The Allure of Franchising
Neil Erlich knew that he wanted to be an entrepreneur when he
helped start a contracting business when he was just 14 years old.
During his junior year at Sonoma State University, Erlich, with
help from his father, a corporate executive, began investigating
franchise options that would suit his interests and skills. They
honed in on the automotive service industry and reviewed the
regulations of several franchises, including Total, Jiffy Lube, and
Midas, before settling on Express Oil Change. Erlich was
particularly impressed with the support that Express Oil Change
offered its franchisees. When Erlich graduated with a business
degree, his father put up $375,000 to help him purchase and set up
the $1.5 million franchise operation. Erlich, who is the youngest
franchisee in the Express Oil Change system, sees the franchisor’s
support as one of the greatest benefits of choosing to open a
franchise rather than an independent business of his own.” The
franchisor is there for you," he says. "It’s very comforting.
"
Like Erlich, a growing number of college graduates and
twenty-something adults who are disenchanted with the prospects of
a dull job in the corporate grind are looking to franchising as a
promising career choice. Indeed, franchising is attracting people
of all ages and backgrounds, from corporate dropouts and military
veterans to retired Baby Boomers and corporate castoffs.
” People say, ’I put 20 years into a company, and because they ran into some tough times, they let me go,’” explains Ray Titus, head of the United Franchise Group.” They think, ’Do I want to put myself into a position where I may get laid off again?’ Instead, they take control of their future by running their own businesses." For many of them, franchising is the perfect fit.
Retirees who are looking for second careers also are turning to
franchising as well. "They’ve got school-of-hard-knocks experience
and business skills that they can apply on day one at a franchise,"
says Michael Shay of the International Franchise Association. Judy
Divita, a retired corporate human resources manager, and her
husband Charlie, a retired college professor and consultant,
decided to embark on second careers as franchisees rather than stop
working. After researching franchise opportunities, they opened a
Subway franchise in Columbia, South Carolina, not far from where
Charlie had taught at the University of South Carolina. Over the
next nine years, the Divitas opened five more sandwich shops in
Columbia, including one on the university campus. In addition to
their built-in market of college students, they target the players
on the athletic teams that come to campus to participate in more
than 400 sporting events ranging from baseball and football to
basketball and volleyball each year. The Divitas have won the MVP
Award Winner for Innovation from Multi-Unit Franchisee magazine.
Their nine outlets generate $4.5 million in annual sales, and the
couple’s goal is to have 13 Subway locations within 10 years.” The
franchise gives you the basic things to put you in business pretty
quickly," says Charlie.” You have to take it beyond that and be
creative to come up with novel ways of doing things that are
particular to your company and your community.”
Franchising can be the ideal path to owning a business for people
in almost any phase of professional life, whether they are retirees
looking for a new direction and extra income or recent college
graduates who are ready to embark on exciting careers. "Boosted by
a brand name, training, advertising, and an established business
plan, a franchise can ease the struggle and the risk of opening a
business and still let you call some shots,” says one business
writer.
In: Operations Management
1) _______________ is the process of business expansion due to increasing overall customer base, increased output per customer or representative, new sales, or any combination.
A.) Rapid growth
B.) Incremental growth
C.) Organic growth
D.)Episodic growth
2) Growth including foreign exchange, but excluding divestitures and acquisitions is called ____________.
A.) Plateau growth
B) Core growth
C.) Inorganic growth
D.) Rapid growth
3) All of the following are actions to create organic growth except_________.
A.) Changing the price
B.) Producing improved or better products
C.) Increasing capital expenditure
D.) Selling in the same location
4) Which of the following statements limits organic growth? Organic growth gives corporations:
A.) Dilution of control and ownership
B.) Better control and coordination
C.) Relatively inexpensive
D.) The ability to maintain corporate culture
5) Entering a market by acquisition enables an organization to
A.) obtain the most talented individuals in a market
B.) ensure the continuity of an established, profitable product
C.) enter a market most rapidly
D.) increase company profits most rapidly
6) Which of the following is an example of horizontal expansion?
A.) A hospital acquiring an HMO
B.) An insurance company acquiring a physician group practice
C.) A pharmaceutical company acquiring a medical supply company
D.) An academic medical center acquiring a specialized hospital
7) Which of the following is an example of vertical expansion?
A.) An insurance company acquiring a hospital
B.) A global cloud communications software and solutions provider, acquired Healthcare Communications, a patient services provider
C.) A pharmaceutical company acquiring a medical supply company
D.) CVS Health acquiring AETNA (an insurance company).
E.) All of the above
F.) A and D only
8) The __________________ states that private parties can find efficient solutions to externalities without government intervention.
A.) Coase Theorem
B.) Zahorski Theorem
C.) Zariski's Main Theorem
D.) None of the above
9) Transfer pricing is used to
A.) charge for goods and services within a company
B.) charge frequent customers for non-price services
C.) align goals across vertically integrated companies
D.) provide feedback on company profitability
10) Many organizations attempt to establish prices that, on average, are higher than those set by their more important competitors.
A.) True
B.) False
11) While some firms are positioned to price above competition, others wish to carve out a market niche by pricing below competitors.
A.) True
B.) False
12) Price wars usually occur when a business believes that price-cutting produces increased market share, but does not have a true cost advantage.
A.) True
B.) False
13) _______________competition involves firms distinguishing their products from competing products based on attributes other than price.
A.) Direct
B.) Indirect
C.) Phantom
D.) Non-price
14) Which of the following limitations of organic growth will cause communication to be handled with more care?
A.)Diseconomies of scale
B.) Overtrading
C.) Need to restructure
D.) Dilution of control or ownership
15) Organic growth includes which of the following
A.) Changing the price
B.) Offering customers preferential credit payment terms
C.) Improving training and development
D.) All of the above
16) _____________ refers to the aspect of corporate strategy, corporate finance, and management dealing with the buying and selling of different companies and similar entities that can help an enterprise grow rapidly.
A.) Vertical Integration
B.) Horizontal integration
C.) Mergers and acquisitions
D.) Diversification
17) Economies of scope make product diversification efficient if they are based on a similar common use.
A.) True
B.) False
18) Integrating successive stages in the production and marketing process under the ownership or control of a single management organization.
A.) Vertical integration
B.) Horizontal integration
C.) Diversification
D.) Mergers and acquisitions
19) The merger or acquisition of new business operations.
A.) Vertical Integration
B.) Diversification
C.) Horizontal integration
D.) Mergers and acquisitions
20) A corporate strategy in which a company acquires or establishes a business other than that of its current product.
A.) Vertical Integration
B.) Diversification
C.) Horizontal integration
D.) Mergers and acquisitions
21) A/an _______________ is a new business that is jointly owned by two or more otherwise independent businesses.
A.) Diversified business
B.) Alliance
C.) Joint venture
D.) Merger
22) A/an _____________is formed between two or more corporations, each based in their home country, for a specified period of time.
A.) Diversified business
B.) Alliance
C.) Joint venture
D.) Merger
23) A ___________is a combination of organizations in which each abandons its previous brand and business models, creating a new organization with the combined capacities of each one.
A.) Acquisition
B.) Alliance
C.) Joint venture
D.) Merger
24) In a/an _____________one organization buys out another, with the acquired company usually placing its processes under the brand name of the acquirer.
A.) Acquisition
B.) Alliance
C.) Joint venture
D.)Merger
25) __________occurs when a company penetrates a market in which current products already exist.
A.) Market penetration
B.) New product development
C.) Market development
D.) Strategy
26) In reference to consolidation, cultural conflicts between two different organizations are common, because the mission, vision, and values of the individuals and groups within them are likely to differ.
A.) True
B.) False
27) ___________________ involves determining whether all parties have realistic objectives; forming high-caliber negotiating teams; defining each partner’s contributions and rewards as well as protecting any proprietary information; addressing termination clauses and penalties for poor performance; and highlighting the degree to which arbitration procedures are clearly stated and understood.
A.) Alliance termination
B.) Contract negotiation
C.) Partner assessment
D.) Strategy development
28) ____________is an organization ‘s strategic guide to pursuing various geographic markets.
A.) Mission
B.) Vision
C.) Emergent strategy
D.) Global strategy
29) Which of the following is a potential benefit of a strategic alliance?
A.) Locking in supply chain
B.) Building credibility with customers
C.)Pooling expensive resources and share development
D.) All of the above
30) M&A is different from joint ventures and other forms of strategic alliance, as mergers or acquisitions aim to create a single organization.
A.) True
B.) False
In: Nursing
1.Read the following Article and provide a beautiful summary and analysis and also Discuss the 4 considerations in a negligence case and consider all the possible defendants who could be held liable in the following article?(answer must be double spaced and not more than 3 pages.)
The mother of a baby who died at a Vancouver daycare describes the details of what she experienced that day in a lawsuit filed in B.C. Supreme Court. The statement of claim filed on Monday alleges baby Macallan (Mac) Saini choked on an electrical cord and died because he was left alone. His mother, Shelley Sheppard, is alleging negligence by the daycare operator, the property owners where the daycare was being operated, the local health authority and the provincial government. Statements of defence have not been filed and none of the allegations made in the lawsuit have been proven in court. Yasmine Saad, identified in the lawsuit as the operator of the daycare, could not be reached for comment. The Ministry of Children and Family Development said it cannot comment because the matter is before the courts, but legal counsel will review the lawsuit and "respond accordingly to the court." "The death of a child is a tragedy no parent should ever face, and our heartfelt condolences go out to the parents," it said in an e-mailed statement. The statement of claim accuses the landlords of allowing Ms. Saad to operate a daycare without a licence, failing to supervise operations and failing to ensure the premises were safe and suitable for an infant. One of the property owners said she was unaware her tenant was operating a daycare on the premises when she rented it to her and declined further comment. The second could not be reached. The statement of claim says Mac was 16 months old when he started attending the Olive Branch Daycare. It says when Ms. Sheppard arrived to pick up Mac on Jan. 18, 2017 - eight days after he started attending Olive Branch - a fire truck was in front of the daycare. She followed a firefighter up the stairs, it says, and she saw her son lying on the floor with a "'grey' pallor." She understood him to be dead. "Sheppard observed the defendant Saad yelling and screaming and attempting to resuscitate Mac Saini in a perfunctory way. Her experience in ... being present and witnessing the death of Mac Saini and seeing his lifeless body was shocking and horrifying to the plaintiff," the statement says. It alleges the daycare was "overcrowded" with children, including one who was hidden behind a couch and other children strapped to chairs. The lawsuit accuses Vancouver Coastal Health and the Ministry of Children and Family Development of failing to warn parents or stop the daycare from operating after "multiple complaints" of operating without a licence and overcrowding. Complaints were investigated in 2010, 2011, 2012, 2015 and 2016 and the lawsuit asserts the health authority identified Ms. Saad as a "moderate risk to health and safety." It says she was never fined and no steps were taken to prevent the daycare from continuing operations. Under B.C. law, child care providers are allowed to care for up to two children or a sibling group who are not related to them without a licence. Vancouver Coastal Health said in a statement that it inspects more than 1,100 daycares routinely ever year and inspection reports are posted on its website. "Without commenting on this particular case, the vast majority of daycares are meeting their regulatory requirements for providing appropriate and safe care to children," it said. Credit: THE CANADIAN PRESS
In: Accounting
A printing shop that produces advertising specialties produces paper cubes of various sizes, of which the 3.5 inch cube is the most popular. The cubes are cut from a stack of paper on cutting presses. The two sides of the cube are determined by the distance of stops on the press from the cutting knife and remain fairly constant, but the height of the cube varies depending on the number of sheets included in a “lift” by the operator. The lift height does not remain constant within an operator or between operators. The difficulty is in judging, without taking much time, what thickness of lift will give the correct height when it is pressed by the knife and cut. The humidity in the atmosphere also contributes to this difficulty, because the paper swells when humidity is high. The operators tend to err on the safe side, by lifting a thicker stack of paper than necessary.
The company management believes the cubes are being made much taller than the target, thus giving away excess paper and causing loss to the company. They have received advice from a consultant that they could install a paper-counting machine, which will give the correct lift containing exactly the same number of sheets each time a lift is made. This, however, will entail a huge capital investment. To see if the capital investment would be justifiable, the company management wants to assess the current loss in paper because of the variability of the cube heights from the target.
Data were collected by measuring the heights of 20 groups of five cubes and are provided in the table below. Estimate the loss incurred because of the cubes being taller than 3.5 inches. A cube that is exactly 3.5 inches in height weighs 1.2 lb. The company produces 3 million cubes per year, and the cost of paper is $64 per hundred-weight (100lb.).
Note that the current population of cube heights has a distribution (assume this to be normal) with an average and standard deviation, and the target population of the cubes is also a distribution with an average of 3.5 in. and a standard deviation to be determined. (You can not make every cube exactly 3.5 in. in height.) The target standard deviation can be smaller than the current standard deviation, especially if the current process is subject to some assignable causes.
Estimate the current loss in paper because of the cubes being too tall. You first may have to determine the attainable variability before estimating the loss. If any of the information you need is missing, make suitable assumptions, and state them clearly.
|
3.61 |
3.59 |
3.53 |
3.63 |
3.63 |
3.57 |
3.61 |
3.52 |
3.47 |
3.53 |
3.61 |
3.65 |
3.30 |
3.52 |
3.60 |
|
3.59 |
3.59 |
3.58 |
3.58 |
3.57 |
3.60 |
3.64 |
3.44 |
3.59 |
3.61 |
3.49 |
3.65 |
3.52 |
3.50 |
3.53 |
|
3.61 |
3.58 |
3.58 |
3.64 |
3.57 |
3.59 |
3.54 |
3.52 |
3.60 |
3.58 |
3.44 |
3.54 |
3.60 |
3.51 |
3.63 |
|
3.62 |
3.63 |
3.52 |
3.63 |
3.53 |
3.55 |
3.64 |
3.60 |
3.59 |
3.63 |
3.59 |
3.54 |
3.57 |
3.59 |
3.63 |
|
3.60 |
3.62 |
3.60 |
3.62 |
3.57 |
3.54 |
3.58 |
3.49 |
3.60 |
3.55 |
3.53 |
3.62 |
3.51 |
3.49 |
3.63 |
|
3.63 |
3.65 |
3.60 |
3.61 |
3.63 |
|
3.66 |
3.64 |
3.63 |
3.62 |
3.61 |
|
3.68 |
3.65 |
3.63 |
3.64 |
3.63 |
|
3.63 |
3.64 |
3.61 |
3.61 |
3.63 |
|
3.64 |
3.61 |
3.63 |
3.61 |
3.62 |
In: Statistics and Probability
Instructions: Please read the passage “Slaves in
Tulsa” below.
The points of view presented to you in “Slaves in
Tulsa” illustrate some issues related to global stratification.
Some common points of view that people have about this type of
issue are:
Some people believe that people who come from less
developed nations and work in the US for less than minimum wage may
do so because they are better off than they would have been had
they stayed in their home country. Further, some suggest that it is
beneficial to the economy of the US to have workers who work for
less than minimum wage and who perform jobs that other Americans do
not want to do, while others believe that it is detrimental to
American workers who feel that these people are taking their jobs.
Some also believe that when you come to the US for work, under any
circumstances (documented or undocumented), then you should be
protected under the law and given the same rights as all.
Your task is to think about the reading and answer the
following two questions. You must write your answers in
the first person, you can respond to the two questions separately
or in a five-paragraph essay, and your answers to the two questions
must have at-least 600 words in total.
What are the ethical issues presented in the
reading?
What ethical responsibility would/do you have
regarding this information?
Slaves in Tulsa
Could slave still exist in the United
States? According to Kevin Bales, the United States
imports about 50,000 slaves every year. In February
2002, the Midwestern city of Tulsa, Oklahoma, was shocked to learn
that they had slaves working in their midst. Workers
recruited by a Mumbai (formerly Bombay), India, company signed
contracts for labor overseas. Many paid the company a
fee of more than $2,000 to gain employment in the United
States. Workers flew to Tulsa where they worked as
welders for an industrial equipment manufacturer.
These workers left their country with a promise of
long-term residency, good jobs, and high pay. What they
found was significantly different. The group lived in
barracks on the factory grounds, sometimes working 12-hour days and
earning as little as $2.31 an hour. The company’s food
was substandard, and many workers had to share beds because of a
shortage of space. In the dormitory, a sign stated that
workers who left the grounds could be sent back to India and the
armed guards patrolled the grounds. Many also reported
verbal threats and deliberate intimidation to keep the workers on
the property.
After the workers were found, the U.S. firm claimed
they were not involved in slavery and any fault was that of the
Mumbai labor company. The corporation claimed that the
workers were merely temporary trainees, so they did not deserve the
minimum wage or other employment benefits. The court saw
the matter differently and found the company guilty of exploiting
the workers through human trafficking. A fine of $1.2
million provided about $20,000 for each worker.
After the case broke, many local community members
helped the Indian workers find legitimate jobs, and immigration
hearings allowed them to legally stay in the
country. This case has a happy ending, largely because
it occurred in a country with a free press and a strong
government. Unfortunately, most contract labor occurs in
countries without either of these two important
components.
In: Operations Management
Activity 9: Linear Regression and Correlation Analysis
Scenario: A graduate student has administered a pro-inflammatory substance, lipopolysaccharide (LPS), to humans in the form of a pill (several doses – 0mg or placebo, 5mg, 10mg, and 15mg). She then determines the blood concentration of a particular protein that is thought to be upregulated due to LPS (mg) called Inflammotin (pg/ml) using ELISA. Find the linear model and the correlation coefficient of the experimental data (in JMP and Excel) using the data posted in the Activity 9 folder.
DATA:
| LPS | Inflammotin |
| 0 | 4.12 |
| 0 | 2.02 |
| 0 | 3.75 |
| 0 | 2.34 |
| 0 | 4.2 |
| 0 | 1.57 |
| 0 | 5.2 |
| 0 | 5.23 |
| 0 | 4.87 |
| 0 | 4.07 |
| 5 | 11.01 |
| 5 | 9.55 |
| 5 | 8.74 |
| 5 | 10.02 |
| 5 | 8.32 |
| 5 | 7.66 |
| 5 | 9.01 |
| 5 | 6.67 |
| 5 | 11.99 |
| 5 | 10.09 |
| 10 | 101.22 |
| 10 | 78 |
| 10 | 234.42 |
| 10 | 81.22 |
| 10 | 69.22 |
| 10 | 97.88 |
| 10 | 139.14 |
| 10 | 78.22 |
| 10 | 138.22 |
| 10 | 178.12 |
| 15 | 652.32 |
| 15 | 772.12 |
| 15 | 672.99 |
| 15 | 688.12 |
| 15 | 452.22 |
| 15 | 690.22 |
| 15 | 852.12 |
| 15 | 462.98 |
| 15 | 581.49 |
| 15 | 578.9 |
|
JMP Directions:
|
Task #1: Write the equation for the linear regression. _____________________________________________________________________
Task #2: According to your JMP results, is there a correlation between LPS and Inflammotin concentration? Why or why not? Hint: what is your correlation coefficient?
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
Task #3: Is this linear model the best fit for the data? Include your plot here. Why or why not? Hint: what is your coefficient of determination?
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
|
Excel Directions:
a. Select a linear trendline by clicking the black arrow beside “trendline”. |
Activity 9: Linear Regression and Correlation Analysis
|
Task #4: Write the equation for the linear regression. ______________________________________________________________________
Task #5: According to your Excel results, is there a correlation between LPS and Inflammotin concentration? Why or why not? Hint: what is your correlation coefficient?
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
Task #6: Is this linear model the best fit for the data? Include your plot here. Why or why not? Hint: what is your coefficient of determination?
____________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________
Task #7: Do the answers in JMP and Excel match?
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
In: Statistics and Probability
A new graduate nurse is working in a surgical ward of the local hospital. She has been allocated to care for Mrs Beverly Smith, a 70-year-old woman admitted for a hemicolectomy for stage 2 bowel cancer. Mrs Smith has a history of hypertension and stage 2 Chronic Kidney Disease (CKD). Mrs Smith had her surgery yesterday and is reported to have been stable overnight. She has a midline incision closed with staples, one Belovac of with minimal haemo-serous drainage, IV 4% Dextrose in 1/5 Normal Saline running at 85mL/hr and a PCA of Morphine sulphate 100mg in 100mL Normal Saline set to deliver 1mg with each press. She has an indwelling urinary catheter draining an average of 60mL/hr.
When the nurse assesses Mrs Smith at the beginning of the shift, she appears distressed and complains of pain rated 7 out of 10 in her abdominal area. Her observations are blood pressure 140/85 mmHg, pulse 90 bpm, respiratory rate 12, oxygen saturation 92% and temperature 36.2 degree Celsius. She is unwilling to sit up in bed and has difficulty taking a deep breath.
The nurse explains to Mrs Smith the importance of pressing the PCA button regularly. She then checks her medication chart for any orders for “breakthrough” medication. Mrs Smith has an order for oxycodone (Endone) 10mg oral PRN, so the RN asks the endorsed EN to accompany her to the locked medication cupboard, check out the dose of Endone, and administer it to Mrs Smith, checking all the “5 rights” of medication administration.
The RN continues to give care to her other patients. When she returns to the room, she notes that Mrs Smith is sleeping peacefully. Because she had a poor night, she decides not to wake her for observations and charts “sleeping” on her PCA chart. The nurse then goes to morning tea.
When she returns from morning tea, she notes that Mrs Smith is slumped down in the bed and looks very pale. She does a set of observations and notes the following:
Patient is semi-conscious, rousing to voice, unable to give a pain score, PCA history delivered dose 15 times in the last 2 hours, blood pressure 90/60mmHg, pulse 70 bpm, respiratory rate 4 breaths per minute and shallow, oxygen saturation 84%.
Question
Express the immediate priority patient problem indicated by this situation as a Nursing Diagnosis with a ‘Related to’ and ‘Evidenced by’ statement.
Question
List four immediate priority nursing actions that are required in this situation to address the identified problem and a rationale for each.
Questions
Discuss what you believe were the main patient factors and nursing or system errors, that led to this occurrence.
Question
Following treatment by the medical and nursing team, Mrs Smith is significantly improved by the time her daughter visits later.
Describe the actions required following this incident as part of NSW Health and hospital policy to address issues of patient safety and standards of care.
Question
What are the legal requirements for a Tort of negligence? Do you believe that the new graduate RN was negligent in this situation? Justify your answer.
SORRY FOR POSTING 5 QUESTIONS BUT ITS ALL BASED ON THE SAME SCENARIO
Could you use Australian standard
In: Nursing
A new graduate nurse is working in a surgical ward of the local hospital. She has been allocated to care for Mrs Beverly Smith, a 70-year-old woman admitted for a hemicolectomy for stage 2 bowel cancer. Mrs Smith has a history of hypertension and stage 2 Chronic Kidney Disease (CKD). Mrs Smith had her surgery yesterday and is reported to have been stable overnight. She has a midline incision closed with staples, one Belovac of with minimal haemo-serous drainage, IV 4% Dextrose in 1/5 Normal Saline running at 85mL/hr and a PCA of Morphine sulphate 100mg in 100mL Normal Saline set to deliver 1mg with each press. She has an indwelling urinary catheter draining an average of 60mL/hr.
When the nurse assesses Mrs Smith at the beginning of the shift, she appears distressed and complains of pain rated 7 out of 10 in her abdominal area. Her observations are blood pressure 140/85 mmHg, pulse 90 bpm, respiratory rate 12, oxygen saturation 92% and temperature 36.2 degree Celsius. She is unwilling to sit up in bed and has difficulty taking a deep breath.
The nurse explains to Mrs Smith the importance of pressing the PCA button regularly. She then checks her medication chart for any orders for “breakthrough” medication. Mrs Smith has an order for oxycodone (Endone) 10mg oral PRN, so the RN asks the endorsed EN to accompany her to the locked medication cupboard, check out the dose of Endone, and administer it to Mrs Smith, checking all the “5 rights” of medication administration.
The RN continues to give care to her other patients. When she returns to the room, she notes that Mrs Smith is sleeping peacefully. Because she had a poor night, she decides not to wake her for observations and charts “sleeping” on her PCA chart. The nurse then goes to morning tea.
When she returns from morning tea, she notes that Mrs Smith is slumped down in the bed and looks very pale. She does a set of observations and notes the following:
Patient is semi-conscious, rousing to voice, unable to give a pain score, PCA history delivered dose 15 times in the last 2 hours, blood pressure 90/60mmHg, pulse 70 bpm, respiratory rate 4 breaths per minute and shallow, oxygen saturation 84%.
Question 16. Maximum word limit 50 words. (1 mark) (Reference not required for this question)
Express the immediate priority patient problem indicated by this situation as a Nursing Diagnosis with a ‘Related to’ and ‘Evidenced by’ statement.
Question 17. Maximum word limit 200 words.
List four immediate priority nursing actions that are required in this situation to address the identified problem and a rationale for each.
Questions 18. Maximum word limit 200 words.
Discuss what you believe were the main patient factors and nursing or system errors, that led to this occurrence.
Question 19. Maximum word limit 150 words.
Following treatment by the medical and nursing team, Mrs Smith is significantly improved by the time her daughter visits later.
Describe the actions required following this incident as part of NSW Health and hospital policy to address issues of patient safety and standards of care.
Question 20. Maximum word limit 200 words.
What are the legal requirements for a Tort of negligence? Do you believe that the new graduate RN was negligent in this situation? Justify your answer.
In: Nursing
A new graduate nurse is working in a surgical ward of the local hospital. She has been allocated to care for Mrs Beverly Smith, a 70-year-old woman admitted for a hemicolectomy for stage 2 bowel cancer. Mrs Smith has a history of hypertension and stage 2 Chronic Kidney Disease (CKD). Mrs Smith had her surgery yesterday and is reported to have been stable overnight. She has a midline incision closed with staples, one Belovac of with minimal haemo-serous drainage, IV 4% Dextrose in 1/5 Normal Saline running at 85mL/hr and a PCA of Morphine sulphate 100mg in 100mL Normal Saline set to deliver 1mg with each press. She has an indwelling urinary catheter draining an average of 60mL/hr
When the nurse assesses Mrs Smith at the beginning of the shift, she appears distressed and complains of pain rated 7 out of 10 in her abdominal area. Her observations are blood pressure 140/85 mmHg, pulse 90 bpm, respiratory rate 12, oxygen saturation 92% and temperature 36.2 degree Celsius. She is unwilling to sit up in bed and has difficulty taking a deep breath.
The nurse explains to Mrs Smith the importance of pressing the PCA button regularly. She then checks her medication chart for any orders for “breakthrough” medication. Mrs Smith has an order for oxycodone (Endone) 10mg oral PRN, so the RN asks the endorsed EN to accompany her to the locked medication cupboard, check out the dose of Endone, and administer it to Mrs Smith, checking all the “5 rights” of medication administration.
The RN continues to give care to her other patients. When she returns to the room, she notes that Mrs Smith is sleeping peacefully. Because she had a poor night, she decides not to wake her for observations and charts “sleeping” on her PCA chart. The nurse then goes to morning tea.
When she returns from morning tea, she notes that Mrs Smith is slumped down in the bed and looks very pale. She does a set of observations and notes the following:
Patient is semi-conscious, rousing to voice, unable to give a pain score, PCA history delivered dose 15 times in the last 2 hours, blood pressure 90/60mmHg, pulse 70 bpm, respiratory rate 4 breaths per minute and shallow, oxygen saturation 84%.
Question 16. Maximum word limit 50 words. (1 mark) (Reference not required for this question)
Express the immediate priority patient problem indicated by this situation as a Nursing Diagnosis with a ‘Related to’ and ‘Evidenced by’ statement.
Question 17. Maximum word limit 200 words.
List four immediate priority nursing actions that are required in this situation to address the identified problem and a rationale for each.
Questions 18. Maximum word limit 200 words.
Discuss what you believe were the main patient factors and nursing or system errors, that led to this occurrence.
Question 19. Maximum word limit 150 words.
Following treatment by the medical and nursing team, Mrs Smith is significantly improved by the time her daughter visits later.
Describe the actions required following this incident as part of NSW Health and hospital policy to address issues of patient safety and standards of care.
Question 20. Maximum word limit 200 words.
What are the legal requirements for a Tort of negligence? Do you believe that the new graduate RN was negligent in this situation? Justify your answer.
In: Nursing
Company was started on January 1, 2017. The following accounts are on the Balance Sheet Accounts: Cash, Accounts Receivable, Equipment, Accumulated Depreciation, Prepaid Expenses, Supplies, Accounts Payable, Notes Payable, Interest Payable, Wages Payable, Unearned Revenue, Common Stock, Additional Paid in Capital, and Retained Earnings.
The company report results as of the fiscal year ending December 31, 2017.
Following are fiscal 2017 transactions:
a. January 1: The company sold 12,000 shares of $0.50 par common stock for $6 per share.
b. January 1: Borrowed $80,000 from the local bank. The loan carries a 6% annual interest rate. Interest and principal are due in full on January 1, 2026.
c. January 1: Purchased equipment with cash to be used in the business for $60,000. The estimated life of the equipment is 4 years, and the expected salvage value is $8,000.
d. January 1: Purchased an 18-month insurance policy for $9,000 with cash. The policy begins immediately.
e. During 2017: Paid $8,000 cash for advertising in the local paper, $6,500 of which was for 2017 papers and $1,500 of which is for 2018 papers.
f. During 2017: The firm pays each month’s rent for the building space on the first of the month (i.e., the firm pays rent on January 1 for rent in January). The monthly rent is $1,350. The firm began renting the building in January and rented it through December 31.
g. During 2017: Purchased supplies (e.g., cleaning solutions, sponges) for $40,000 on credit.
h. During 2017: Paid suppliers $25,000 in cash relating to items purchased in transaction
i. During 2017: Performed and billed customers for 9,500 car washes at $20 per car wash.
j. During 2017: Collected $125,000 in cash from customers billed in transaction
k. During 2017: The firm pays employees on the first of each month for work performed the previous month (i.e., the firm pays employees on February 1 for work performed in January). The total monthly wages are $3,100. Employees began work on January 1 and worked through December 31.
l. November: Started a membership program that allowed customers to pay in advance for 10 car washes at a discounted price of $15 per car wash. A total of 250 customers signed up for this membership program.
m. December: Voted the “Best Car Wash” by a people’s poll in the city. Due to this, the Bubble Blasters Auto Spa had a one-page article in the city’s magazine. 10 Bubbles estimates an increase of $20,000 in sales in 2018 as a result of this good press.
n. December: Bubble Blasters granted bonuses to three employees based on their exceptional performance in 2017. The bonus amount is $1,000 per employee and will be paid on January 15, 2018.
o. December 31: The firm declared and paid a dividend of $0.10 per share.
p. December 31: The cost of car wash supplies remaining at year end totaled $7,500. The market value of the supplies is $12,000.
q. December 31: Records show that 500 “member” car washes (from the prepaid membership program in part l) were provided during 2017.
Instructions: Record the transactions in the FSET. The beginning balances in all the accounts are 0 because the company began operations on January 1, 2017. In good form, prepare the balance sheet at December 31, 2017, and the income statement, the statement of stockholders’ equity, and the statement of cash flows (direct method) for the period ending December 31, 2017.
In: Accounting