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Shell has been a technology pioneer for more than a century.

Today, it is one of the largest investors in research and development

among the international oil and gas companies. We test hundreds of

lubricant blends before finding the optimum formulation.

The Shell Marine & Power Innovation Centre in Hamburg, Germany, is home

to a dedicated team of experienced marine engineers and scientists.

Having their own marine engines at this centre enables the Shell experts

to optimise formulations and develop marine engine oils that meet the

requirements of today's engine manufacturers.

We produce lubricants for a wide range of modern marine engines.

Research and development shapes and enhances the technical services we offer.

Our flexible range of service options aims to cover all our customers' needs.

Shell Marine technical services help operators to avoid costly failures by

ensuring that they choose the right lubricants and use them correctly.

Our technical team has more than 30 field- and office-based personnel.

We offer a suite of technical services programmes to help you overcome

operational complexities and reduce your operating costs.

Shell Rapid Lubricants Analysis can alert customers to wear and contaminants by

monitoring the condition of lubricants and equipment over time.

This means you can plan maintenance based on the equipment's actual condition.

Recent advances in engine design and economy tuning, combined with slow-

-steaming practices, can greatly increase the risk of corrosive wear.

Shell Marine offers products that help to protect against acid stress and the

buildup of deposits.

We also give customers an opportunity to monitor how these products are

performing in their engines.

Shell LubeMonitor is a cylinder condition-monitoring programme that can

help to optimise oil feed rates and reduce wear-related maintenance expenses.

Regular monitoring of drain oil samples is a good way to optimise

feed rates and to protect engines against excessive wear.

Using our Marine Connect software, the Shell LubeMonitor system manages all the

data generated by the onboard analysis and then transfers the results easily and

securely to Shell technical engineers.

Combining this data with analyses from the Shell Rapid Lubricants Analysis

laboratories enables the Shell LubeMonitor team to produce a detailed

report about engine performance and running condition.

Shell Marine's technical experts quickly build a complete overview of the data.

This enables them to provide informed updates on your engine's running

condition and make recommendations for optimising the oil feed rate and so

contribute to reduced running and maintenance costs.

We offer world-class lubricant products and services and support to over 10,000

vessels, in 700 plus ports across 59 countries.

For more infomation >> Shell Marine Technical Services - Duration: 3:11.

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Wiring Rules: Sleeving of conductors and segregation of services - Duration: 1:29.

Hi, I'm Mark Pocock from the Electrical Safety Office. As you aware the Wiring

Rules are being updated so I wanted to talk you through some of the key changes

to the requirements of sleeving of conductors and the segregation of

different services, that will appear in the next edition due for a lease later

this year. There will be changes to the content of sleeving of existing earthing,

bonding and live conductors this recognises existing installations where

bare earth green insulation or yellow insulation for live conductors has been

used. When alterations, additions or repairs are carried out that result in

new terminations or junctions then the existing conductors can be

sleeved with the colors defined in the new clauses. Requirements for different

electrical installations have been altered in a new edition to provide more

clarity. This includes changes to the common enclosure and segregation

requirements. These changes relate to conductors for different installations

or for individual occupancies forming part of a single or multiple electrical

installation that are installed in a common enclosure. For further information

visit our website electricalsafety.qld.gov.au

For more infomation >> Wiring Rules: Sleeving of conductors and segregation of services - Duration: 1:29.

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Electrician Beacon Hill - Morelite Electrical Services 0459 020 182 - Duration: 0:32.

For more infomation >> Electrician Beacon Hill - Morelite Electrical Services 0459 020 182 - Duration: 0:32.

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Referral, Certification and Oversight of Home Health Services (Part 1) - Duration: 6:26.

Hello and welcome to part 1 in our video series regarding referral, certification and oversight

of home health services for the Medicare beneficiary.

As you may recall, services that the Medicare Patient/Beneficiary may receive at home include:

Skilled Nursing on an intermittent/part-time basis

Home Health aides on an intermittent/part-time basis

Physical Therapy Occupational Therapy

Speech Language Pathology And Social Work

You may also remember that any and all of the services delivered in the patient's home

must be furnished by or under arrangements made by a Medicare-participating home health

Agency.

The Centers for Medicare & Medicaid Services provided clarification about home health eligibility

criteria in 2015 and the changes became EFFECTIVE January 1, 2015.

Change Requests 9119 and 9189 clarified changes affecting the face-to-face encounter and required

documentation from the acute/post-acute care facility, and certification of eligibility

criteria.

The five criteria that render a patient *eligible* to utilize their Medicare HH benefit

must be documented throughout the patient's medical records.

When certifying eligibility, the referring physician, acute/post-acute care facility,

or community physician must substantiate that the beneficiary meets all five criteria, including

the fact that the patient must:

1.

Be confined to the home 2.

Require skilled services 3.

Remain under the care of a physician 4.

Receive services under a Plan of Care established and reviewed by a physician, and

5.

Must have a face-to-face encounter for their current diagnosis with a physician or non-physician

practitioner. The home health agency will continue to support

and document these criteria as they deliver services in the patient's home.

Documentation in the certifying referring physician's medical records (and/or the acute

/post-acute care facility's medical records when the patient was directly admitted to

home health) will be used as the basis upon which patient eligibility for the Medicare

home health benefit will be determined and must be provided upon request to the home

health agency, review entities, and/or the Centers for Medicare and Medicaid Services

(CMS).

At the time a referral is written for home health, it is of significant importance for

that referring certifying physician/acute/post acute care facility to forward any and all documentation

to support eligibility.

HHA's and the physician who will be following patient's care in community should receive

documentation from certifying referring physician or facility in a timely fashion, in an effort

to provide timely and appropriate initial visits and SOC procedures.

Documentation that should be forwarded may include, but is not limited to:

Referral/Order for HH Services identifying the physician that will be monitoring the

POC with the home health agency

Discharge Plan or Initial POC

FTF Encounter Documentation Example: Discharge Summary or Interoffice Progress note documenting

the 1:1 physician visit Documentation (anywhere in the medical record)

supporting the need for skilled service & homebound status

Certification Statement Signed by a Medicare enrolled physician

It is no longer necessary to utilize a face to face encounter form to document the patients

homebound status.

CMS requires contractor review of the actual medical record documentation that supports

homebound status.

The patients homebound status will be verified (along with other eligibility criteria) in

the acute or post-acute care facility medical record documentation.

Remember the patient being confined to the home is one of the five eligibility criteria.

But how does CMS define homebound status?

Per CMS regulations, the patient must meet one of the standards in homebound criteria

number one which states that

The patient must require the aid of a supportive

device, special transportation or the assistance of another person to leave home.

OR the patient must have a condition such that

leaving home is medically contraindicated.

The patient must also meet both standards in Homebound Criteria number two

Which states that the patient must have a normal inability to leave home

and it must be a considerable and taxing effort

for the patient to leave their home.

To recap - One standard from criteria one and both standards from criteria two must

be supported in the acute or post-acute care facility or referring physicians medical record

documentation.

Homebound status must then be maintained & supported throughout the HHA documentation.

Documentation in the patients medical records must be specific and individual to the patient

as noted during the face to face encounter in an effort to support homebound criteria

and maintain eligibility for Medicare home health services.

The patient may still be considered homebound if absences from the home are infrequent or

for periods of relatively short duration, or are attributable to the need to receive

health care services.

Examples include Doctor appointments, therapy treatments, religious services, adult day

care centers for medical care, funerals, graduations, hair care, etc.

Stay tuned to the National Government Services YouTube Channel for more educational opportunities,

designed for you.

For more infomation >> Referral, Certification and Oversight of Home Health Services (Part 1) - Duration: 6:26.

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Underground essential services - Avoiding Utility Strikes series - Duration: 5:55.

Welcome to SafeWork SA's toolbox series

on avoiding utility strikes.

This series has been developed for anyone,

including home renovators,

who are planning on digging

or working near overhead power lines.

So, what are utilities?

Utilities are services that supply electricity,

communications, gas, street lights, water and sewerage.

They are supplied via cables, conduits,

ducts, fibre optics, pipes and wires.

Sometimes you can see signs of them,

but often they are buried, unseen, or forgotten.

The consequences of striking underground

or overhead infrastructure can be significant

such as service interruptions, costly repair bills,

injury and even death can be a real possibility.

Incidents might not happen right away.

They can be delayed,

especially if contact damage

is unreported and goes unrepaired.

Imagine if power was cut to a hospital,

or an emergency call centre

was without communication lines.

Because damage can affect whole communities,

it's essential this network is protected.

No matter your project size,

whether for business or private,

you need to get as much information as possible

about the location of all utility services

to prevent you from accidentally damaging them.

You could be installing a sign post,

landscaping a front yard, or building a fence, using a ladder,

or constructing a multi-lane highway.

This series is for you.

We start the series

with how to get information on underground services,

steps that need to be taken to locate those services,

and the risks associated with excavation work.

We continue with safe distances for people and equipment

working in the vicinity of overhead power lines,

and also go through safe distances

when building a structure,

including scaffolds near power lines.

The final toolbox explains what actions to take

if you strike a gas or power line.

This toolbox will show you the process

of getting free underground

essential services information, their limitations,

and why this information is only the first step.

'Dial Before You Dig' is a free national community service

that connects people undertaking excavation work

with the owners of underground services.

To recap, these services include communications,

water, gas and electricity, just to name a few.

Anyone planning to dig,

whether in the city, at home, or on an industrial property

should contact Dial Before You Dig before starting,

no matter what the job - domestic, civil or commercial.

'Dial Before You Dig' helps

with the free exchange of information

between you and the utility owners

to help you get the job done safely.

The service is designed to protect

South Australia's vital underground network

of pipes and cables

and those individuals working around them.

Before you start digging,

the first step is to lodge an enquiry

with Dial Before You Dig at 1100.com.au

on your desktop or mobile device.

You will need to provide information on your project

including location, type of work and timelines.

Not good on a computer?

No problem, call the national call centre on 1100.

Once you have provided the information,

Dial Before You Dig responds directly to you

with an email confirming your enquiry

and sends your information to the owners

of all underground services

who are Dial Before You Dig Members.

The utility owners affected in your proposed area of work

will respond directly to you

with cable and pipe locations,

generally in the form of plans.

You may get a number of separate plans

depending on what services run through your project area.

When you get them, study the plans closely

to make sure they are for the correct location,

and make sure you understand

what the symbols mean before you proceed.

If you don't understand any part of the information,

contact the service owner

Utility owners may provide additional instructions

on locating and working near their underground assets.

This may include Duty of Care statements,

details of accredited locators, permit information,

instructions on using certain equipment around assets,

and how to obtain onsite assistance if required.

All information provided by the utility owners

must be taken into consideration

and kept available with the plans onsite

and referred to before and as you dig.

Ensure you have received all plans before starting work.

Be aware Dial Before You Dig plans alone

do not include service lead-ins to property

and may not identify all underground pipes or cables

Some may be part of a private installation

and some of Australia's underground asset owners

are not members of Dial Before You Dig.

Never assume that the plans you receive from your enquiry

contain exact location of underground assets.

The plans indicate what services are present

and should be used in conjunction with service location,

which is further explained in Toolbox 2:

Locating Underground Utilities.

If you find any errors in the plans you have,

please contact the asset owner and advise them

so they can update their records.

So in summary, contact Dial Before You Dig

at www.1100.com.au or call 1100 before you start work.

Ensure you receive all the plans before you start digging.

Call the service owner

if you don't understand any part of the plans or symbols.

Always keep the plans available on site

and make others aware of them.

Remember underground location plans

provide information about network presence only;

they do not pinpoint the exact location.

Now that you know more about Dial Before You Dig,

the next episode will explain

how to physically find utility assets on site.

For more information on workplace safety,

visit safework.sa.gov.au

or call us on 1300 365 255.

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