Analyze the major pros and cons of preparing company budgets. Determine at least two (2) critical budget items that you believe are essential in managing a company. Provide a rationale for your response.
Analyze the most common responsibility reporting systems. From your analysis, argue at least one (1) pro and one (1) con of using responsibility reporting systems.
An effective leader is empathetic, understands multiple leadership skills as well as flexible. Leadership skills involve an ability to understand emotional intelligence and skills needed to become a nursing leader. Self-awareness involves the ability to understand one’s emotions and feelings and how these affects and influences others. Self-awareness is significant to leadership effectiveness, and many leaders exercise it. It is a way of exploring tendencies, beliefs, individual personalities, natural inclinations as well as value system (Huber, 2018). People react to things, synthesize and learn differently. Self-awareness help to spend time occasionally in self-reflection to achieve a better insight in ourselves. It assists the managers to determine the gaps in management skills that promote skill development. It assists managers in stress management and motivation, with intuitive decision-making and finds most effective situations. Self-awareness helps people to strengths as well as cope with the weaknesses.
An example, a person good in seeing the big picture surrounding the decision but not good in concentrating at the details may need to consult the subordinates or the colleagues who are more detail-oriented in making main decisions. Combining detail-oriented and big picture oriented decision makers may produce high quality decisions. In a team, a good leader is important (Huber, 2018). For instance, in the hospital nurses may be busy and the patient may require multiple things, some have a change in condition, and some may be in great pain. Nurses who are well-organized, manage time and help other colleagues make differences, enables him or her to run smoothly and less stressful. Nurses using the self-awareness are able to use their feelings and emotions as a guide in decision-making. As nursing, one needs to understand how his/her emotions and attitude affects and influences other employees.
Comment 2
Self-awareness means knowing your values, personality, needs, habits, emotions, strengths, weaknesses, etc. Human beings are complex and diverse. To become more self-aware, we should develop an understanding of ourselves in many areas. Key areas for self-awareness include our personality traits, personal values, habits, emotions, and the psychological needs that drive our behaviors. Individual leaders who are able to regulate their own emotions are better equipped to provide a “holding environment” for the people who work for and with them, creating a culture where people feel at ease.
In our highly competitive culture, this can seem counterintuitive. In fact, many of us operate on the belief that we must appear as though we know everything all the time or else people will question our abilities, diminishing our effectiveness as leaders. If you’re honest with yourself, you’ll admit that really the opposite is true. Because whether you acknowledge your weaknesses or not, everyone still sees them. So rather than conceal them, the person who tries to hide weaknesses actually highlights them, creating the perception of a lack of integrity and self-awareness.
Self-awareness helps managers identify gaps in their management skills, which promotes skill development. But self-awareness also helps managers find situations in which they will be most effective, assists with intuitive decision making, and aids stress management and motivation of oneself and others.
One page e-newsletter related to the topic attached below. Please do not use any of the subject that been already used in the newsletter document.
SEE THE VIDEO BELOW AND COME UP WTH A NEW SUBJECT TO WRITE A ONE PAGE NEWSLETTER.
attachment
Newsletter2.docx
FTE/Variance Assignment
Guidelines with Scoring Rubric
Purpose
The purpose of this assignment is to provide learners with the opportunity to gain financial management skills by calculating full-time equivalents for a nursing unit and analyzing a variance scenario.
Course Outcomes
Through this assignment, the student will demonstrate the ability to:
CO 8: Delineate effective resource management and fiscal responsibilities of the nurse executive (PO 8).
Due Date: Sunday 11:59 p.m. MT at the end of Week 4
Total Points Possible: 100
REQUIREMENTS:
Answer the questions and complete the calculations required for the two sections of the assignment.
• Calculations of full-time equivalents (FTEs)
• Variance analysis
Submit your answers on a Word document, with the heading of Week 4 Assignment. For the questions requiring a written response, please adhere to proper grammar and syntax, and provide references. For the questions requiring calculations, show all your work and follow the format that has been provided for the calculations in the lesson for Week 4.
PREPARING THE PAPER
Section One—Calculation of Full-Time Equivalents
Personnel Budget Case Study
Linda Watson has recently accepted a position as the assistant administrator for the department of nursing at St. Joseph Hospital. There have been both personnel and financial problems at St. Joseph Hospital, and recently, the Catholic Healthcare System purchased the hospital. Like Linda, all of the management staff is new. Linda’s first priority is to assist the nurse managers in preparing their cost centers’ personnel budgets for the coming fiscal year. She has decided to begin with the nurse manager on 1 West, a step-down nursing unit. Linda wants to do extensive data collection and create a solid base for making projections.
1. Suggest all the information Linda needs to collect to prepare a budget for 1 West; be sure to include background data on the unit itself as it relates to previous budgets, nursing staff, and the organization. In other words, summarize your approach to this Case Study—briefly state the organization’s goals (customer-service orientation) for the coming year, trends, any changes in trends that you may anticipate—such as growth in the patient population and the types of data that need to be collected in order to make decisions about staffing levels and ratios.
2. Linda has collected the following information, in addition to what was asked in question number one:
Patient Data:
Average Daily Census 30
Unit Capacity 32
Average HPPD 8.8
Total Care Hours 96,360
Staff Data:
Productive hours/employee/year 1,780
Nonproductive hours/employee/year 300
Total Hours/employee/year 2,080
Skill Mix:
RNs 80%
LVNs 10%
Nurse aides 10%
Average Salary per Employee Category:
RN $40.00/hour
LVN $22.00/hour
Nurses Aide $14.00/hour
Calculate the number of productive full-time equivalents (FTEs) that would be needed. Show your calculations.
3. How many RNs, LVNs, and nurses aides will be needed to staff this unit, assuming staff will be working 12-hour shifts? In other words, how many person-shifts will be required during a 24-hour period?
Day Shift 50%
Night Shift 50%
4. Assign staff by type and by shift.
Day Shift 50%
Night Shift 50%
5. Convert staff positions to FTE positions.
Section Two—Variance Analysis
Variance Analysis Case Study
During the month of February, an outpatient surgery clinic has incurred a significant unfavorable variance. The director of the clinic is quite concerned, as this has never occurred before. The director gathers information on total nursing care hours, average hourly rate of the employees, and total patient visits to determine what caused the variance. In addition, the director receives the patient acuity levels for the month of February.
1. BPi $40.00
2. BQi 5.0 hours per care per patient
3. BQo 340 visits
4. APi $45.00
5. AQi 5.6 hours per care per patient
6. AQo 400 visits
1. Compare the original budget to the flexible budget and calculate the volume variance. Compare the flexible budget to the actual budget and determine the price and quantity variances. Work through the entire analysis process as presented in your lesson for Week 4, and remember to show your calculations.
2. What factors caused the difference in the variances? Analyze all the factors that made the differences and why the variances occurred.
The post FTE/Variance Assignment appeared first on essay-paper.
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(a) What cultural considerations are important for you to remember while you interview Ms. Li? (b) What is the abuse assessment screen? (c) If abuse is discovered, what should you do?
Patient Information:
Patient: Sue Li Age: 20
Ethnicity: Asian American
Instructions:
In a fully developed essay (minimum of ten paragraphs in length), please answer the questions below. You work should include an introduction, a body of supporting evidence, and a conclusion. Please take some time to edit your work for punctuation, usage, and clarity prior to submission.
You have three hours in which to complete this assignment. Once you have opened the exam, you cannot save your work and return to it at a later date. It is recommended that you compose your work in a word processor and save a copy to your local computer in the event that you experience technical difficulties with your Internet connection or Blackboard.
You can use personal examples in support of your definition, but you are also encouraged to locate and incorporate supporting materials from the Internet or other resources in formulating your response. If you use specific resources in your paper, please cite them parenthetically in the body of the essay and include a bibliography at the conclusion of your piece.(1)
Questions for Analysis:
1) How do you define the “good life”?
2) Which lifestyle categories and specific examples comprise your definition?
I need a genious touter for an online Microbiology exam.
The exam will open on Tuseday April 11 at 8:00am to 4:00pm (CDT)
It is a closed-book, single attempt exam with 50 multiple choice-type questions. The allowed time is 40 minutes. Exam includes 4 chapters.
NB: Internet surfing during the exam will shut down the exam with no additional attempt.
NOTE: I’ll pay 50$ for A score.
13$ for B
5$ for C
Thank you.
Attached below is an attachment of my Week 2 Discussion Questions and the Table/Figure to go with the assignment. It is due Saturday March 10 at 11:59pm. This assignment must be in APA format and include in-text citations when needed.
IMPORTANT NOTE:
DO NOT PLAGIARIZE, IT MUST BE IN YOUR OWN WORDS. ALSO, DO NOT ACCEPT BID IF YOU CANT FOLLOW DIRECTIONS AND IF YOU DON’T HAVE EXPERIENCE IN THIS FIELD.
attachment
AnatomyandPhysiologyIIClassandLabAssignment.doc
Anatomy
1. Backward effects of left-sided heart failure include:
A. Pulmonary congestion
B. Jugular vein distention
C. Dependent edema in the legs
D. Bounding pulses
Anatomy
2. In performing a physical assessment, the nurse notes the patient has a “barrel” configuration to the chest. This is a consequence of:
A. Reduced intrapleural pressures
B. Bronchial airway expansion
C. Increased vital capacity
D. Increased residual lung volume
Anatomy
3. Ausculation of the chest reveals bilateral fine crackles in the bases bilaterally, indicating:
A. Right-sided heart failure
B. Left-sided heart failure
C. Pneumonia
D. Acute respiratory distress syndrome
Biology
4. The signs and symptoms of anemia are all related to what common pathophysiologic feature of the condition?
A. Increased oxygen consumption by tissues
B. Decreased blood oxygen content
C. Vasodilation
D. A shift in the oxyhemoglobin dissociation curve
Biology
5. In addition to hypertension, preeclampsia is characterized by:
A. Nausea and vomiting
B. Fatigue and lower back pain
C. Protein in the urine and edema
D. Retinal changes and rates in the lungs
Biology
6. Common manifestations of bacterial pneumonia include all of the following except:
A. Fever
B. Productive Cough
C. Tachypnea
D. Hyperinflation
Biology
7. Closed drainage systems work to re-expand a lung after pneumothorax by:
A. Re-establishing the normal negative intrapleural pressure.
B. Creating a positive pressure in the pleural space
C. Removing excess fluid from the pleural space so that there is room for lung expansion.
D. Pulling oxygen into distal air sacs to re-expand lung tissue
Biology
8. Patients with chronic renal failure usually exhibit:
A. Bradycardia
B. Hypokalemia
C. Hypocalcemia
D. Hematomas
Biology
9. The diet of a patient in end-stage kidney disease is restricted in all of the following except:
A. Fluid
B. Potassium
C. Protein
D. Calories
Anatomy
10. Which of the following is true of the biological functions of progesterone?
A. Progesterone is the most important hormone associated with pregnancy.
B. Progesterone directs male sexual characteristics.
C. Levels of progesterone increases if the egg is not fertilized.
D. Levels of progesterone remain stable if the egg is not fertilized.
Anatomy
11. Which of the following is true of the biological functions of testosterone?
A. Testosterone is not secreted by the ovaries.
B. Testosterone is needed for development of female secondary sexual characteristics.
C. Testosterone stimulates ovulation.
D. Testosterone is needed for development of male secondary sexual characteristics.
Anatomy
12. Which of the following is true of the biological functions of estrone?
A. Estrone is required for proper development of male secondary sexual characteristics.
B. Level of estrogen degreases if the egg is not fertilized.
C. Estrone is required for proper development of female secondary sexual
characteristics.
D. Estrone affects only the reproductive organs.
Biology
13. What is the function of hemoglobin?
A. Hemoglobin is the protein in red blood cells that is responsible for carrying oxygen to the cells of the body.
B. Hemoglobin is a lipid in red blood cells that is responsible for carrying oxygen to the cells of the body.
C. Hemoglobin is a protein in white blood cells that is responsible for carrying oxygen to the cells of the body.
D. Hemoglobin is a protein in red blood cells that is not responsible for carrying carbon dioxide to the cells of the body.
Biology
14. Why is heat an effective means of sterilization?
A. Heat is an effective means of sterilization because it destroys the proteins of microbial lifeforms, including fungi, bacteria, and viruses.
B. Heat is an effective means of sterilization because it destroys the proteins of anaerobic microbial lifeforms, including fungi, bacteria, and viruses.
C. Heat is an effective means of sterilization because it destroys the lipids of microbial lifeforms, including fungi, bacteria, and viruses.
D. Both (B) and (C).
Chemistry:
15. List the enzymes whose levels are elevated in the blood serum following an MI.
A. CPK, LDH, AST, and SGOT
B. LDH, AST, and SGOT
C. CRE, AST, and ALT
D. None of the above
Chemistry
16. What is the physiological function of gluconeogenesis?
A. Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.
B. Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are high. This ensures proper function of brain and white blood cells, which only use glucose as fuel.
C. Gluconeogenesis is production of glucose from carbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.
D. None of the above
Chemistry
17. What effect does glycogen metabolism have on glucose levels?
A. Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.
B. Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes increase blood glucose levels.
C. Glycogen metabolism releases glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.
D. None of the above
Chemistry
18. Carbon monoxide binds tightly to the heme groups of hemoglobin and myoglobin. How does this affinity reflect the toxicity of carbon monoxide?
A. Since carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen enhancement result in what divers call the “bends.”
B. Because carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.
C. Because carbon monoxide binds tightly to the heme groups of hemoglobin, it is not easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.
D. None of the above
Pathophysiology
19. Which of the following may be a reason to order an ABG on a patient?
A. The patient suddenly develops shortness of breath
B. An asthmatic is starting to show signs of tiring
C. A diabetic has developed Kussmaul’s respirations
D. All of the above
Pharmacology
20. How do sulfa drugs selectively kill bacteria while causing no harm to humans?
A. Folic acid is a vitamin required for the synthesis of a coenzyme needed to make the amino acid methionine and the purine and pyrimidine nitrogenious bases for DNA and RNA and folic acid is produced by humans.
B. Sulfa drug binds to the enzyme, no product is formed, folic acid is made and the biosynthesis of methionine and nitrogenous bases increases.
C. Humans are not harmed because they do not synthesize their own folic acid. It is obtained in the diet.
D. None of the above
Pharmacology
21. What occurs when glycogen metabolism is stimulated by insulin?
A. Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis.
B. Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates removal of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.
C. Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates uptake of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.
D. All of the above
Pharmacology
22. What is the medical application of cortisone? Cortisone is used to treat:
A. Rheumatoid arthritis, asthma, gastrointestinal disorders, and a variety of skin conditions.
B. Kidney disease, high blood pressure, and osteoporosis.
C. Muscle disorders, tuberculosis, and thyroid disorder.
D. All of the above
Anatomy
23. Oxygen saturation is likely to be lowest when an asthmatic with a diagnosis of pneumonia is positioned:
A. In a high Fowler position
B. Lying on the left side
C. Lying on the right side
D. Lying supine with the head of the bed flat
Chemistry
24. Laboratory test results indicative of thrombocytopenia, in addition to a low platelet count, would be:
A. Increased PT
B. Prolonged bleeding time and poor clot retraction.
C. Increased aPTT
D. Decreased RBC count.
Pharmacology
25. The purposes of epinephrine injection include all of the following except:
A. Stabilizing mast cell membranes.
B. Relaxing bronchial smooth muscle.
C. Supporting arterial blood pressure.
D. Blocking histamine receptors.
Pharmacology
26. Therapeutic interventions focused on increasing the oxygen supplied to the heart and decreasing the heart’s demand for oxygen include:
A. Antiplatelet drugs
B. Anticoagulants
C. Morphine sulphate
D. Thrombolytic drugs
Pharmacology
27. An intervention that would contribute toward the healing of a peptic ulcer is:
A. Steroid administration
B. Blocking or neutralizing of acid secretion
C. Surgical removal of the ulcer
D. Intravenous nutritional support
Pharmacology
28. Aspirin and NSAIDs are causative factors for the development of peptic ulcer disease because they:
A. Increase acid secretion
B. Allow proliferation of H. pylori
C. Damage the mucosal barrier
D. Alter platelet aggregation
Pharmacology
29. Your patient is interested in trying medication to improve low mood/depression. All of the following medications might be appropriate except:
A. Selective serotonin reuptake inhibitors
B. Amitriptyline
C. Serotonin and norepinephrine reuptake inhibitors
D. Benzodiazepines
Describe a current technology that offers decision support data to assist in the delivery of care. How does this technology influence health care delivery?
Justify your answer using examples and reasoning.
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