When canals are lined with bricks, plastic or concrete, only very little water is lost. From canals in sandy soils more water is lost than from canals in heavy clay soils. In large irrigation schemes more water is lost than in small schemes, due to a longer canal system. The conveyance efficiency (ec) mainly depends on the length of the canals, the soil type or permeability of the canal banks and the condition of the canals. the field application efficiency (ea) which represents the efficiency of water application in the field. the conveyance efficiency (ec) which represents the efficiency of water transport in canals, and The scheme irrigation efficiency can be sub-divided into: The scheme irrigation efficiency (e in %) is that part of the water pumped or diverted through the scheme inlet which is used effectively by the plants. To express which percentage of irrigation water is used efficiently and which percentage is lost, the term irrigation efficiency is used. Deep percolation to soil layers below the root zoneįigure 25. Surface runoff, whereby water ends up in the drainĢ. Irrigation water losses in canalsįigure 25 shows the irrigation water losses in the field these are due to:ġ. Seepage through the bunds of the canalsįigure 24. Deep percolation to soil layers underneath the canalsģ. In other words, only part of the water is used efficiently, the rest of the water is lost for the crops on the fields that were to be irrigated.įigure 24 shows the irrigation water losses in canals these are due to:Ģ. The remaining part is stored in the root zone and eventually used by the plants. Part of the water is lost during transport through the canals and in the fields. Let patients know you will be back to perform your full evaluation, but you want to make sure they are making progress while waiting for you.Not all water taken from a source (river, well) reaches the root zone of the plants. You can take five to six charts, visit each room from the hallway for 60 seconds, and order what is appropriate. ![]() 1 EPs often know in 30 to 60 seconds what their patients will need. Start thin slicing! When busy, use your blink response. Uric acid (may be high, low, or normal in gout).The second troponin when you know the patient needs to be admitted anyway.Erythrocyte sedimentation rate and C reactive protein, which are nonspecific inflammatory mediators that rarely change disposition.The acute abdominal series (if you need the CT, order the CT).Four examples of holding pattern tests:.These are ordered (often in complex cases) to defer your disposition decision or decisions to order advanced imaging, but they add little to no value to your decision-making process. Don’t delegate communication to a computer.ĥ Avoid holding pattern tests. Inputting orders into the electronic medical record (EMR) is not good enough. Every step must bring you closer to your decision point.Ģ High volume will drive your efficiency out of necessity, but low volume can tease you into relaxing too much, making you become inefficient.ģ Establish expectations up front with patients and staff.Ĥ Advise nursing of your plan. Through interactions with others and my own experiences, I’ve compiled the following list of efficiency principles that you may find useful.ġ Identify the decision and work toward it. 5 Tips to Boost Your Efficiency at WorkĮxplore This Issue ACEP Now: Vol 34 – No 07 – July 2015.Emergency Department Efficiency Starts with Individual Performance.Japan’s Model for Workplace Organization Can Help Emergency Departments Improve Efficiency.Efficiency results in increased productivity, improved patient safety, happier staff, satisfied patients, and preservation of your sanity. ![]() Slipping into slow mode during lulls in volume can be a disastrous strategy. From my perspective, there should be two speeds in the ED: off and on. She responded, “Why are you in a hurry? We aren’t that busy.” My response was, “How efficient we are now will dictate how we will handle our increased volume later.” We can’t always predict how many patients we will see or how they will be distributed during our shift, but we do have control over what we do with those we already have. I checked with one of the nurses, making certain the patient in room 10 had received his ice and ibuprofen and was on his way to radiology. Recently, I worked a day shift and was in a comfortable pace, but I noted a steadier volume at 7:30 a.m. The more complex the delivery of emergency medical care becomes, the more critical it is that we find ways to become lean, mean EM machines.
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