Structural risk readiness

Sanitation/rotation. In more northern regions, teliospores are the typical overwintering structure, while in the south, urediospores can survive. In warm areas, the organism may also overwinter as mycelia on wild Helianthus species, providing a ready inoculum when the Jerusalem artichokes emerge in the spring. Thus, elimination of native species in the vicinity helps to reduce the risk of a severe infestation. Crop rotation is also recommended because the telial spores are present on residual plant material from the previous season. 

CB s asthma is currently being treated with a low-dose of the inhaled corticosteroid beclomethasone dipropionate (QVAR, 40 pg b.i.d.). She is in your pharmacy now with prescriptions for both chronic medications written by her new provider. After taking her medical history and reviewing her psychosocial situation, you recognize that she has many risk factors for near-fatal asthma" and believe she should have ready access to rescue therapy in case she experiences an acute episode of severe bronchoconstriction. Consider the structures of the adrenergic agents drawn below, and prepare to make a therapeutic recommendation to CB s new physician. 

Scale diagrams and maps need to include the following existing structures, property lines, entrances and exits, fire hydrants, sprinkler systans, emergency equipment, plant-controlled shut-offs, and hazardous material locations. These locations should be color-coded to ensure ready recognition. Scaled overlays should be drawn to show safe distances. The overlays can be placed over the point of incident to show the cordon area. However, because an incident can extend beyond site boundaries, the plot maps should cover all potential affected areas. This process helps evaluate risk to both the site and the community. 

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