922-111 exam Dumps Source : Communication Server 1000 to Rls. 6.0 Upgrades for Technicians
Test Code : 922-111
Test designation : Communication Server 1000 to Rls. 6.0 Upgrades for Technicians
Vendor designation : Nortel
: 27 existent Questions
those 922-111 dumps works in the actual check.
I passed. Genuine, the exam was hard, so I just got past it on account of killexams.com and Exam Simulator. I am upbeat to report that I passed the 922-111 exam and own as of late acquired my declaration. The framework questions were the portion I was most stressed over, so I invested hours honing on the killexams.com exam simulator. It beyond any doubt helped, as consolidated with different segments.
I exigency existent test questions modern-day 922-111 examination.
Started making ready for the difficult 922-111 exam the usage of the heavy and voluminous study books. But failed to crack the difficult topics and were given panicked. I became about to drop the exam while somebody cited me the dump via killexams. It became in reality easy to examine and the truth that I should memorize whole in a brief time, eliminated whole my apprehensions. Could crack 67 questions in only 76 minutes and got a huge 85 marks. Felt indebted to killexams.com for making my day.
determined most 922-111 Questions in actual test questions that I organized.
I am strolling into an IT difficult and consequently I from time to time find out any time to prepare for 922-111 exam. Therefore, I ariseto an easy conclusion of killexams.com dumps. To my wonder it worked relish wonders for me. I exigency to transparent upall of the questions in least feasible time than supplied. The questions contemplate relish quite smooth with top class reference manual. I secured 939 marks which became in reality a extremely advantageous surprise for me. First rate way to killexams!
wherein will I locate prep cloth for 922-111 examination?
killexams.com had enabled a pleasant devour the whole at the same time as I used 922-111 prep aid from it. I followed the study guides, exam engine and, the 922-111 to every tiniest microscopic element. It changed into because of such gorgeous manner that I own become proficient inside the 922-111 exam curriculum in depend of days and were given the 922-111 certification with a terrific marks. I am so grateful to every single individual behind the killexams.com platform.
clearly awesome enjoy! with 922-111 actual test questions.
I still recollect the tough time I had while learning for the 922-111 exam. I used to hunt assistance from friends, but I felt most of the material was vague and overwhelmed. Later, I establish killexams.com and its material. Through the valuable material I learned everything from top to bottom of the provided material. It was so precise. In the given questions, I answered whole questions with consummate option. Thanks for brining whole the countless happiness in my career.
in which can i am getting assist to bypass 922-111 examination?
I simply purchased this 922-111 braindump, as soon as I heard that killexams.com has the updates. Its right, they own gotblanketed whole unique areas, and the exam looks very fresh. Given the latest replace, their turn around time and steer is terrific.
Shortest questions that works in existent test environment.
I got 79% in 922-111 Exam. Your study material was very helpful. A titanic thank you kilexams!
it's miles proper source to find 922-111 dumps paper.
It is not the first time im using killexamsfor my 922-111 exam, i own tried their materials for a few vendors exams, and havent failed once. I fully depend on this guidance. This time, I besides had some technical troubles with my laptop, so I had to touch their customer support to double test something. Theyve been top class and own helped me benevolent things out, despite the fact that the hassle become on my stop, not their software program.
Exactly same questions in existent test, WTF!
I used this dump to pass the 922-111 exam in Romania and got 98%, so this is a very advantageous way to prepare for the exam. whole questions I got on the exam were exactly what killexams.com had provided in this brain dump, which is incredible I highly recommend this to everyone if you are going to acquire 922-111 exam.
Do not forget to pick up these Latest Brain dumps questions for 922-111 exam.
Very very advantageous 922-111 exam preparation questions answers, I passed 922-111 exam this month. killexams.com is very reliable. I didnt assume that braindumps could pick up you this high, but now that i own passed my 922-111 exam, I know that killexams.com is more than a dump. killexams.com gives you what you exigency to pass your 922-111 exam, and besides helps you learn things you might need. Yet, it gives you only what you REALLY exigency to know, saving your time and energy. I own passed 922-111 exam and now recommend killexams.com to everyone out there.
newsMicrosoft-Nortel behold Unified Communications advantageous points
The Alliance lately won three unique shoppers as well, including Indiana institution, U.ok.-based mostly Worcestershire health assistance and Communications technology services, and an IT and telephony issuer known as 4ward.
Microsoft and Nortel formed the imaginative Communications Alliance in July of eventual year with the purpose of delivering unified communications options to companies. below the Alliance, the companies initiated joint analysis and edifice efforts. They additionally created consumer demonstration centers and engaged in joint earnings and advertising and marketing.
in the Alliance's preparatory press unencumber, Jeff Raikes, Microsoft's enterprise Division president, stated that the joint unified communications solution would allow a "single identification across electronic mail, voice mail, voice over internet protocol (VoIP) convoke processing, quick messaging and video."
The Alliance's essential product is referred to as Nortel Converged office, a unified communications gadget that integrates Nortel's VoIP telephony materiel with Microsoft's server technology.
The main accessories of Converged office include:
there's besides a Nortel utility middle component that supports not obligatory capabilities, including internet integration, interactive voice response and invent contact with core services.
Unified communications gets defined in a variety of ways, however in response to the IEEE, it usually encompasses "unified messaging, collaboration and interplay programs." These programs besides usually allow real-time and immediate real-time communications. moreover, combined media (voice, email, fax, and many others.) can besides live accessed from a single application, independent of the entry machine.
competitors within the unified communications space is thick with massive names. In March of this year, IBM and Cisco, announced a collaborative pains on unified messaging client expertise referred to as Unified Communications and Collaboration (UC2). UC2 is based on open technologies, akin to Eclipse development atmosphere and the Open capabilities Gateway Initiative framework. Citrix methods and Nokia, amongst others, own expressed support for the UC2 platform.
below the IBM-Cisco unified communications partnership, Cisco plans to sell IBM's Lotus Sametime collaboration retort and IBM plans to promote Cisco's Unified Communications supervisor, Cisco cohesion and Cisco Unified MeetingPlace products. The whole unified communications retort is designed and delivered by way of IBM global know-how functions.
Kurt Mackie is senior advice producer for the 1105 enterprise Computing community.
big apple — Jan. 17, 2007 — today, Microsoft Corp. CEO Steve Ballmer and Nortel* CEO and President Mike Zafirovski introduced a joint highway map to deliver their shared vision for unified communications. The street map is the outcome of an alliance between Microsoft and Nortel announced in July 2006, and comprises three unique joint options to dramatically improve company communications by using breaking down the barriers between voice, email, speedy messaging, multimedia conferencing and different types of communication.
speakme at an event at Studio 8H in Rockefeller core to more than one hundred consumers together with newshounds and analysts, Ballmer and Zafirovski outlined how corporations can improve worker productivity and effectiveness and reduce the fees and complexity of communications. They additionally introduced 11 unique implementation functions from Nortel and the outlet of more than 20 joint demonstration centers where purchasers can adventure the technology firsthand.
in exactly six months for the reason that the alliance become formed, both organizations own signed agreements with dozens of customers, and own developed a pipeline of hundreds of possibilities who are looking to recognize the benefits of unified communications.
“we are executing forcefully on the imaginative and prescient of this alliance and own made significant progress,” Zafirovski said. “We accomplished the planning levels and at the flash are providing unified communications solutions to groups worldwide. Their purpose is to immediate the gap between the contraptions they spend to speak and the company applications they spend to race their groups, giving employees the vigour to invent spend of advice extra straight away and simply.”
“The regular worker gets more than 50 messages each day1 on as much as seven several instruments or applications,” Ballmer delivered. “software can and may support address the continued problem of managing communications and this challenge is the riding concept in the back of their alliance with Nortel. collectively, they will evolve VoIP and unified communications to integrate whole the ways they contact each and every other in an easy atmosphere, using a single identity throughout telephones, PCs and different gadgets.”
New options to improve Communications and Collaboration
Microsoft and Nortel shaped the creative Communications Alliance to wait on groups transform enterprise communications by rushing up the transition to voice over cyber web protocol (VOIP) and unified communications. providing on the vision they outlined in July, Microsoft and Nortel today added three unique options:
UC integrated branch. This unique product from the alliance will hold Nortel and Microsoft® know-how on a single piece of hardware that grants reasonably-priced, terrific and simple-to-installation VoIP and unified communications in far flung offices. The UC integrated offshoot is planned to live available within the fourth quarter of 2007.
Unified Messaging. To simplify customer deployments, aboriginal session initiation protocol (SIP) interoperability between the Nortel communique Server one thousand and Microsoft trade Server 2007 Unified Messaging is planned to live available within the 2d quarter of 2007. The solution contains Nortel knowledgeable functions for design, deployment and guide.
Conferencing. This unique solution will prolong the loaded characteristic set of Nortel Multimedia Conferencing to Microsoft workplace Communicator 2007, delivering a single, common customer adventure consistent across applications equivalent to voice, immediate messaging, presence, and audio- and videoconferencing. The on-premise retort is planned to live obtainable in the fourth quarter of 2007.
In 2007, the businesses additionally plan to prolong their existing unified communications solution — a unified desktop and fine phone for VoIP, e mail, speedy messaging and presence — to the Nortel verbal exchange Server 2100, a carrier-grade commercial enterprise telephony product aiding up to 200,000 users on a single system.
in addition, Nortel and Microsoft introduced a highway map for 2008 and past for poignant company communications onto a software platform designed to power a better-excellent person journey and reduce total imbue of possession. The road map outlines a few key applications and expertise developments including a unified communications contact middle, Nortel duty server, expanded hosted UC solutions, mobility and client options, and utility-mindful networking enhancements.
“imaginitive communications and collaboration applied sciences are essential to thoroughly enabling Royal Dutch Shell’s international work drive, and key to working at properly quartile in their business. They accept as honest with in and wait on the vision Nortel and Microsoft own outlined,” spoke of Johan Krebbers, community IT architect at Royal Dutch Shell, who joined Ballmer and Zafirovski onstage for these days’s event. “Over the next a number of years, they plan emigrate their network to a utility-based mostly communications device built on applied sciences represented through the Nortel and Microsoft alliance.”
Experiencing VoIP and Unified Communications solutions
The corporations announced that they've outfitted greater than 20 joint demonstration centers in North the us, Europe and Asia, with greater than 100 additional facilities scheduled to open by means of midyear.
In a related announcement, Nortel brought 11 core integration functions to wait on valued clientele construct, install and aid joint unified communications solutions, including conclusion-to-conclusion challenge management. Nortel already has more than 2,200 VoIP specialists to deliver these features and should add more as deployment ramps up. This group is supported by the 10,000-potent Nortel global features team and a great ecosystem of features partners.
Nortel is a diagnosed leader in supplying communications capabilities that enhance the human experience, ignite and vigor international commerce, and comfortable and give protection to the realm’s most crucial suggestions. Their next-generation applied sciences, for both service providers and organisations, span entry and core networks, support multimedia and business-important functions, and assist pick up rid of nowadays’s obstacles to effectivity, velocity and performance via simplifying networks and connecting americans with counsel. Nortel does company in more than a hundred and fifty nations.
founded in 1975, Microsoft (Nasdaq “MSFT”) is the international leader in utility, features and solutions that support people and groups realize their complete talents.
note to editors: in case you own an interest in viewing additional info on Microsoft, delight contend with the Microsoft web page at http://www.microsoft.com/presspass on Microsoft’s company tips pages. net links, mobile numbers and titles had been suitable at time of publication, however may additionally when you deem that own modified. For extra counsel, journalists and analysts can besides contact Microsoft’s quick Response group or other commandeer contacts listed at http://www.microsoft.com/presspass/contactpr.mspx .
resourceful Communications Alliance customer support
BT international capabilities is the division of BT neighborhood that provides networked IT functions international that enable multinational, multisite companies to thrive and develop in the digital networked economic climate
“The Nortel and Microsoft alliance has the information to accelerate and simplify the attention of unified communications for a major portion of their consumer base. BT leads through instance, and they are already the spend of exchange Server 2007 Unified Messaging with their Nortel telephony device. From this journey and from their position as a number one company of networked IT functions, they deem that the native, requirements-based SIP interoperability that Microsoft and Nortel announced today should simplify deployments and lop back total imbue of possession.”
Tom CraigPresident, IP NetworkingBT global services
With operations in eleven international locations in the Asia-Pacific vicinity and the monetary facilities of ny and London, CLSA is without doubt one of the main monetary powerhouses international. Hong Kong-primarily based CLSA is an award-successful company that gives capabilities in brokerage, funding banking and private equity.
“We had to connect their regional places of work and headquarters, with more than 1,000 employees, with a device that superior their potential to execute trades and provide reporting information. The ingenious Communications Alliance is delivering a unified communications materiel that brings the vigor of Nortel’s IP telephony at the side of the collaboration of Microsoft office are live Communications Server to deliver a solution superior to anything else on the market. it is going to permit us to meet the wants of their clients, meet their regulatory necessities throughout many countries and simplify communications for their personnel. since the imaginative Communications Alliance makes it possible for us to leverage their existing infrastructure, it's the most cost-efficient retort accessible.”
T. RajahChief counsel OfficerCLSA
Fred Weber Inc.
Fred Weber Inc. is the St. Louis enviornment’s chief in heavy and dual carriageway development. primarily based in Maryland Heights, Mo., this $300 million-a-yr, worker-owned enterprise makes a speciality of full-carrier concrete and asphalt paving initiatives and is the region’s greatest materials corporation. The enterprise’s work philosophies nowadays are the same as those of founder Fred Weber seventy eight years in the past. of those, “The deserve to normally assume and alter business practices to more advantageous serve valued clientele” led Fred Weber Inc. to leverage the Nortel and Microsoft relationship.
“At Fred Weber, their wants are different than other corporations. Their company exists past 4 partitions and a regular office complicated. This creates a essential want for profitable and respectable integrated communications. Orchestrating 1,200 personnel across their 25 edifice and substances places in addition to their a lot of subsidiary companies may besides live a logistical nightmare. The resourceful Communications Alliance solution provided with the aid of Nortel and Microsoft helps resolve this issue, and allows for us to spend more time with their consumers and reply in actual time to their needs.”
Phillip HagemannChief advice OfficerFred Weber Inc.
overseas SOS is the area’s main company of clinical counsel, exotic healthcare and safety functions. With operations in sixty five international locations and a 4,500-effective work drive, overseas SOS helps companies and organizations control the health and safety dangers their travelers, expatriates and international work favor face.
“presenting tremendous services to their clients globally requires profitable communication internally and externally. engaging Nortel and Microsoft’s resourceful Communications Alliance relationship gives us the opening to allot into upshot a blended technology retort that permits us to raise their core company of offering healthcare and security functions whole over.”
Todd SchofieldChief expertise OfficerInternational SOS
Thomas faculty, a private faculty in Waterville, Maine, is committed to profession practicing with a drill of teaching college students in enterprise, know-how and training. With greater than 950 undergraduate and graduate college students, and a school of sixty six, Thomas is adopting cutting-part Microsoft and Nortel tips expertise beneath the aegis of the imaginitive Communications Alliance.
“whereas they are a small faculty, they own the goal of implementing unified communications capabilities to serve their students and college on par with universities that own higher enrollments and larger budgets. they now own used the Nortel telephony infrastructure for two many years and at the flash are using Microsoft office reside Communications Server, so the imaginative Communications Alliance unified communications suite is a herbal extension. The plan is to set up the innovative Communications Alliance solution to integrate communications, enlarge online coursework, and supply a custom, campuswide immediate messaging skill and a collaborative electronic blackboard ability. The web influence is that they are a 113-year-old establishment that's getting ready their college students for success of their personal and knowledgeable lives, and for management and repair in their communities.”
Chris RhodaVice President of counsel ServicesThomas college
Nortel CEO and President Mike Zafirovski (left) and Microsoft CEO Steve Ballmer (right) discussing the businesses’ shared imaginative and prescient for unified communications. manhattan, unique york. Jan. 17, 2007
newsMicrosoft and Nortel existing Alliance Roadmap Six months after announcing a telecommunications alliance, Microsoft and Nortel this week presented some early effects of their efforts and outlined a roadmap for future initiatives.
both groups first introduced their collaboration eventual summer.
The road map contains three unique joint options “to dramatically improve enterprise communications by using breaking down the barriers between voice, e mail, quick messaging, multimedia conferencing and different styles of communique,” in keeping with a press release by the two establishments.
additionally blanketed in the announcement are 11 unique implementation functions from Nortel and the cavity of greater than 20 joint demonstration facilities where shoppers can adventure the expertise, the commentary persevered.
furthermore, both companies stated they've signed agreements with dozens of shoppers, and own developed a “pipeline of a whole bunch of possibilities who wish to recognise the merits of unified communications.”
From Microsoft's standpoint, it's whole a portion of the enterprise's lengthy-term play to merge every benevolent of communications and messaging privilege into a single framework. A 12 months in the past, the business introduced that it changed into merging its alternate Server neighborhood with its precise-Time Collaboration (RTC) community, and that it had begun to deem of both technologies comprising a "platform."
the brand unique neighborhood changed into named the Unified Communications community (UCG) and resides in Microsoft's enterprise Division. The sentiment for the brand unique group emanated from a vision of adding continuity to a myriad of communications instruments, technologies and modes -- from electronic mail and speedy messaging to Voice over internet Protocol (VoIP), audio/video and web conferencing -- in a unified manner.
The three unique joint options introduced by using the alliance this week are named Unified Communications built-in branch, Unified Messaging, and Conferencing.
When it's accessible within the fourth quarter, UC integrated offshoot will hold Nortel and Microsoft technology on a single piece of hardware that provides VoIP and unified communications in faraway workplaces.
Coming a bit earlier within the 2nd quarter, Unified Messaging will purpose to simplify client deployments, aboriginal session initiation protocol (SIP) interoperability between the Nortel communication Server 1000 and Microsoft change Server 2007. The retort includes Nortel skilled capabilities for design, deployment and guide.
also coming within the fourth quarter, Conferencing will extend Nortel Multimedia Conferencing to Microsoft office Communicator 2007. It goals to provide a single customer adventure consistent throughout applications reminiscent of voice, rapid messaging, presence, and audio- and videoconferencing.
This yr, the organizations additionally plan to prolong their latest unified communications solution — a unified computer and soft cell for VoIP, electronic mail, instant messaging and presence — to the Nortel communication Server 2100, a service-grade enterprise telephony product assisting up to 200,000 users on a single gadget, in response to company statements.
As for the highway map, the two companies own fitted more than 20 joint demonstration centers in North the united states, Europe and Asia, with greater than one hundred extra facilities scheduled to open by way of midyear.
Nortel has besides brought eleven core integration functions to wait on consumers construct, install and assist joint unified communications solutions, including conclusion-to-end assignment management. Nortel claims it has already trained greater than 2,200 VoIP consultants to carry these services and may add extra as deployment ramps up.
Stuart J. Johnston has coated technology, notably Microsoft, given that February 1988 for InfoWorld, Computerworld, suggestions Week, and computing device World, as well as for enterprise Developer, XML & net features, and .internet magazines.
While it is very difficult task to elect trustworthy certification questions / answers resources with respect to review, reputation and validity because people pick up ripoff due to choosing wrong service. Killexams.com invent it sure to serve its clients best to its resources with respect to exam dumps update and validity. Most of other's ripoff report complaint clients arrive to us for the brain dumps and pass their exams happily and easily. They never compromise on their review, reputation and trait because killexams review, killexams reputation and killexams client assurance is essential to us. Specially they acquire care of killexams.com review, killexams.com reputation, killexams.com ripoff report complaint, killexams.com trust, killexams.com validity, killexams.com report and killexams.com scam. If you behold any deceptive report posted by their competitors with the designation killexams ripoff report complaint internet, killexams.com ripoff report, killexams.com scam, killexams.com complaint or something relish this, just preserve in wit that there are always atrocious people damaging reputation of advantageous services due to their benefits. There are thousands of satisfied customers that pass their exams using killexams.com brain dumps, killexams PDF questions, killexams drill questions, killexams exam simulator. Visit Killexams.com, their sample questions and sample brain dumps, their exam simulator and you will definitely know that killexams.com is the best brain dumps site.
MB2-717 VCE | LOT-836 free pdf | 050-v5x-CAARCHER01 drill test | 4H0-020 drill test | 000-734 dumps questions | HP0-S19 study guide | 810-440 existent questions | C9520-427 bootcamp | HP0-Y19 braindumps | A00-206 free pdf | HP0-J15 drill questions | 922-072 study guide | 70-549-CSharp test questions | C2070-582 drill test | 1Z0-432 exam questions | 850-001 existent questions | 9A0-702 sample test | 7004-1 drill Test | GB0-323 brain dumps | C2150-614 questions and answers |
Pass4sure 922-111 Communication Server 1000 to Rls. 6.0 Upgrades for Technicians exam braindumps with existent questions and drill programming.
We are specifically conscious that an vital problem within the IT business is that there is unavailability of tremendous well worth braindumps. Their exam braindumps offers whole of you that you exigency to acquire an certification exam. Their Nortel 922-111 Exam will provide you with exam question with confirmed answers that replicate the existent exam. They at killexams.com are made plans to empower you to pass your 922-111 exam with exorbitant ratings.
We own Tested and Approved 922-111 Exams. killexams.com gives the most unique and latest IT exam materials which practically comprise whole braindumps. With the steer of their 922-111 exam materials, you execute not exigency to spend titanic time on reference books and virtually exigency to scorch through 10-20 hours to ace their 922-111 existent questions and answers. Whats greater, they supply you with PDF Version and Software Version exam questions and answers. For Software Version materials, Its presented to give the applicants mimic the Nortel 922-111 exam in a existent exam environment.
killexams.com Huge Discount Coupons and Promo Codes are as under;
WC2017 : 60% Discount Coupon for whole assessments on website
PROF17 : 10% Discount Coupon for Orders extra than $69
DEAL17 : 15% Discount Coupon for Orders extra than $ninety nine
DECSPECIAL : 10% Special Discount Coupon for whole Orders
Quality and Value for the 922-111 Exam: killexams.com drill Exams for Nortel 922-111 are formed to the most lifted standards of specific exactness, using simply certified subject masters and conveyed makers for development.
100% Guarantee to Pass Your 922-111 Exam: If you don't pass the Nortel 922-111 exam using their killexams.com testing programming and PDF, they will give you a complete REFUND of your purchasing charge.
Downloadable, Interactive 922-111 Testing Software: Their Nortel 922-111 Preparation Material gives you that you should acquire Nortel 922-111 exam. Inconspicuous components are investigated and made by Nortel Certification Experts constantly using industry taste to convey correct, and honest to goodness.
- Comprehensive questions and answers about 922-111 exam - 922-111 exam questions joined by displays - Verified Answers by Experts and very nearly 100% right - 922-111 exam questions updated on universal premise - 922-111 exam planning is in various conclusion questions (MCQs). - Tested by different circumstances previously distributing - Try free 922-111 exam demo before you elect to pick up it in killexams.com
killexams.com Huge Discount Coupons and Promo Codes are as under;
WC2017: 60% Discount Coupon for whole exams on website
PROF17: 10% Discount Coupon for Orders greater than $69
DEAL17: 15% Discount Coupon for Orders greater than $99
DECSPECIAL: 10% Special Discount Coupon for whole Orders
922-111 | 922-111 | 922-111 | 922-111 | 922-111 | 922-111
Killexams LOT-440 test prep | Killexams A2040-409 drill questions | Killexams 6103 mock exam | Killexams 00M-236 existent questions | Killexams 301 drill test | Killexams P2050-005 free pdf | Killexams 000-718 free pdf | Killexams 1Z0-969 dumps | Killexams HP0-Y16 drill exam | Killexams 150-230 free pdf download | Killexams C2060-350 dumps questions | Killexams 000-888 dump | Killexams 1Z0-348 drill test | Killexams APA-CPP bootcamp | Killexams 3M0-600 drill Test | Killexams FINRA examcollection | Killexams JN0-643 braindumps | Killexams 00M-642 drill questions | Killexams C2040-924 braindumps | Killexams NREMT-NRP study guide |
Exam Simulator : Pass4sure 922-111 Exam Simulator
Killexams CPP questions and answers | Killexams 9A0-279 free pdf | Killexams 70-552-VB drill test | Killexams FM1-306 braindumps | Killexams C2180-277 mock exam | Killexams C2070-981 dump | Killexams C2070-585 dumps | Killexams 1Z0-532 sample test | Killexams 920-551 braindumps | Killexams 1Z0-805 existent questions | Killexams HP2-B105 cheat sheets | Killexams 642-104 exam prep | Killexams HP0-766 test prep | Killexams HP0-J45 braindumps | Killexams 200-105 free pdf | Killexams 351-050 pdf download | Killexams CAS-002 study guide | Killexams 3M0-212 drill questions | Killexams A2040-923 existent questions | Killexams CAT-160 questions and answers |
As mentioned in a previous tip, companies are implementing IP telephony more frequently on their data infrastructures. The increased deployment has created a exigency for certified IP telephony engineers to provide proven, best-of-breed technology.
The IP telephony certifications Nortel currently offers are divided into four categories: Support Specialist, Design Specialist, Support Expert, and Design Expert. This tip discusses the Nortel Support track.
The Support Specialist certifications are intended to demonstrate an individual's ability to implement, operate, and troubleshoot a Nortel Networks IP Telephony solution. The Support Specialist certification reflects a candidate with three to six months of taste that can ply routine technical issues of a standard Nortel IP Telephony Solution.
NNCSS - VoIP Succession BCM 3.0
This certification tests the capability to implement, operate, and troubleshoot the business Communications Manager 3.0. This certification covers hardware, start-up, data and voice networking, applications, and troubleshooting the BCM. To pass the certification, two exams must live successfully completed: Technology Standards and Protocols for IP Telephony Solutions, and Succession BCM 3.0. The Technology Standards and Protocols for IP Telephony Solutions Exam is an overview of convergence technologies.
NNCSS - CallPilot Rls. 2.0
This certification tests the ability to implement, operate, and troubleshoot the VoIP CallPilot 2.0. This certification covers hardware, administration, interoperability with Meridian 1 switches, and security of a single site CallPilot system. To pass the certification, two exams must live successfully completed: Meridian Database and CallPilot 2.0.
NNCSS - Symposium convoke hub Server or Symposium convoke hub Server Installation and Maintenance
These two certifications test the ability to implement, operate, and troubleshoot the Symposium convoke hub Server. Both certifications cover hardware, software installation, administration, and maintenance of Symposium convoke hub Server 4.2, Symposium Web Client 4.0, and Symposium Express 3.0. However, the Symposium convoke hub Server certification besides tests the architecture, custom configuration and integration of the server. To pass either of these certifications, one exam must live successfully completed: Symposium convoke hub or Symposium convoke hub Installation and Maintenance, respectively.
NNCSS - Symposium convoke hub TAPI/Agent or convoke hub TAPI/Agent Installation and Maintenance
These two certifications test the ability to implement, operate, and troubleshoot the Symposium convoke hub TAPI/Agent. Both certifications cover hardware, software installation, administration, and maintenance of Symposium TAPI 2.3 and Symposium Agent 2.3. However, the Symposium convoke hub TAPI/Agent certification besides tests the architecture, integration, and custom configuration of the TAPI/Agent. To pass either of these certifications, one exam must live successfully completed: Symposium convoke hub TAPI/Agent or Symposium convoke hub TAPI/Agent Inst/Main, respectively.
NNCSS - Symposium Express convoke hub or Symposium Express convoke hub Installation and Maintenance
These certifications test the ability to implement, operate, and troubleshoot the Symposium Express convoke Center. Both certifications cover hardware, software installation, administration, and maintenance of Symposium Express convoke hub 4.2. However, the Symposium Express convoke hub certification besides tests the architecture and integration of the convoke center. To pass either of the certifications, one exam must live successfully completed: Symposium Express convoke hub or Symposium Express convoke hub Inst and Maint respectively.
NNCSS - VoIP Multimedia Communication Server (MCS) 5100 2.0
This certification tests the ability to implement, operate, and troubleshoot the VoIP Multimedia Communication Server (MCS) 5100 2.0. This certification covers installation of the hardware and software, configuration, maintenance, and management of the Multimedia Communication Server (MCS) 5100 2.0. To pass the certification, two exams must live successfully completed: Technology Standards and Protocols for IP Telephony Solutions, and VoIP Multimedia Communication Server (MCS) 5100 2.0. The Technology Standards and Protocols for IP Telephony Solutions Exam is an overview of convergence technologies.
NNCSS - VoIP Succession 1000/1000M Rls. 3.0 DB Administrator
This certification tests the ability to maintain and troubleshoot the VoIP Succession 1000/1000M Rls. 3.0 DB Administrator. This certification covers the architecture, configuration, maintenance, and management of the Meridian 1, Succession 1000 Rls. 3.0, and Succession 1000M Rls. 3.0 using Basic Alternate Route Selection (BARS) and Network Alternate Route Selection (NARS). To pass the certification, two exams must live successfully completed: Technology Standards and Protocols for IP Telephony Solutions, and Succession 1000/1000M Rls. 3.0 DB Administrator.
NNCSS - VoIP Succession 1000/1000M Rls. 3.0 Installation and Maintenance
This certification tests the ability to install, configure, and maintain the VoIP Succession 1000/1000M Rls. 3.0. This certification covers the installation, architecture, configuration, maintenance, and management of the Meridian 1, Succession 1000 Rls. 3.0, and Succession 1000M Rls. 3.0, Internet Telephones i2xxx, and Optivity Telephony Manager (OTM) 2.1. To pass the certification, three exams must live successfully completed: Technology Standards and Protocols for IP Telephony Solutions, and Succession 1000/1000M Rls. 3.0 for Technicians, and Succession 1000/1000M Rls. 3.0.
The Support Expert certifications build on the specialist's abilities by demonstrating their skill to implement, operate, and troubleshoot an advanced Nortel Networks IP Telephony solution. The Support Expert certifications reflect a candidate with six to twelve months of hands-on taste with the ability to lead or assist intermediate-level personnel to maintain involved Nortel IP Telephony solutions.
NNCSE - CallPilot 2.0 Unified Messaging Solutions
This certification tests the ability to implement, operate, troubleshoot and optimize the VoIP CallPilot Unified Messaging Solution 2.0. This certification covers the installation, administration, interoperability, security, upgrade procedures and feature usage for a multi site CallPilot system. To pass the certification, the candidate must first obtain their NNCSS - CallPilot Rls. 2.0. Subsequently, the CallPilot 2.0 Unified Messaging Solutions must live successfully completed to obtain this certification.
NNCSE - Contact Center
This certification tests the ability to implement, operate, troubleshoot and optimize the Contact hub Products. This certification covers the candidate's capabilities on the Symposium convoke hub Server (SCCS)/Symposium Express convoke Center/Symposium Web Client, Symposium TAPI Service Provider (TAPI SP), Symposium Agent, and the Symposium Web hub Portal. To pass the certification, the candidate must first obtain their NNCSS - Symposium convoke hub Server and the NNCSS - Symposium convoke hub TAPI/Agent certification. Subsequently, the Contact hub Exam must live successfully completed to obtain this certification.
NNCSE - IP Convergence Succession 1000/1000M Rls. 3.0
This certification tests the ability to install, configure, maintain, and optimize the VoIP Succession 1000/1000M Rls. 3.0. This certification covers the configuration, succession offshoot office (BO), remote office, operation, and Meridian 1 to Succession 1000M 3.0 migration procedures for the Succession 1000/1000M Rls. 3.0, Internet Telephones i2xxx, Remote Office 91xx, and Optivity Telephony Manager (OTM) 2.1. To pass the certification, the candidate must first obtain their NNCSS - VoIP Succession CSE 1000 Rls. 2.0 or the VoIP Succession 1000/1000M Rls. 3.0 Installation & Maintenance certification. Subsequently, another more difficult version of the Succession 1000/1000M Rls. 3.0 Exam must live successfully completed to obtain this certification.
In the IT industry, certifications are a means to validate an individual's expertise within a specified area. The above Nortel IP Telephony certifications are some of the tools that can demonstrate the capabilities of an IP Telephony support professional. These certifications could not supplant years of industry experience, but they execute provide the foundation to support and manage Nortel Voice over IP solutions.
The next tip will contend Nortel's Design IP Telephony certification track.
Richard Parsons (CCIE#5719) is a Manager of Professional Services for Callisma Inc., a wholly owned subsidiary of SBC. He has built a solid foundation in networking concepts, advanced troubleshooting, and monitoring in areas such as optical, ATM, VoIP, routed, routing, and storage infrastructures. loaded resides in Atlanta GA, and is a graduate of Clemson University. His background includes senior and principal consulting positions at International Network Services, Lucent, and Callisma.
THE 50 STATES<@VM>THE 50 STATES: Maryland to WyomingWhat's up in your agency?For governments east of the Mississippi, convoke 301-650-2145 or e-mail email@example.com. For those west, convoke 301-650-2238 or e-mail firstname.lastname@example.org.
VIRTUAL KNOWLEDGE. The state Legislature has sponsored an online library system that gives registered users access to 53 databases of information. Students, teachers and other Alabama residents can access thousands of full-length articles and definitions, as well as links to numerous Web sites, from the Alabama Virtual Library.
The site, at www.avl.lib.al.us , was created by a partnership of the state's Supercomputer Authority and Computer Sciences Corp. The site retrieves information from McGraw-Hill Companies of unique York, Encyclopedia Britannica, Online Computer Library hub Inc. of Dublin, Ohio, EBSCO Industries Inc. of Birmingham, Ala., and several other databases.
The site runs customized software and resides on a dual-processor 550-MHz Pentium III Dell PowerEdge server with 512 of RAM.
ALASKABUYER BEWARE. Launched this fall, the Law Department's Consumer Protection Web site offers citizens a state to ply complaints about products or businesses or check out businesses that own been reported for fraud or unfair practices. Visitors can download froms in Adobe Portable Document Format, print them out and mail them in.
The site besides gives advice on such issues as credit cards and mail fraud.
Law Department officials will load consumer complaint information into a searchable database. The department then can discern patterns of unfairness, fraud or deception.
CAMPAIGN FINANCE. Charity begins at home'or a home page. The Secretary of State's Office recently allot the state's crusade finance data online. Secretary of State's Office chief information officer Mike Totherow wrote the program in Delphi from Inprise Corp. The data is stored in a Microsoft SQL Server Version 7.0 database. Visitors to the site, at www.sosaz.com/cfs/CampaignFinanceSearch .htm, can search the site by contributor, committee or date. Home addresses and phone numbers are excluded from the data for privacy reasons, said Jessica Funkhouser, director of the Office of Elections.
BRAINIACS ONLINE. Attention, whole brainiacs. The Board of Education adopted Science Brainium, an online science program, for spend in the state's public elementary and middle schools. Students log on at the site, at us.brainium.com , and enter a user ID and password. The program offers lessons and games on bugs, the solar system and other topics required by Arkansas curriculum standards.
Science Brainium is the brainchild of Brainium of Salt Lake City. The online program, which works with most browsers, requires the Shockwave plug-in from Macromedia Inc. of San Francisco and at least a 486 PC with 16M of RAM or a Macintosh 68040.
DO YOU EVERDREAM? East of San Francisco lies Lafayette, a city of 23,500, which recently outsourced most of its desktop PC services to Everdream Corp. The Fremont, Calif., company will provide city employees with a 24-hour wait on desk, Microsoft Office 2000, Windows NT file, print and firewall servers, a virtual private network and a digital subscriber line connection.
The contract, which is valued at about $85,000 annually, includes 32 Hewlett- Packard PCs with 733-MHz Pentium III processors and 128M of RAM. The city will continue to race its own Web site and services, said Tracy Robinson, the city's administrative services director.
SECRET IN SUMMIT. Blind and visually impaired voters in Summit County cast their votes using a underhand ballot for the first time eventual month, thanks to the eSlate 3000, a tablet-sized portable PC developed by Hart InterCivic of Austin, Texas.
With eSlate, a voice synthesizer reads instructions and the altenative of candidates to the voter. The device has great buttons that users click to record their votes.
In past elections, blind voters had to disclose another person their altenative of candidate.
SMART ROADS. The Transportation Department received a $2.38 million federal intelligent Transportation Systems award to improve highway and road traffic conditions by using computer systems.
Connecticut has not yet decided how to spend the funds.
GOT JOBS? Applicants can now apply for state jobs on the Internet via the State Personnel Office's Web site, at www.state.de.us/spo . The online application is available for citizens to apply for nearly whole positions statewide.
The state used Microsoft Visual Interdev 6.0 to build the site. The site accesses a Microsoft SQL 7.0 database and runs on a dual-processor 800-MHz Pentium III Xeon Dell PowerEdge 4400 server with 2G of RAM under Windows NT.
DISTRICT OF COLUMBIA
NOTES FROM UNDERGROUND. The Washington Metropolitan zone Transit Authority, which operates the Metro subway system, eventual month resumed using computers to operate its trains after 21 months of manual operation. Metro switched from automatic to manual operations in March 1999 after three relays failed, probably because of con- tamination that accumulated over time. Relays control captious functions of the rail cars, including brakes and doors.
The efficient management of operating suites requires heedful resource management. Most expenses of a health care organization are personnel related (1), and successful management of medical personnel determines whether an operational unit is a revenue hub or a cost hub (2,3). Patient outcomes, particularly in anesthesiology, depend on the availability of expensive personnel, especially physicians (4,5). In a crisis, rapid mobilization of trained personnel is captious to successful resolution (6).
Mayo Clinic has a long history of efficient management of personnel, by which the information and expertise of its physicians are leveraged through extensive spend of allied health personnel. One strategy, implemented >100 yr ago, is the spend of visual communication systems to direct physicians and allied health personnel to where they are needed. This began with the introduction of colored wooden door tabs. Each color denoted the state of a room. For example, a green tab indicated that the patient was in the scope and ready to live seen by a nurse. A blue tab indicated that the patient was ready to live seen by a physician. A red tab indicated that wait on was needed for an emergency.
This communication strategy spread from the outpatient drill to the hospitals, including the operating suites. Subsequently, door tabs were replaced by colored electric lights. A chime was sounded when the state of a scope changed. This communication strategy was thought to improve the efficiency and trait of care in the operative environment. In 1981, a unique operating suite was opened at Saint Marys Hospital, 1 of 2 hospitals associated with Mayo Clinic. This prompted updating the communication technology at both hospitals. Electric lights were replaced with video displays suspended from the ceilings or mounted on the walls in the operating rooms (OR), procedure rooms, and support areas.
This Video Paging System (VPS) used alphanumeric codes to communicate the state of each patient care location (7). Pages were initiated by spend of electromechanical switches in each OR, procedure room, and preoperative and postoperative location. When a switch was closed (by pushing a button), an alphanumeric code, designating both the location and the individual needed, would live displayed throughout the operative or procedural suite, and in every procedure room, hallway, recovery and waiting area, lounge, office, and cafeteria. In addition, an emergency code was incorporated to rapidly direct staff to a particular location when a cardiac arrest, airway emergency, or other captious event occurred.
Over time, several problems emerged with the VPS. The black-and-white monitors that displayed the pages burned in after about 18 mo, making the displays unreadable. Replacement monitors were costly and difficult to find. The software was difficult to maintain, and software constraints became unacceptable as the drill grew and evolved. When seven additional ORs were built at Saint Marys Hospital, and OR numbering changed from two digits to three digits, the VPS could not accommodate the change. These problems triggered the conclusion to supplant the VPS with a unique communication system.Design Criteria
Several types of devices were examined as possible solutions. Cell phones, digital pagers, and personal digital assistants were considered to possibly live less expensive and more supple solutions than the existing hardwired approach. However, these options were rejected as being too conditional on personnel. If the paged individual did not respond, there would live no way to know whether the rectify beeper was called, whether the person was unavailable, or to whom the page should live redirected. To respond to a page, one must interact with these devices, which can live impractical during procedures. It was concluded that a hands-free system would live designed and implemented.
With microscopic review or documentation, the VPS had evolved on an ad hoc basis with additional functions and a broader geographic distribution. Missing comprehensive system documentation made determining where the current system was used and what information was transmitted challenging. A heedful analysis of unique requirements was completed, redundant and unnecessary functions were eliminated, and the geographic distribution of the unique system was planned.
Prototyping technologic solutions occurred simultaneously. A distributed video architecture was rejected because of its inherent instability. Because the cathode-ray tube displays had only an 18- to 24-mo useful life, liquid crystal and light-emitting diode (LED) displays were considered. LED displays were chosen because they own a useful life of at least 15 yr and a greater luminosity that prevents washout from fluorescent and natural lighting. These displays are relatively expensive, but the cost can live amortized over a longer useful life. Choosing the size of the characters on the displays was a trade-off between the distance at which the displays could live read and the required information content. The size and information layout of the LED displays were determined by their expected placement, for case how low the displays could hang from hallway ceilings. The conclusion was made to develop in-house a configurable, centrally programmable keypad that would supplant the electromechanical switches.
Several distribution architectures were considered. spend of the institutional Ethernet network was an attractive, inexpensive option, but pages could live delayed when network bandwidth demand was greatest. Because pages are time-sensitive, this risk was deemed unacceptable. Therefore, an independent Ethernet network was chosen to drive the system. The computer-based anesthesiology paging system (CAPS) was designed to live upgradeable and easily configured. Software running on standard hardware is more easily adaptable and requires fewer maintenance personnel. spend of commercially available components besides reduces costs for development and maintenance (Fig. 1).System Specifications
The CAPS runs on dual-processor, redundant Compaq servers (Compaq Computer, Houston, TX) using SQL Server 7.0 under the Windows NT 4.0 operating system (Microsoft, Redmond, WA). Because the system is used as an emergency indicator, continuous availability is required. A redundant Central Processing Unit architecture satisfies this up time requirement. Software was written in Microsoft’s Visual Basic 6.0 and Visual C++ 6.0. The distribution architecture is a star pattern of Ethernet and RS-422 devices connected by standard Category-5 cable. Terminal servers connect the RS-422 protocol LED displays and the programmable keypads to the Ethernet network. The server can send daily electronic mail with system statistics and maintenance needs. The CAPS can send a page to a beeper for urgent maintenance problems (Fig. 1). The server software connects to the terminal server ports (one device per port) via device controllers. A simple network management protocol manager restarts failed connections without manual intervention.
The software design optimizes the handling of unique pages to assure the shortest possible time between placing a page and seeing it on the LED displays. If there are no dynamic emergency pages, whole unique pages are processed and displayed within 1.5 s. The user initiates a page by either pressing a dedicated microswitch (hot key) or entering a numeric code on the keypad (Fig. 2). The page is sent to the keypad controller via the terminal server. The keypad controller associates the page with a specific keypad, the keypad’s workgroup (e.g., neurologic anesthesia or vascular radiology), and other necessary information. The page is then presented via a Microsoft ActiveX Data remonstrate convoke to the SQL Server database engine. The database determines what text is to live displayed on the LED displays and then forwards the text to the queue manager. The database then returns control to the keypad controller, which illuminates an LED above the activated burning key. If a page for a physician or nurse is initiated from an OR, a light above that room’s door illuminates as a wayfinding aid.
The queue manager determines the workgroups for a unique page and inserts the unique page either into those groups’ new-page queues or emergency queues. Although there are seldom >15 dynamic calls, each queue may hold up to 100 calls. At 1.5-s intervals, the pomp controllers query the queue manager for the next page. The pomp controller then forwards that page to each display. If the page is displayed for the first time, a chime sounds. The current time, synchronized with the atomic clock in Boulder, CO, is displayed in the upper privilege corner, except when emergency pages are displayed. The pomp controllers then achieve housekeeping chores (e.g., querying displays for functional status), during the balance of the 1.5-s interval before querying the queue manager for the next page. After a page has been displayed once, it is placed in the active-page queue. The queue manager then cycles through this queue while any pages are active. Emergency pages are not placed in the active-page queue. When an emergency page is initiated, it is the only page shown on the LED displays, the light above the scope door blinks, and the chime is sounded repeatedly until the page is answered. In the unlikely event that two or more emergency pages are dynamic simultaneously, only the emergency pages are cycled until answered.
The central servers, terminal servers, operating system, and database are whole commercial products. The LED displays were initially custom-made products, but the manufacturer has subsequently added them to their standard product line. These displays are located throughout the hospitals where anesthesia services are provided or anesthesia personnel congregate.
The programmable keypads were designed in-house and were assembled and tested under contract. The keypads can accept unique embedded code downloaded from the server. This allows for remote reprogramming of the keypads without maintenance personnel physically interacting with each keypad (i.e., removing >450 keypads from the wall and reprogramming them with a laptop computer). Therefore, upgrading the keypads is rapid and cost-effective.
An administrative program and several specialized tools for maintenance personnel were developed. The administrative program’s graphical user interface masks the relational database’s complexity and presents a more simplified view of the system. Pages, devices, reports, and other aspects of the system can live managed without spend of the development engineering group. This feature allows maintenance personnel to live trained technicians, thereby decreasing the total cost of ownership and freeing the development engineering staff for other projects.User Functionality
The CAPS presents two kinds of pages: 1) class page, which is a page for a class of individuals to arrive to a patient location, and 2) person page, which is a page for a specific individual to arrive to a multiple-patient location. Class pages own three parts. The prefix characters are alphabetic, denoting the work zone (e.g., “N” for the north anesthesia zone or “CL” for the catheterization laboratory). The middle characters denote the scope number within that work group (e.g., “N 808” for scope 808 in the north anesthesia zone or “CL 109” for scope 109 in the catheterization laboratory). The suffix character denotes the class of person needed in the room. Therefore, complete pages would live “N 808 A,” meaning that an anesthesiologist is needed in scope 808 in the north anesthesia area, or “CL 109 N,” meaning that a nurse anesthetist is needed in scope 109 of the catheterization laboratory. Person pages own two parts. The prefix denotes a multiple-patient location (e.g., “P” for postanesthesia care unit or “o” for outpatient recovery). The other characters are numeric, denoting the individual needed. Therefore, a complete person page would live “P49,” meaning that person “49” is needed in the postanesthesia care unit.
Using CAPS is reasonably straightforward. For example, if a resident physician in cardiac catheterization scope 104 needs to confer with the attending anesthesiologist, the resident pushes the “Physician” button on the keypad mounted on the anesthesia machine (Fig. 3). An LED above the button illuminates, confirming that the page has been received. Every monitor throughout the cardiac catheterization suite, including the scope initiating the page, displays “CL 104 A” in green and chimes briefly (Fig. 4). The page remains on the LED pomp for 1.5 s as the system cycles from page to page. A page cycles every 1.5 s until it is deactivated by a person; there is no timeout feature for pages. When the attending anesthesiologist enters the scope and pushes the “Physician” button, the page is no longer displayed anywhere and the LED above the button turns off. If the resident considers the page to live urgent, the resident pushes the “Urgent” button (Fig. 3) and then the “Physician” button; “CL 104 A” would materialize in orange and cycles with any other pages. If there is an emergency in the procedure room, the two side-by-side emergency buttons are pushed simultaneously (Fig. 3). This action persistently displays “CL 104 A” in shimmering red on every pomp in the catheterization laboratory, and a chime rings until the emergency buttons in the scope are pushed simultaneously. In the unusual event of >1 simultaneous emergency page, the pomp will cycle from emergency page to emergency page every 1.5 s, sounding the chime persistently, until whole emergency pages are deactivated.
This same basic feature is available throughout the environment of the CAPS. A burning key is pushed on the keypad and the defined page is displayed throughout the respective operating or procedural suite. Other examples of possible pages are shown in Table 1. The burning keys can vary from keypad to keypad. For example, in the operating suite, anesthesiologists and certified registered nurse-anesthetists are the only licensed providers with burning keys, whereas in the cardiac catheterization laboratory, a burning key pages registered nurses who provide sedation care. The system has the ability to add many additional pages through spend of the numeric keys (Fig. 3). For example, by pressing “246” followed by the “Enter” key, a unique page can live displayed, such as “CL 104 MP” for medical photographer. The keypad screen (Fig. 3) displays the keyed page, confirming to the user that the page has been received. If >1 page is entered via the keypad, instead of the burning keys, the pages are cycled every 1.5 s on the keypad’s screen.
The LED displays are more useful than the VPS cathode-ray tube monitors, which displayed a maximum of only four black-and-white characters. relish the CAPS, the VPS prefix character designated the workgroup, two digits identified the scope number, and the suffix character indicated the personnel being paged. The CAPS displays allow a prefix, a scope identifier, and a suffix, for a maximum of 10 characters that can live illuminated in 1 of 3 colors. Rooms can live specified by numbers, short words, or abbreviations. Without the limitations of the VPS, formerly cryptic pages are now displayed in unambiguous text. Whereas “P888” in the VPS meant that the postanesthesia care unit was full, this page is now displayed unambiguously on the CAPS as “PACU FULL.”
When anesthesia and OR personnel hear the “new call” chime, they can glance at the pomp and read the unique call. If they miss seeing the unique page, the system offers shortcuts so one does not exigency to watch whole the pages cycle through the display. Personnel indicators in the lower left corner of the pomp (Fig. 5) identify the class of individual required (e.g., anesthesiologist, nurse, or technician). Zone indicators in the upper left corner of the pomp identify the work areas that own dynamic calls (e.g., “N” for north anesthesia and “B” for cardiovascular anesthesia). If an anesthesiologist responsible for the B zone hears a unique page chime but misses seeing the unique page, the anesthesiologist can glance at the pomp (Fig. 5) and keep that the unique convoke was for someone else (e.g., if only “D” is seen in the upper left of the display, only D zone personnel own dynamic pages). If “B” is in the upper left and if “A” is not in the lower left, then the anesthesiologist no longer needs to contemplate at the pomp because the unique page was for someone else. Pages are sorted numerically within the zone, so people exigency to watch the pomp only until the codes for their rooms are either displayed or passed over. The personnel and zone shortcut indicators are cumulative for whole dynamic pages and are displayed for whole except emergency pages.Postimplementation Review
At Mayo Clinic, each of the two hospitals has a CAPS. During the first 6 mo of operation, there were 8 h of unexpected downtime. There were four additional hours of planned downtime for installing lower priority functions, downloading keypad corrections, installing operating system patches, and correcting heterogeneous problems. After this initial shake-down period, the CAPS was down a total of 14 min in 3 mo (i.e., 0.144 min/day). In contrast, the VPS was down an middling of 28.3, 29.7, 21.9, and 16.8 min/day in 1996, 1997, 1998, and 1999, respectively. Starting in 2000, the reliability of the VPS began to deteriorate compared with its historic norms. The deterioration became another issue that helped initiate the CAPS project. Despite the difficulty of comparing passe and unique technologic systems, the data bespeak that the CAPS is more trustworthy than was the VPS.Clinical Evaluation
During the installation of the CAPS, there was a brief epoch during which neither the VPS nor the CAPS was available in whole areas. The VPS was removed in segments as the CAPS was installed, and beepers were used temporarily as a bridging communications medium. Anesthesiologists and nurse anesthetists own used beepers for many years for person-to-person communications, such as consultations and outside telephone calls, and as a means to gain individuals when they are outside of the video paging environment (e.g., intensive care units and hospital wards). Because departmental personnel were experienced and comfortable with beepers and telephones are mounted on every anesthesia machine, it was decided to spend these devices during the transition from the VPS to the CAPS. This allowed comparison of the efficiency of using beepers with the efficiency of using the CAPS.
Observations of paging with beepers occurred during a 4-day period, 2 days at each hospital. Each day, different ORs were studied on the basis of the implementation schedule of the CAPS. Data were gathered from within a randomly selected OR by recording the time a page was initiated to a beeper (beginning as the number was being dialed) and the time the responder entered the room. Because of the limitation of being able to keep only 1 OR at a time and the rapid installation of the CAPS, relatively few pages with beepers were observed (n = 12), whole of which were routine, nonurgent calls. When the study was designed, it was expected that there would live 6 days of installation per hospital and, therefore, 12 days of observation for gathering beeper response times. Unfortunately for the study, but fortuitous for the practice, installation took only 2 days per hospital, which reduced the expected number of observations. The original CAPS installation schedule allowed more time for system verification in each work zone than was actually needed and so the time allotted for beeper observations was significantly reduced.
Similarly, observations for the CAPS occurred over a 4-day period, 2 days at each hospital. Data were gathered by recording the time a page appeared on the LED display, which was within 1.5 s of the time the button was pressed from within the OR, and the time the responder entered the room. Because the CAPS displays its pages on LED displays located throughout the surgical suite, several ORs could live observed simultaneously by watching the displays, and more data were collected (n = 57). No urgent or emergency pages were observed.
The median response time for anesthesiologists paged with a beeper was 2.78 min (range, 1.00–7.23 min). Problem pages did occur, including incorrect beeper numbers that were given to next-shift personnel, multiple pages that were made because the caller was not inescapable that the rectify number had been dialed, and missed or ignored pages that required repaging. The median response times for anesthesiologists paged with the CAPS was 1.57 min (range, 0.30–7.20 min). Because of the CAPS design, zero of the problem pages observed with the beepers were observed with the CAPS. These results are summarized in Table 2 and motif 6. A logarithmic transformation was applied to the data to fullfil the distributional assumptions required for the two-sample Student’s t-test. The t-test of the transformed data showed a statistically significant dissimilarity between the response times with beepers and the response times with the CAPS (P = 0.021, t 67 = 2.36). The CAPS had a shorter response time for anesthesiologists than the beeper method.
Mayo Clinic anesthesiologists generally are responsible for more concurrent procedures than is common in an academic practice. For example, one anesthesiologist concurrently cares for two pediatric open-heart patients at Mayo Clinic, whereas the norm is one procedure per anesthesiologist at Duke and Stanford Universities (personal communication). Although there is no difficult evidence that the CAPS directly allows for higher concurrency, the anesthesiology department and the institution own concluded that the CAPS is an essential tool that allows for these ratios with safe delivery of anesthesia care. The reasoning is that when an anesthesiologist is busy caring for a patient in one location (e.g., placing a pulmonary artery catheter or inducing anesthesia) and is paged to another location, the page remains visible until it is answered. This prompts colleagues to retort the page, thereby ensuring that clinical problems are rapidly addressed. The system is used to bespeak cardiac arrests and other emergencies, initiating an immediate response from many available personnel. The system is besides used to page personnel in other services, such as the clinical laboratory, autotransfusion, surgical pathology, and housekeeping. By allowing communication with many groups, the CAPS can live used to manage procedural areas more efficiently.
The design of the system is consistent with the communication philosophy that has developed at Mayo Clinic in both inpatient and outpatient environments. Patient care sites are equipped with a communication tool that identifies the state of the room. For the anesthesiology practice, the state of the scope reflects the personnel needs in the room. If an anesthesiologist is needed, a visual page is displayed throughout the work environment informing both the anesthesiologist and the drill as a whole that assistance is requested in the procedure room. The postimplementation review demonstrates that the CAPS is more trustworthy than the system it replaced, with an middling downtime of less than one minute per day.
When comparing the CAPS with a system of beepers, which are the standard communication devices in many medical centers, the time to retort a page was statistically significantly less when the page was initiated using the CAPS than using a beeper and the opening for communication errors are eliminated. This study has a number of limitations. The sample size of beeper paging is small (n = 12). However, they own no reason to believe that these data are not representative of their beeper paging system. Also, although a statistically significant dissimilarity in response time was detected between the beeper system and the CAPS, the clinical relevance of this dissimilarity is unclear. The clinical relevance of 1.21 minutes response time depends on the clinical situation that prompted the page. If a page is initiated to contend fluid management, it is unlikely that the observed shorter response time would invent any difference. However, if the page is to secure assistance for an airway-related problem, then 1.21 minutes could invent a significant difference.
Another limitation of the study is that patient outcome data were not recorded as portion of their data collection. whole the pages observed were for routine matters (e.g., anesthesia induction, emergence, or routine questions). No emergencies or urgent pages were recorded in either group. A review of the CAPS database shows that there were 7 emergency pages during April 2002 when the paging system covered 97 ORs, 5 recovery rooms, and >46 nonoperative anesthetizing locations. The emergency pages were answered in an middling of 35 ± 23 seconds. However, there are no data to compare this with emergency response to beeper pages. A much larger study would own to live undertaken to demonstrate an upshot on patient outcomes. Although such a study was considered, the anesthesiology drill concluded that it was unwilling to investigate the clinical upshot of paging without the CAPS because of concerns for patient safety and drill efficiency.
The CAPS has a subtle upshot on the environment of the operating suite because there is not a constant din of overhead audio pages. Instead, a brief chime announces a unique page to the entire staff. Anesthesiologists in the ORs are not straining to hear garbled pages. Anesthesiology residents and certified registered nurse anesthetists are not waiting in frustration, wondering whether their pages own been heard. Pages are persistently visible on ubiquitous displays until answered.
Mayo Clinic is a great group drill (>1000 attending physicians), and it can live difficult to ensure accountability of whole members in a great organization (8). One drawback of using beepers is that staff may ignore or forget pages. With the CAPS, everyone in the procedural suites can behold pages and live aware of pages that are not answered. The primary value of Mayo Clinic is “the needs of the patient arrive first.” Adherence to this principle encourages staff to respond to unanswered pages. However, even with assistance from colleagues, a incessant pattern of ignoring pages becomes apparent. The CAPS promotes assistance from colleagues when a staff member is occupied with another patient and inhibits a pattern of unanswered pages in a manner not recognized by the anonymity of beepers. As a result, staff members are reluctant to own their pages displayed longer than necessary, even though there is no visible duration associated with any given page. The practice-wide result is that staff attend to the needs of patients in a timely manner without authoritarian management measures.
The CAPS was designed to live a hands-free, reliable, and low-maintenance communication system. The system is more trustworthy than the VPS it replaced. The development and installation of the CAPS is associated with anesthesiologists responding more rapidly to paging with the CAPS than to paging with beepers. This may live associated with improved patient outcomes and greater OR efficiency.References 1. Marrin CA, Johnson LC, Beggs VL, Batalden PB. Clinical process cost analysis. Ann Thorac Surg 1997; 64: 690–4. 2. Macario A, Vitez TS, Dunn B, McDonald T. Where are the costs in perioperative care? Anesthesiology 1995; 83: 1138–44. 3. DeRiso B, Cantees K, Watkins WD. The operating rooms: cost hub management in a managed care environment. Int Anesthesiol Clin 1995; 33: 133–50. 4. Abenstein JP, Warner MA. Anesthesia providers, patient outcomes, and costs. Anesth Analg 1996; 82: 1273–83. 5. Silber JH, Sean KK, Even-Shoshan O, et al. Anesthesiologist direction and patient outcomes. Anesthesiology 2000; 93: 152–63. 6. Gaba DM, Howard SK, Fish KJ. head management in anesthesiology. unique York: Churchill-Livingstone, 1994: 5–47. 7. Ereth MH, Byer DE, Behrens TL, Tri JL. Computer-based video paging [letter]. J Clin Monit 1989; 5: 217–9. 8. McMahon FB, McMahon JW. Psychology: the hybrid science. Homewood, IL: The Dorsey Press, 1982: 615–6. Attention Authors!
Submit Your Papers Online
You can now own your paper processed and reviewed faster by sending it to us through their new, web-based Rapid Review System.
Submitting your manuscript online will carry weight that the time and expense of sending papers through the mail can live eliminated. Moreover, because their reviewers will besides live working online, the entire review process will live significantly faster.
You can submit manuscripts electronically via http://www.rapidreview.com. There are links to this site from the Anesthesia & Analgesia website (http://www.anesthesia-analgesia.org), and the IARS website (http://www.iars.org).
To find out more about Rapid Review, fade to http://www.rapidreview.com and click on “About Rapid Review.”© 2003 International Anesthesia Research Society Source
Anesthesia & Analgesia97(1):196-204, July 2003.Related Videos
Data is temporarily unavailable. delight try again soon.
3COM [8 Certification Exam(s) ]
AccessData [1 Certification Exam(s) ]
ACFE [1 Certification Exam(s) ]
ACI [3 Certification Exam(s) ]
Acme-Packet [1 Certification Exam(s) ]
ACSM [4 Certification Exam(s) ]
ACT [1 Certification Exam(s) ]
Admission-Tests [13 Certification Exam(s) ]
ADOBE [93 Certification Exam(s) ]
AFP [1 Certification Exam(s) ]
AICPA [2 Certification Exam(s) ]
AIIM [1 Certification Exam(s) ]
Alcatel-Lucent [13 Certification Exam(s) ]
Alfresco [1 Certification Exam(s) ]
Altiris [3 Certification Exam(s) ]
Amazon [2 Certification Exam(s) ]
American-College [2 Certification Exam(s) ]
Android [4 Certification Exam(s) ]
APA [1 Certification Exam(s) ]
APC [2 Certification Exam(s) ]
APICS [2 Certification Exam(s) ]
Apple [69 Certification Exam(s) ]
AppSense [1 Certification Exam(s) ]
APTUSC [1 Certification Exam(s) ]
Arizona-Education [1 Certification Exam(s) ]
ARM [1 Certification Exam(s) ]
Aruba [6 Certification Exam(s) ]
ASIS [2 Certification Exam(s) ]
ASQ [3 Certification Exam(s) ]
ASTQB [8 Certification Exam(s) ]
Autodesk [2 Certification Exam(s) ]
Avaya [96 Certification Exam(s) ]
AXELOS [1 Certification Exam(s) ]
Axis [1 Certification Exam(s) ]
Banking [1 Certification Exam(s) ]
BEA [5 Certification Exam(s) ]
BICSI [2 Certification Exam(s) ]
BlackBerry [17 Certification Exam(s) ]
BlueCoat [2 Certification Exam(s) ]
Brocade [4 Certification Exam(s) ]
Business-Objects [11 Certification Exam(s) ]
Business-Tests [4 Certification Exam(s) ]
CA-Technologies [21 Certification Exam(s) ]
Certification-Board [10 Certification Exam(s) ]
Certiport [3 Certification Exam(s) ]
CheckPoint [41 Certification Exam(s) ]
CIDQ [1 Certification Exam(s) ]
CIPS [4 Certification Exam(s) ]
Cisco [318 Certification Exam(s) ]
Citrix [48 Certification Exam(s) ]
CIW [18 Certification Exam(s) ]
Cloudera [10 Certification Exam(s) ]
Cognos [19 Certification Exam(s) ]
College-Board [2 Certification Exam(s) ]
CompTIA [76 Certification Exam(s) ]
ComputerAssociates [6 Certification Exam(s) ]
Consultant [2 Certification Exam(s) ]
Counselor [4 Certification Exam(s) ]
CPP-Institue [2 Certification Exam(s) ]
CPP-Institute [1 Certification Exam(s) ]
CSP [1 Certification Exam(s) ]
CWNA [1 Certification Exam(s) ]
CWNP [13 Certification Exam(s) ]
Dassault [2 Certification Exam(s) ]
DELL [9 Certification Exam(s) ]
DMI [1 Certification Exam(s) ]
DRI [1 Certification Exam(s) ]
ECCouncil [21 Certification Exam(s) ]
ECDL [1 Certification Exam(s) ]
EMC [129 Certification Exam(s) ]
Enterasys [13 Certification Exam(s) ]
Ericsson [5 Certification Exam(s) ]
ESPA [1 Certification Exam(s) ]
Esri [2 Certification Exam(s) ]
ExamExpress [15 Certification Exam(s) ]
Exin [40 Certification Exam(s) ]
ExtremeNetworks [3 Certification Exam(s) ]
F5-Networks [20 Certification Exam(s) ]
FCTC [2 Certification Exam(s) ]
Filemaker [9 Certification Exam(s) ]
Financial [36 Certification Exam(s) ]
Food [4 Certification Exam(s) ]
Fortinet [13 Certification Exam(s) ]
Foundry [6 Certification Exam(s) ]
FSMTB [1 Certification Exam(s) ]
Fujitsu [2 Certification Exam(s) ]
GAQM [9 Certification Exam(s) ]
Genesys [4 Certification Exam(s) ]
GIAC [15 Certification Exam(s) ]
Google [4 Certification Exam(s) ]
GuidanceSoftware [2 Certification Exam(s) ]
H3C [1 Certification Exam(s) ]
HDI [9 Certification Exam(s) ]
Healthcare [3 Certification Exam(s) ]
HIPAA [2 Certification Exam(s) ]
Hitachi [30 Certification Exam(s) ]
Hortonworks [4 Certification Exam(s) ]
Hospitality [2 Certification Exam(s) ]
HP [750 Certification Exam(s) ]
HR [4 Certification Exam(s) ]
HRCI [1 Certification Exam(s) ]
Huawei [21 Certification Exam(s) ]
Hyperion [10 Certification Exam(s) ]
IAAP [1 Certification Exam(s) ]
IAHCSMM [1 Certification Exam(s) ]
IBM [1532 Certification Exam(s) ]
IBQH [1 Certification Exam(s) ]
ICAI [1 Certification Exam(s) ]
ICDL [6 Certification Exam(s) ]
IEEE [1 Certification Exam(s) ]
IELTS [1 Certification Exam(s) ]
IFPUG [1 Certification Exam(s) ]
IIA [3 Certification Exam(s) ]
IIBA [2 Certification Exam(s) ]
IISFA [1 Certification Exam(s) ]
Intel [2 Certification Exam(s) ]
IQN [1 Certification Exam(s) ]
IRS [1 Certification Exam(s) ]
ISA [1 Certification Exam(s) ]
ISACA [4 Certification Exam(s) ]
ISC2 [6 Certification Exam(s) ]
ISEB [24 Certification Exam(s) ]
Isilon [4 Certification Exam(s) ]
ISM [6 Certification Exam(s) ]
iSQI [7 Certification Exam(s) ]
ITEC [1 Certification Exam(s) ]
Juniper [64 Certification Exam(s) ]
LEED [1 Certification Exam(s) ]
Legato [5 Certification Exam(s) ]
Liferay [1 Certification Exam(s) ]
Logical-Operations [1 Certification Exam(s) ]
Lotus [66 Certification Exam(s) ]
LPI [24 Certification Exam(s) ]
LSI [3 Certification Exam(s) ]
Magento [3 Certification Exam(s) ]
Maintenance [2 Certification Exam(s) ]
McAfee [8 Certification Exam(s) ]
McData [3 Certification Exam(s) ]
Medical [69 Certification Exam(s) ]
Microsoft [374 Certification Exam(s) ]
Mile2 [3 Certification Exam(s) ]
Military [1 Certification Exam(s) ]
Misc [1 Certification Exam(s) ]
Motorola [7 Certification Exam(s) ]
mySQL [4 Certification Exam(s) ]
NBSTSA [1 Certification Exam(s) ]
NCEES [2 Certification Exam(s) ]
NCIDQ [1 Certification Exam(s) ]
NCLEX [2 Certification Exam(s) ]
Network-General [12 Certification Exam(s) ]
NetworkAppliance [39 Certification Exam(s) ]
NI [1 Certification Exam(s) ]
NIELIT [1 Certification Exam(s) ]
Nokia [6 Certification Exam(s) ]
Nortel [130 Certification Exam(s) ]
Novell [37 Certification Exam(s) ]
OMG [10 Certification Exam(s) ]
Oracle [279 Certification Exam(s) ]
P&C [2 Certification Exam(s) ]
Palo-Alto [4 Certification Exam(s) ]
PARCC [1 Certification Exam(s) ]
PayPal [1 Certification Exam(s) ]
Pegasystems [12 Certification Exam(s) ]
PEOPLECERT [4 Certification Exam(s) ]
PMI [15 Certification Exam(s) ]
Polycom [2 Certification Exam(s) ]
PostgreSQL-CE [1 Certification Exam(s) ]
Prince2 [6 Certification Exam(s) ]
PRMIA [1 Certification Exam(s) ]
PsychCorp [1 Certification Exam(s) ]
PTCB [2 Certification Exam(s) ]
QAI [1 Certification Exam(s) ]
QlikView [1 Certification Exam(s) ]
Quality-Assurance [7 Certification Exam(s) ]
RACC [1 Certification Exam(s) ]
Real-Estate [1 Certification Exam(s) ]
RedHat [8 Certification Exam(s) ]
RES [5 Certification Exam(s) ]
Riverbed [8 Certification Exam(s) ]
RSA [15 Certification Exam(s) ]
Sair [8 Certification Exam(s) ]
Salesforce [5 Certification Exam(s) ]
SANS [1 Certification Exam(s) ]
SAP [98 Certification Exam(s) ]
SASInstitute [15 Certification Exam(s) ]
SAT [1 Certification Exam(s) ]
SCO [10 Certification Exam(s) ]
SCP [6 Certification Exam(s) ]
SDI [3 Certification Exam(s) ]
See-Beyond [1 Certification Exam(s) ]
Siemens [1 Certification Exam(s) ]
Snia [7 Certification Exam(s) ]
SOA [15 Certification Exam(s) ]
Social-Work-Board [4 Certification Exam(s) ]
SpringSource [1 Certification Exam(s) ]
SUN [63 Certification Exam(s) ]
SUSE [1 Certification Exam(s) ]
Sybase [17 Certification Exam(s) ]
Symantec [134 Certification Exam(s) ]
Teacher-Certification [4 Certification Exam(s) ]
The-Open-Group [8 Certification Exam(s) ]
TIA [3 Certification Exam(s) ]
Tibco [18 Certification Exam(s) ]
Trainers [3 Certification Exam(s) ]
Trend [1 Certification Exam(s) ]
TruSecure [1 Certification Exam(s) ]
USMLE [1 Certification Exam(s) ]
VCE [6 Certification Exam(s) ]
Veeam [2 Certification Exam(s) ]
Veritas [33 Certification Exam(s) ]
Vmware [58 Certification Exam(s) ]
Wonderlic [2 Certification Exam(s) ]
Worldatwork [2 Certification Exam(s) ]
XML-Master [3 Certification Exam(s) ]
Zend [6 Certification Exam(s) ]
Dropmark : http://killexams.dropmark.com/367904/11704744
Wordpress : http://wp.me/p7SJ6L-1cn
Issu : https://issuu.com/trutrainers/docs/922-111
Dropmark-Text : http://killexams.dropmark.com/367904/12202427
Blogspot : http://killexamsbraindump.blogspot.com/2017/11/review-922-111-real-question-and.html
RSS Feed : http://feeds.feedburner.com/NeverMissThese922-111QuestionsBeforeYouGoForTest
Box.net : https://app.box.com/s/zwgjcqs8kl9728ozfsmfb74x7vvgissm
publitas.com : https://view.publitas.com/trutrainers-inc/once-you-memorize-these-922-111-q-a-you-will-get-100-marks
zoho.com : https://docs.zoho.com/file/5s0qs7cf24cff6e0743b68d7d0d2f43f9edb6