Practicum Journal 1 Term Paper Example | Topics and Well Written Essays - 250 words

Practicum Journal 1 - Term Paper Example Be sure to delete any blank pages that appear between the weekly entries. Note: This document will serve as a cumulative journal. For each submission, you will add to the document so it contains all of your journal entries. Using no fewer than three peer-reviewed sources, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories, giving special attention to observed events that vary from scholarly literature. (30 points) Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. (30 points) There was a situation during my practicum experience where a day shift nurse was running over at 7.30 pm consequent to a patient experiencing a seizure 30 minutes prior. The day shift nurse could therefore not hand off all her patients as she was behind schedule. When the nurse supervisor was called, the night nurse stated that the situation would cause her to start her shift late and that it was unfair to her. According to Berkenstadt et al. (2008, p.159), the outgoing nurse must inform incoming nurse in regards to "Patient status and care, treatment and service, and any recent or anticipated changes in the condition of the patient". Conversely, bedside shift reports have become the conventional technique of handing off as it increases levels of patient satisfaction (Wakefield, Ragan, Brandt, and Tregnago, 2012). The fact that the night shift complained of unfairness is proof that she was not inclined towards bedside report hand off as an option as dictated by scholarly literature. A research aimed at establishing effective ways for hand offs cited by Philibert (2009, p.261) showed that "Frequent and time-constrained hand offs may frustrate the aims of the duty hour limits". This finding validates the night shift nurses concern that her shift would be affected. In terms of

World Paper Company - Finance Case 18 Study Example | Topics and Well Written Essays - 750 words

World Paper Company - Finance 18 - Case Study Example The initial outlay cash flow is the total cost of the investment which is set at $18 million. The initial outlay consists of investment capital, net working costs, set up and transport cost, and training costs. After-tax salvage value of the old assets is subtracted from the initial outlay when making replacement decision (Tham & Pareja, 2004). The annual after-tax cash flows (ATCF) refer to the incremental after-tax cash flows that are expected from the investment. The company’s ATCF cash flows can either fall into these four categories: Tax savings resulting from depreciation (set at 40 percent), incremental income (positive cash flow) (set at 10 percent), incremental expenses (negative cash flow) or savings (positive cash flow), and lost cash flows (negative cash flow) resulting from the existing project activities (set at 15 percent) (Tham & Pareja, 2004). In investment scenario, lost cash flow is an opportunity cost. Terminal cash flow is the cash flows that are extra ordinary at the end of the project’s life. In the case study, it components will include shut-down costs, estimated salvage value (is set at zero), and recovery of the improved net working capital (is set at 10 percent of the recoverable capital). Reasons: (1) Worldwide Plant Company has not changed its WACC in 10 years. (2) The company has a policy to utilize its corporate Cost of Capital to analyze investment opportunities (Tham & Pareja, 2004). The Company should invest in the new longwood Woodyard. This is because the outlay capital ($18 million) and the incremental investment in working capital over the next 6 years will be of significant benefit to the