend Family Support/KAMES Forensic Consultation Household Member-Related Household Member Landlord Law Enforcement Medical Provider Mental Health Provider Neighbor Non-Custodial Parent Paramour/Partner Relative School Personnel No collateral contact Spouse
Activities of Daily Living Risk Factors Protective Factors Ability to dress/undress Ability to get in/out of bed Ability to self-administer medications Ability to use phone Able to communicate Access transportation Ambulatory Appropriately clothed Climbs stairs Dietary needs are met Does laundry Is able to shop Level of functioning intact Maintains housekeeping Maintains personal hygiene Maintains self-sufficiency or independent living Manages money/finances Oriented time/place or person Prepare meals Understands directions Unable to communicate Difficulty understanding directions Level of functioning limited by unknown impairments Disoriented to time/place or person Difficulty managing/handling money Difficulty accessing alternative transportation Difficulty using phone Difficulty with independent mobility Difficulty getting in/out of bed Difficulty in cooking Difficulty doing laundry Difficulty with shopping Difficulty in doing light housekeeping Difficulty in climbing stairs Difficulty in writing Difficulty with personal hygiene Difficulty dressing/undressing Difficulty choosing appropriate clothing Nourishment/hydration problems Difficulty with self-administered medications Incontinence problems Activities of Daily Living Notes: Need for Skill Development
Theft of funds, property, and resources Adult forced from the home Severity 2 Misuse of funds, property or resources Excessive charges for food, shelter, care Severity 0 None Notes Section 8: Assessment Results Determination Incident Date Primary Individual Alleged Perpetrator Program Determination Determination Date Alleged Perpetrator Role Assessment Results Outcome Close Referral In home ongoing case Plan Prevention Plan Aftercare Plan Prevention Plan Notes
EPSO 209 Emergency Guardianship 387 Guardianship 387 EPO/DVO 403 Service Provision (check all that apply) Adult Day Care Employment Family Care/Personal Care Placement Family Therapy Family violence counseling Financial assistance Food/clothing Group therapy Home Health services Hospice Housing Individual therapy Interpreter Service Legal assistance Medical care Nursing home placement Offender treatment Payee Physical/rehabilitation therapies Power of Attorney Preventative Assistance Prevention planning Psychological or psychiatric Psychotropic medications Respite Services in the Community Shelter services Sitter service Social Work Counseling Support for Community Living (SCL) Support Service Aide Transportation Vocational rehabilitation
Risk Factors Alcohol use/abuse AWOL history/risk Bullying Can't focus/hyperactive Destruction of property Doesn't follow rules/oppositional Drug use/abuse Encopresis/enuresis not due to age Escalating negative behaviors Expulsion/suspensions from school Fire setting Gang involvement Has harmed self or others Past victim of abuse/neglect Previous juvenile court involvement Rages/tantrums Requires extensive supervision Sexual reactive/sexually acting out Sexually active Threatens to harm self or others Torturing/killing small animals Truancy/skipping school No Risk Factors Protective Factors Behavioral issues within normal range for child's age Child is responding to services provided Receives services for identified behavioral indicators Describe child and any factors that need further explanation:
Investigative Related Data Report received: Assigned by Supervisor: Inv Worker Received Report: First Attempt to Make Contact: First Face to Face Contact Made with Victim Date: First Face to Face Contact Made with Victim Time: First FSOS Consultation: mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy Hours, Minutes, AM/PM mm/dd/yyyy Roles of Individuals Interviewed No collateral contact Evidence Collected
Section 3: Chronology Information Investigative Related Data Report received: Assigned by Supervisor: Inv Worker Received Report: First Attempt to Make Contact: First Face to Face Contact Made with Victim: First FSOS Consultation: mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy Roles of Individuals Interviewed Alleged Perpetrator Alleged Victim Attorney Clergy Custodial Parent Day Care Provider Employer EMS/Fire Department Former Spouse Family Friend Family Support/Kames Forensic Consultation Household Member-Related Household Member Non-Related Landlord Law Enforcement Medical Provider Mental Health Provider Neighbor Non-Custodial Parent Paramour/Partner Relative School Personnel No collateral contact Spouse Evidence Collected Child Care Provider records Court records Law Enforcement records Drug Screen Medical records Mental Health records Other CPS agency records Photographs School records Substance abuse assessment
Prior Facility History No prior reports or referrals Prior reports resource linked Prior substantiated referral/s Prior unsubstantiated referral/s Notes Risk Factors Chemical/physical restraint used without physician’s order Inadequate training for direct care staff Inappropriate SCM or other physical restraint used Insufficient staffing pattern to meet resident’s needs No de-escalation techniques used prior to restraint No or inadequate staff policies Physician orders not implemented Prescribed medications administer inaccurately System Failures led to abuse/neglect Protective Factors Appropriate SCM or other physical restraint used Adequate staffing pattern to meet resident’s needs Chemical/physical restraint used with physician’s order De-escalation techniques used prior to restraint Direct care staff appropriately trained Physician orders implemented Staffed have been trained on facility policies
Section 4: Adult Assessment (Complete for each adult) Intake ID: Case: (Case Name) Individual: Interview Interview Native American Refused to be interviewed Unable to be interviewed No Unknown Yes Declined to disclose Adult Health and Functioning Risk Factors Alcohol abuse Attention seeking Dishonest and/or manipulative Disregard for others’ safety or wellbeing Drug abuse Hostile to authority figures or service providers Impulsive or unpredictable Intellectual or cognitive disability Irrational or disconnected from reality Lacks insight into their own behavior Mental health issue that affects functioning Paranoid Physical disability or debilitating illness Selfish, self-centered decision-making Unable to apply logic to solve problems Unable to assess (due to inability to interview) No Risk Factors Protective Factors Accepts assistance that enhances functioning Candid and/or cooperative Copes or functions despite a disability Demonstrates logic/reasoning ability No mental health issues No physical health issues Primary relationships are stable Realistic awareness of self and reality Respects the rights and feeling or others Seeks and give affection to loved ones Ability to Manage Daily Life and Stress (High Risk Behaviors)
Investigative Related Data Report received: Assigned by Supervisor: Inv Worker Received Report: First Attempt to Make Contact: First Face to Face Contact Made with Victim: First FSOS Consultation: mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy Roles of Individuals Interviewed Alleged Perpetrator Alleged Victim Attorney Clergy Custodial Parent Day Care Provider Employer EMS/Fire Department Former Spouse Family Friend Family Support/Kames Forensic Consultation Household Member-Related Household Member Non-Related Landlord Law Enforcement Medical Provider Mental Health Provider Neighbor Non-Custodial Parent Paramour/Partner Relative School Personnel No collateral contact Spouse Evidence Collected Child Care Provider records Court records Law Enforcement records Drug Screen Medical records Mental Health records Other CPS agency records Photographs School records Substance abuse assessment Investigation narrative:
Section 2: Guardianship Section 3: Chronology Information Investigation Related Data Event Report received Assigned By Supervisor Inv Worker Received Report: First Attempt to Make Contact: First Face to Face Contact Made with Victim: First FSOS Consultation: mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy Roles of Individuals Interviewed Alleged Perpetrator Alleged Victim Attorney Clergy Custodial Parent Day Care Provider Employer EMS/Fire Department Former Spouse Family Friend Family Support/KAMES Forensic Consultation Household Member-Related Household Member Landlord Law Enforcement Medical Provider Mental Health Provider Neighbor Non-Custodial Parent Paramour/Partner Relative School Personnel No collateral contact Spouse
Section 2: Safe Infant (INTAKE) Case: (Case Name) Individual: Safe Infant (check all that apply) Birth related data Premature Birth Difficult/problematic delivery Problems with pregnancy Pre-natal care No pre-natal care Mother was physically abused during pregnancy No information Infant was left at: Police Station Fire department Hospital EMS Staffed place of worship Date Infant was left: Mother’s Information (check all that apply) Parent’s Medical Diabetes Allergies Asthma Seizures Cancer Heart disease High blood pressure Mental illness Sexually transmitted disease Other No information available Did the parent do one of the following before or during the pregnancy? Smoke Use alcohol Use drugs or medication No information available Father’s Information (check all that apply) Parent’s Medical Diabetes Allergies Asthma Seizures Cancer Did the parent do one of the following before or during the pregnancy? Smoke Use alcohol Use drugs or medication No information available
Section 4: Chronology Information Investigative Related Data Report received: Assigned by Supervisor: Inv Worker Received Report: First Attempt to Make Contact: First Face to Face Contact Made with Victim: First FSOS Consultation: mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy mm/dd/yyyy Roles of Individuals Interviewed Alleged Perpetrator Alleged Victim Attorney Clergy Custodial Parent Day Care Provider Employer EMS/Fire Department Former Spouse Family Friend Family Support/Kames Forensic Consultation Household Member-Related Household Member Non-Related Landlord Law Enforcement Medical Provider Mental Health Provider Neighbor Non-Custodial Parent Paramour/Partner Relative School Personnel No collateral contact Spouse Evidence Collected Child Care Provider records Court records Law Enforcement records Drug Screen Medical records Mental Health records Other CPS agency records Photographs School records Substance abuse assessment
Investigation narrative: Section 4: Assessment Results Incident Date Primary Individual Alleged Perpetrator Program/Sub Program Determination Date Alleged Perpetrator Role Risk Factors Based on your observations, interviews and information collected during this assessment, please rate the following: The most vulnerable child in the family (considering age, development and behavioral needs) (select only one): Not vulnerable-behaviors within normal range, child attached to caregiver, developmentally on track, able to complete tasks of daily living (bathing, feeding, dressing) Mild-has behaviors that are controlled by medication or therapy, struggles with some subjects in school, can usually complete tasks of daily living without assistance Moderate-often has problematic behaviors that interfere with functioning, can generally communicate needs, mild developmental delays, requires assistance with tasks of daily living Severe-physical or mental illness that requires intensive treatment, behaviors are out of control, difficulty in communication needs Extremely vulnerable-physical disability requiring life sustaining care, not attached to caregiver, non-mobile or very limited mobility, nonverbal, unable to complete tasks of daily living
Assign the following parameters for FAX use: CDN71: FXD = 1 (IP FAX data is in service) CDN72: FXJS (Jitter Buffer Size for IP FAX [1-30] × 10 ms) ex. Enter “15” for 150 ms. CDN73: FXPT = 1 (Payload Type for IP FAX is G.711) CDN74: FXPS (Payload Size for IP FAX [1-4] × 10 ms) ex. Enter “2” for 20 ms. STEP 9: Assign Virtual Speech Channel and Virtual Signalling Channel trunks. ATRK - RT: Specify Route Number [1-255] TK: Specify Trunk Number [1-255] LENS: Specify Accommodating LEN Location (Six digits) Data Setting Example for 96-channel operation Example 1: Example 2: RT (1-255) TK (1-255) LENS RT TK LENS MG 00-07 U 0-3 G 00-23 LV 0-7 MG 00-07 U 0-3 G 00-23 LV 0-7 200 1 xx x 12 0 100 1 xx x 12 0 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 200 96 xx x 23 7 100 96 xx x 23 7 Note 1: The first Virtual Signalling Channel trunk is assigned in the AMGIL command.
Short-term and working memory Areas that may be affected: Often Sometimes Rarely Appears to forget information previously learnt Confusion over using full stops and capital letters Difficulty remembering a short sequence of numbers Experiences significant problems in writing when having to think about content, organisation, spelling, punctuation and handwriting simultaneously Inconsistent/inappropriate use of or lack of punctuation Copying from the board and/or book is inaccurate and/or laborious Inconsistent /inappropriate use of upper and lower case letters when writing Grammatical sentence structure in writing is weak or confused Inconsistent spelling – a word may be spelled in several different ways in the same piece of writing Has difficulty remembering spelling of common irregular words e.g. said, they, with Sequencing and directionality Areas that may be affected: Often Sometimes Rarely May have difficulty following the sequence of a story Difficulty retelling a story in a logical sequence Expression of ideas, feelings and thoughts may be disorganised and poorly sequenced Difficulty in following the reading and writing direction of left to right and top to bottom Misses out words or phrases in sentences Tends to recall events out of sequence; thoughts/ideas may not be logically ordered Difficulty with word order/ sequencing of events in writing Number skills Areas that may be affected: Often Sometimes Rarely Difficulty understanding the concept of number bonds Difficulty in understanding relationships between initial number bonds Difficulties learning number language and procedures Difficulty associating numbers and symbols Problems learning number facts and procedures Difficulty remembering a short sequence of numbers Difficulty in understanding the concept of time Difficulty understanding the concept of fractions Organisational ability Areas that may be affected: Often Sometimes Rarely Difficulties remembering where things are in the nursery/classroom/home Difficulty organising things needed for activities for which they are responsible Difficulties in carrying out some everyday routines Difficulty with planning and organisation of writing tasks Motor skills and co-ordination Areas that may be affected: Often Sometimes Rarely Difficulty in forming letters and numbers correctly and legibly Difficulty and/or extreme tenseness in holding pencil Difficulties using the keyboard, tablet or mouse Struggling to produce evidence of appropriate letter and number formation Reluctance to participate in PE Gross motor coordination difficulties e.g. star jumps, catching, throwing, balance
8. Documenting, Filing, and Rescinding (7 minutes) Slide 14 SAY: So far we have talked about staff responsibilities, what to tell patients about advance directives, and various forms and educational materials. Now we are going to talk about the nuts and bolts of implementing advance directives, including documenting, filing, and rescinding. Only three note titles are approved for documenting advance directives and advance care planning discussions in the health record. They are “Advance Directive,” “Advance Directive Discussion,” and “Rescinded Advance Directive.” All three note titles must be linked to Crisis Warnings Allergies Directives (CWAD) postings in the Computerized Patient Record System (CPRS). The “Advance Directive” note title is used only to indicate that an advance directive document has been entered into the electronic record. An “Advance Directive” note is generated automatically when an advance directive is completed via iMedConsentTM. The “Advance Directive” note title is also used when an advance directive is scanned into the electronic record. Staff who conduct advance care planning discussions with patients should use the “Advance Directive Discussion” note title to document their discussions. If the discussion pertains to a particular advance directive that was already in the health record, an addendum to the relevant “Advance Directive” note may also be used to document the discussion. The “Rescinded Advance Directive” note title is used to document the patient’s revocation of an advance directive and to document that the advanced directive that is associated with that note title is invalid. We will be going over these procedures next. CLICK.
Wednesday AM – Billinge Clinic (Monthly) PM – Newton Hospital (fortnightly) Thursday All day – Castlefield (fortnightly – alternate weeks with HCRC) All day – Health Care Resource Centre (fortnightly – alternate weeks with Castlefield) PM – Fingerpost Park (weekly) Contact details Adult Continence Promotion Service Fingerpost park health centre Atlas Street Fingerpost St Helens WA9 1LN Telephone: 01744 626718 Textphone: 18001 01744 626718 24 hours answer phone available Related websites
Practice Nurse/GP Continence Referral Form Telephone: 01621 727211 Fax: 01245 397763 E-mail Address: cecs.continence@nhs.net Note: CECS services work to NHS Connecting for Health policies and can only send responses including patient identifiable details (PID) to email addresses that are approved by them. If you are not using an approved email address this may limit the response we can make by email. Date of Referral: <Todays date> NHS Number: <NHS number> Patient Details Forename: <Patient name> Surname: <Patient name> Address and Postcode: <Patient address> Date of Birth: <Date of birth> Gender: <Gender (configurable)> Home Telephone: <Patient contact details> Mobile Telephone: <Patient contact details> Ethnicity: <Ethnicity> Learning disability Physical impairment Sensory impairment Mental Health condition Longstanding illness Other Additional Information: GP Details Registered GP: <GP name> Telephone: <GP details> GP Practice or F Code: <GP details> Fax: <GP details> Please consider the type of referral you are making: - Is an assessment for the possibly leading to the supply of products the primary aim for your referral? Yes No Are you looking for treatment plans and interventions (e.g. pelvic floor exercises, bladder retraining etc.) and possibly to avoid surgery? Yes No Continence Symptoms Urinary Faecal Both Medical History (please include if recent hospital admission/surgery) Medication: Location for Assessment HOME (Why?) Clinic: Please Mark with an X all that the patient could attend – the earliest appointment will then be offered Chelmsford (Moulsham Lodge) Braintree Community Hospital St Peters (Maldon) Witham South Woodham Ferrers Halstead Referrer Details (complete if not patient’s GP) Tick if patient’s GP Name: <Sender name> Job Role: Organisation\Service: <Sender details> Telephone: <Sender details>
Caledon Public Library recommends the following Adult titles: Never Look Away by Linwood Barclay Letter from a Stranger by Kris Radish Tuesday Night Miracles by Amor Towles The Cat’s Table by Michael Ondaatje The Paris Wife by Paula McLain A Dublin Student Doctor by Patrick Taylor The Sisters Brothers by Patrick DeWitt Rainshadow Road by Lisa Kleypas Then Came You by Jennifer Weiner The Next Always by Nora Roberts Breaking News by Fern Michaels Fatal Error by J.A. Jance The Devil’s Punchbowl by Greg Iles The Best of Me by Nicholas Sparks The Jefferson Key by Steve Berry Steve Jobs by Walter Isaacson The Art of Fielding by Chad Harbach Crystal Gardens by Amanda Quick The Watery Part of the World by Michael Parker
Procurement Documentation for Small Purchase Comparison Shopping DATE_________________________ Food Name of Store 1: ________ Name of Store 2: ________ Name of Store 3: _______ Reason for Selection if not lowest price 1. $ $ $ 2. $ $ $ 3. $ $ $ 4. $ $ $ 5. $ $ $
PROCUREMENT LOG (Form C) Items to be Purchased Quantity Expected to Buy Vendor #1 Vendor #2 Vendor #3 Unit Price Extended Price (Quantity x Unit Price) Unit Price Extended Price (Quantity x Unit Price) Unit Price Extended Price (Quantity x Unit Price) TOTAL $ $ $ Vendor Selected Date and Method of Contact* *Selected vendor must be sent a copy of the signed contract. Additional Notes: Signature of person completing this form: Date:
Provision 19- to 24+ Unemployed 24+ Other Fully funded* English and maths up to and including Level 2 Fully funded Fully funded Fully-funded Fully funded Level 2 Fully funded (first and full) Fully funded Co-funded Provision to progress to Level 2 Fully funded Fully funded Co-funded Level 3 Fully funded (first and full) Loan-funded Loan-funded Traineeship Fully funded (including N/A N/A English for Speakers of Other Languages (ESOL) learning up to and including Level 2 Co-funded Fully funded Co-funded Fully funded for unemployed Learning aims up to and including Level 2, where the learner has already achieved at Level 2 or above Co-funded Fully funded Co-funded Fully funded for unemployed Expression of Interest The Expression of Interest is the first stage of the Due Diligence process undertaken by BCTG. Should you wish to be considered, please complete part two of this document and return to . Organisations that meet the initial criteria will be invited to undertake a full Due Diligence process. This includes a full assessment of capability and resources, a financial appraisal and a site visit to verify the submission. The invitation to underrate Due Diligence does not in any way infer that BCTG will offer a funding contract and that any financial values are guaranteed. Both parties reserve the right to withdraw from the Due Diligence process at any stage. Timeline We are seeking to procure provision that will commence early in the 2016/17 Contract Year, therefore organisations should ensure they have the capacity to meet this deadline before submitting an EOI. We will endeavour to ensure the Due Diligence process is complete before this, however a delay may occur where we need to verify any information supplied. The deadline for submitting this Expression of Interest is 30th June 2016 Example Provision BCTG is in particular seeking to procure provision in the following sectors; Construction & Building Technology General Construction Skills Quantity Surveying
Please check any of the following stressors that presently affect, or recently affected  Financial problems  Family relationship problems  Legal  Child rearing problems  Drug or alcohol problems  Employment  School problems  Peer relationship problems  Marital Problems Please check any of the following medical conditions for which you were ever evaluated or  Seizures  Heart Problems  Weight Problems  Head  Asthma  Chronic Fatigue  Chronic Headaches   Surgeries  Stomach Problems  Suicidal Thoughts  Chronic Hearing Loss Please check any of the following medical conditions for which you show a family  Seizures  Heart Problems  Weight Problems  Sudden  Asthma  Chronic Fatigue  Chronic Headaches   Obesity  Diabetes Mellitus  Suicidal Thoughts  Heart Disease Please indicate which, if any, of the following symptoms you are exhibiting: ADHD Depression Anxiety Abuse Hyperactive Sad Excessive Worrying Physical Impulsive Sleep Problems Panic Attacks Emotional Under Achievement Negative Thinking Irrational Fear Domestic Violence Non-Compliant Poor Concentration Obsessions Rape Inattentive Hopeless/Worthless Social Isolation Sexual Poor Concentration Mood Swings Phobias Dissociative Disorganized Guilt Compulsive Self-Control Fatigue/Lethargy Shyness Relationship Anger Addictions Other Marital/ Significant Other Short-fused Alcohol Agitated Sexual Problems Temper Tantrums Drugs Mania Parenting Impulse Control Gambling Paranoia Difficulty With Friends Violent/Assaultive Relationships/Sex Delusions Work/School Problems Runaway Risk Eating Disorders Tics/Tourettes Personal Growth Fighting Cyber/Internet Cutting Behavior Grief/Loss Irritable Spending Appetite Changes Bullying/Teasing Oppositional Tobacco Nightmares Flashbacks
How are adult learning principles used when implementing your selected practice from the Family strand? DEC Recommended Practices – Instruction INS1. Practitioners, with the family, identify each child's strengths, preferences, and interests to engage the child in active learning. INS2. Practitioners, with the family, identify skills to target for instruction that help a child become adaptive, competent, socially connected, and engaged and that promote learning in natural and inclusive environments. INS3. Practitioners gather and use data to inform decisions about individualized instruction. INS4. Practitioners plan for and provide the level of support, accommodations, and adaptations needed for the child to access, participate, and learn within and across activities and routines. INS5. Practitioners embed instruction within and across routines, activities, and environments to provide contextually relevant learning opportunities. INS6. Practitioners use systematic instructional strategies with fidelity to teach skills and to promote child engagement and learning. INS7. Practitioners use explicit feedback and consequences to increase child engagement, play, and skills. INS8. Practitioners use peer-mediated intervention to teach skills and to promote child engagement and learning.
Week beginning: Why are we doing this? Children’s interests? Seasonal plan? Teaching a skill? Who is doing it? Names of children Main learning intentions Linked to EYFS ages and stages What equipment do we need? What new language can we introduce? What are we going to do? Evaluation: What area of provision can we put this activity into for the children to access it independently Evaluation: Who needs to practise this again? Evaluations: Who needs something more challenging?
Medical details If you are taking prescribed medication, please make an appointment to see your doctor within two weeks and bring your medicines with you. (We will not be able to issue any repeat prescriptions until you have seen a doctor.) *Are you allergic to any medicines? Yes No (if yes please specify) *List other allergies / intolerances (i.e. nuts, gluten, pollen, animal hair or certain foods. Please mark “none” if you have no other allergies that you know of) Have you ever had any of the following conditions? Epilepsy Yes Year Mental Illness Yes Year High Blood Pressure Yes Year Diabetes Yes Year Heart Attack / Angina Yes Year Asthma Yes Year Stroke / Mini-stroke (TIA) Yes Year COPD (or Emphysema) Yes Year Cancer Yes Year Osteoporosis / Bone fractures Yes Year Rheumatoid Arthritis Yes Year Peripheral vascular disease Yes Year Do you have any of the following? Coil Yes Date of procedure 615p Implant Yes Date of procedure 61KA Pessary Yes Date of procedure 7D1B6 Pacemaker Yes Date of procedure ZV450
Respect and dignity Quality of care Working together Efficiency This policy should be read and implemented with the Trust Values in mind at all times. MONITORING COMPLIANCE This document will be monitored to ensure it is effective and to assure compliance Minimum requirement to be monitored Lead Tool Frequency of Report of Compliance Reporting arrangements Lead(s) for acting on Recommendations 100% of patients expected deaths on APOC EOL Care Lead Audit Bi-monthly Via End of Life Steering Group EOL Clinical Lead Policy audit report to: Policy audit report to:
Inform porter of the weight of the patient- porters need to be informed if the deceased is a bariatric patient. Staff’ Screen off the area to the deceased patient’s bed space. Reduction of ward distress Complete appropriate documentation, including check list, ensuring completed deceased notes are available to be transferred to the mortuary with the deceased. Ensure note tracking has been completed. Principle of ‘Informed Staff’ Record deaths on the PAS system to ensure all outstanding appointments are cancelled. Ensure all appointments, transport requests etc are cancelled. Completed checklist is retained on ward in identifiable folder and kept for 6 months prior to being disposed of as confidential waste. To prevent ‘misplacement’ of PID
APPENDIX F: LAST OFFICES BOX - CONTENT CHECKLIST ITEMS QUANTITY ORIGIN / ORDER NUMBER Bereavement Booklets 10 Bereavement Office Marsden Procedure (laminated) 1 Marsden Manual (Chapter 22) Check List 1 Medical photography Gloves 10 of each Materials Management FTE 153/152/154 S/M/L Yellow Labels 20 Medical Photography Spigots 5 Materials Management FVJ005 Scissors (single use) 5 Materials Management FGP171 Tape (Spenfex 25mm x 50m) 5 Materials Management VWR380 Denture pot 5 Materials Management Denture pot – MRA079 Denture lid - MRA105 * Quantities of items may be reduced in clinical areas with less numbers of deaths such as peri operative (theatres) care
EQUALITY IMPACT SCREENING TOOL To be completed and attached to any procedural document when submitted to the appropriate committee for consideration and approval for service and policy changes/amendments. Stage 1 - Screening Title of Procedural Document: Adult Patient Death Policy Date of Assessment 27 March 2017 Responsible Department MOPRS CSC Name of person completing assessment Linda Field Job Title Head of Nursing MOPRS Does the policy/function affect one group less or more favourably than another on the basis of : Yes/No Comments Age No Disability Learning disability; physical disability; sensory impairment and/or mental health problems e.g. dementia No Ethnic Origin (including gypsies and travellers) No Gender reassignment No Pregnancy or Maternity No Race No Sex No Religion and Belief No Sexual Orientation No If the answer to all of the above questions is NO, the EIA is complete. If YES, a full impact assessment is required: go on to stage 2, page 2 More Information can be found be following the link below Stage 2 – Full Impact Assessment
The Denmead Practice Hambledon Road, Denmead, Hampshire, PO7 6NR VAT registration No: 878 6398 45 Tel: 023 9223 9630 Fax: 023 9223 9636 Data Sharing Please complete the information below with your choices on sharing your data and hand to Reception Name: ………………………………………………………………. Date of Birth: ………………… Address: …………………………………………………………………………………………………………………. Data for research I do not wish identifiable data about me to leave the practice ☐ I do not wish data about me to be shared by HSCIC ☐ Summary care Record I do not wish to have a Summary care Record (N.B. this will mean NHS Healthcare staff caring for you may not be aware of your current medications, any allergies or reactions to ☐ previous medication.) Hampshire Healthcare Record I do not wish to have a Hampshire Healthcare Record ☐ Signed:…............................................................ Date:………………………………………………………………
New Patient Registration Form / Health Questionnaire Please complete all parts of this form and take to Reception at either surgery along with the ID as detailed in this document. Please complete this form electronically or write in CAPITALS. Date form Completed Title Surname First Name Current Address Postcode: Date of Birth: Marital Status Occupation Language(s) Spoken Ethnicity Information on ethnicity is important because of the need to take into account culture, religion and language in providing appropriate individual care, changing legislation, the importance of providing information on ethnicity for shared care including secondary care and the need to demonstrate and equal outcomes. I would describe my ethnic origin as: Asian or Asian British Black or Black British Mixed Bangladeshi Indian Pakistan Any other Asian background African Caribbean Any other Black background White and Asian White and Black African White and Black Caribbean Any other mixed background Other Ethnic Group White Non-disclosure Chinese Any other ethnic group British Irish Any other White background I do not wish to disclose my ethnic origin Contact Details
Team Captain Name Phone Number Registration Fees - $15/player – make checks payable to Banner County School Total Fees $ Team Players (minimum of 4 players) indicate t-shirt sizes Name & Phone T-shirt size: Name & Phone T-shirt size: Name & Phone T-shirt size: Name & Phone T-shirt size: Name & Phone T-shirt size: Name & Phone T-shirt size: Name & Phone T-shirt size: Name & Phone T-shirt size: Sunday volleyball league starts on September 30th from 2-4 pm. Games will be rally scoring to 15, best of 2 of 3. Number of matches played during the season will depend on the number of teams registered. Call Kari Gifford @ 308-641-3105 for more information.
DELAWARE COUNTY OFFICE OF BEHAVIORAL HEALTH Mission Statement The mission of the Office of Behavioral Health is to assure the provision of a comprehensive array of quality mental health, alcohol and other drug, and adult services for eligible children and adults that will assist them to maximize their human potential. Vision Statement The Adult Mental Health Division of the Office of Behavioral Health has a vision to assure that each person will receive the highest quality of care by a continuum of services that will promote recovery, independence and community inclusion. These services will focus on consumer choices and opportunities to encourage the fullest possible potential for a satisfying and fulfilling life. OBH applauds the investment of time, energy, and initiative taken by the CSP Committee in the creation of this Vision Statement for the adult mental health system. The adoption of the Vision Statement, as written by CSP Committee members, continues the valued trend of meaningful stakeholder involvement in the County’s adult mental health system. Contracted Adult Behavioral Healthcare Services The Directory of Adult Drug and Alcohol (D&A) and Mental Health (MH) Services contains an alphabetical list of contracted providers, and the services provided with telephone contact information for each program or service listed. If a telephone number is not listed for a particular program or service, the provider’s main telephone number in the header box is the appropriate contact number to use. The Directory is updated bi-annually to reflect new adult behavioral healthcare programs and services contracted by Delaware County and includes their website. Supplemental Behavioral Healthcare Information OBH maintains a Children’s Directory of Child and Adolescent Mental Health and Drug & Alcohol Services. Contact 610-713-2365 for more information. OBH maintains an Adult Services Emergency Shelter Guide and other homeless and food program resources. Contact 610-713-2365 for more information. Magellan Behavioral Health of PA maintains information about contracted service networks for HealthChoices members. Contact 888-207-2911 or for more information.
Mechanical Button Big Button Microlight Plate Switch Cap Switch Cup Switch Mini Cup Square Pad Pillow Trigger Switch Switch Joystick with Push Mini Joystick SCATIR Other: ACCESS ACCESSORY Extra Charger Head Mouse Tracker Headpointer Eye Gaze Camera:____________________ Keyguard/guide:______________________ Other: MOUNTING AND PORTABILITY Switch mount:_______________________ Tubing size:________________________” Other mounting placement:____________ Mount Brand:_______________________ SGD Mount:________________________ Tubing Size:________________________” Other mounting placement:____________ Mount Brand:_______________________ Standard Carrying Care Accessible Carrying Case Durable Carrying Case Treatment Plan and Follow Up
Responsible Parties Patient Family Caregiver (Name) __________ Manufacturer Rep (Name) ___________ Therapist (Name) __________ Other (Name) _________ Therapy to address goals Initial Training Initial Customization (programming, vocab selection, intervention planning) Ongoing Training and Modification Maintenance of Device Warranty Maintenance Management NECESSARY FUNDING PAPERWORK Check when obtained Date Medicaid/Insurance Cards Copied Benefits Assignment Signed by Caregiver/Consumer Doctor’s Prescription AAC Evaluation Written Quote from Manufacturer Resources/References Consulted:
Tobii Dynavox T7 Tobii Dynavox I-15 Saltillo NovaChat 8 Tobii Dynavox T10 Prentke Romich Accent 800 Saltillo NovaChat 10 Tobii Dynavox T15 Prentke Romich Accent 1000 Saltillo NovaChat 15 Tobii Dynavox I-12 Prentke Romich Accent 1200 Other: TABLET APPLICATIONS: Tobii Dynavox Compass TalkRocketGo MyTalkTools Lingraphica SmallTalk Proloquo2Go VoisPal Scene Speak TouchChat SonoFlex Scene & Heard Image2talk Other: TABLET APPLICATIONS (Picture-based): Pictello All About Me Storybook Talk’n Photos SWITCH
Responsible Parties Patient Family Caregiver (Name) __________ Manufacturer Rep (Name) ___________ Therapist (Name) __________ Other (Name) _________ Therapy to address goals Initial Training Initial Customization (programming, vocab selection, intervention planning) Ongoing Training and Modification Maintenance of Device Warranty Maintenance Management NECESSARY FUNDING PAPERWORK Check when obtained Date Medicaid/Insurance Cards Copied Benefits Assignment Signed by Caregiver/Consumer Doctor’s Prescription AAC Evaluation Written Quote from Manufacturer Resources/References Consulted:
parents to be present when this affidavit is executed and to sign it as a witness. The witness I selected is: {full legal name} . 3. [ only one] ( ) I consent to my name being legally changed to {specify new name that you wish to have upon completion of the adoption process} . ( ) I do not consent to a name change. I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this consent and that the punishment for knowingly making a false statement includes fines and/or imprisonment. Dated: Signature of Adoptee Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: Signature of Witness Printed Name: Business Address: Home Address: ______________________________ Signature of Witness Printed Name: Business Address: Home Address: Driver’s License or State ID Card No.: Driver’s License or State ID Card No.: STATE OF FLORIDA COUNTY OF Sworn to or affirmed and signed before me on by . NOTARY PUBLIC or DEPUTY CLERK [Print, type, or stamp commissioned name of notary or clerk.] Personally known Produced identification Type of identification produced IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [ fill in all blanks] I, {full legal name and trade name of nonlawyer} , a nonlawyer, located at {street} , {city} , {state} , {phone} , helped {name} , who is the adoptee, fill out this form.
COVERED BY HEALTH INSURANCE [All Clients] No Client doesn’t know Yes Client refused IF “YES” TO HEALTH INSURANCE - HEALTH INSURANCE COVERAGE DETAILS MEDICAID (aka Medi-Cal) Obtained through COBRA MEDICARE Private Pay Health Insurance VA Medical Indian Health Services Program Employer Provided Other: (Specify) EMPLOYMENT [All Clients, For Age 16 & Over] IS CLIENT EMPLOYED No Client doesn’t know Yes Client refused If “Yes” To Employed Permanent Client Doesn’t Know Temporary Client Refused Seasonal Hours Worked Last Week: If “No” To Employed – Are You Seeking Employment? Yes Client Doesn’t Know No Client Refused EDUCATION [All Clients, For Age 5 & over] IS CLIENT CURRENTLY ENROLLED IN SCHOOL Yes Client doesn’t know No Client refused If “Yes” To Enrolled – Enrolled In a Vocational or Apprenticeship Program? Yes Client Doesn’t Know No Client Refused Highest Educational Level Completed: No School Completed 10th Grade Postsecondary School Nursery School to 4th Grade 11th Grade Client Doesn’t Know 5th or 6th Grade 12th Grade, No Diploma Client Refused 7th or 8th Grade High School Diploma 9th Grade GED Highest Degree Earned: None Doctorate Degree Associate’s Degree Other Graduate/Professional Degree Bachelor’s Degree Certificate of advanced training or skilled artisan Master’s Degree
Are you taking any medicines (prescribed or over-the-counter) or herbal products? yes no If yes, please list these below. EXAMPLE Medicine #1 Medicine #2 Medicine #3 Medicine #4 Medicine #5 Medicine #6 Name of medicine Celexa How many milligrams (mg)? 40 mg How many pills do you take at a time? one How many times a day do you take this medicine? once What time of day do you take this medicine? morning What does this medicine treat? depression Name of prescribing doctor Dr. John Doctor If you need more space, please attach another sheet of paper. Do you have any allergies? yes no Have you ever had a bad reaction to medicine? yes no If yes to either question, please describe: Client signature: Date: Time:
Consent Details – this can be withdrawn at any time by contacting the office on 01253 393748 or emailing data@blackpoolcarers.org Would you like to receive our magazine? (mark with X) Yes: No: If Yes, how would you like to receive our magazine By post: By email: Would you like to receive information about our trips and activities that may be relevant to you? Yes: No: Photo/Publicity Consent We occasionally use photographs of carers in our magazine, website and other media, to highlight carers’ issues and raise awareness. If you consent to us using your photographs for this purpose, please sign and date below, otherwise leave blank. Carer’s Signature: Date: How did you hear about Blackpool Carers Centre?: Referrer Information Referred by: Organisation: Job Title: Contact No: Signature: Referral Date: Please send the completed form to the address at the top of the first page.
about yourself! Anything else you would like me to know? ______________________________________________________________________________ ______________________________________________________________________________