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Patty Brown is an LVN/LPN who has been employed by your unit for 10 years. She is an older woman and is very sensitive to criticism. Her work is generally of high quality, but in reviewing her past performance appraisals, you notice that during the last 10 years, at least seven times she has been rated unsatisfactory for not being on duty promptly and eight times for not attending staff development programs. Because you are the new charge nurse, you would like to help Patty grow in these two areas. You have given Patty a copy of the evaluation tool and her job description and have scheduled her appraisal conference for a time when the unit will be quiet. You can conduct the appraisal in the conference room. ASSIGNMENT: How would you conduct this performance appraisal? Outline your plan. Include how you would begin. What innovative or creative way would you attempt to provide direction or improvement in the areas mentioned? How would you terminate the session? Be able to give rationale for your decisions.

 

 
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You are a senior baccalaureate nursing student. This is your sixth week of a medical–surgical advanced practicum. Your instructor assigns two students to work together in caring for four to six patients. The students alternate fulfilling leader and follower roles and providing total patient care. This is the second full day that you have worked as a team with Sally Brown. Last week, when you were assigned with Sally, she was the leader and made numerous errors in judgment. She got a patient up who was on strict bed rest. She made an IV medication error by giving a medication to the wrong patient. She gave morphine too soon because she forgot to record the time in the medication record, and she frequently did not seem to know what was wrong with her patients. Today, you have been the leader and have observed her contaminate a dressing and forget to check armbands twice when she was giving medications. When you asked her about checking the placement of the nasogastric tube, she did not know how to perform this skill. You have heard some of the other students complain about Sally. ASSIGNMENT: What is your obligation to your patients, your fellow students, the clinical agency, and your instructor? Outline what you would do. Provide the rationale for your decisions.

 

 
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For this assignment, provide an analysis of TennCare III. In your analysis, please include the following: • Briefly explain Tennessee’s Medicaid program, TennCare, and include in your discussion the role of the “1115 waiver.” • Identify the key differences between TennCare III and what renewal of TennCare Il might have looked like. Your discussion should include the impact attributed to changes in federal policy. • How does TennCare III address Medicaid expansion as contemplated under the Affordable Care Act? • Explain the new shared savings approach under TennCare III. . On page 9 of the policy brief, TennCare III: Unpacking Tennessee’s New Medicaid “Block Grant”, the authors speculate what could come next. For instance, the authors indicate that the TennCare III agreement requires approval from state lawmakers before it takes effect. That approval has since occurred, SJR 25 (Johnson) was enacted by the Tennessee General Assembly and signed by Governor Lee on January 15, 2021. Walk through the remaining points and based on your research, provide any updates that are available. • Take a position: Provide your opinion on whether the Biden Administration should make changes to TennCare Ill. When stating your position, explore the positive and negative consequences associated with your position. Support your position with research. Cite appropriately.
 
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McDade Company reported a decline in net income. At the end of the year, T. Burrows, the president, is presented with the following condensed comparative income statement: McDade Company Comparative Income Statement For the Years Ended December 31, 20Y2 and 2041 2012 20Y1 Sales $818,220 $741,000 Cost of goods sold 573,400 470,000 Gross profit $244,820 $271,000 $79,050 $62,000 Selling expenses Administrative expenses 46,720 39,000 $125,770 $101,000 Total operating expenses Income from operations $119,050 $170,000 Other income 3,782 3,100 Income before income tax $122,832 $173,100 Income tax expense 34,400 51,900 Net income $88,432 $121,200 Required: 1. Prepare a comparative income statement with horizontal analysis for the two-year period, using 20Y1 as the base year. Use the minus sign to indicate a decrease in the “Difference” columns. If required, round to one decimal place. McDade Company Comparative Income Statement For the Years Ended December 31, 2012 and 2041 20Y2 20Y1 Difference – Amount Difference – Percent Sales $818,220 $741,000 $ % Cost of goods sold 573,400 470,000 % Gross profit $244,820 $271,000 % Selling expenses $79,050 $62,000 19% Administrative expenses 46,720 39,000 1% $125,770 $101,000 % Total operating expenses Income from operations $119,050 $170,000 $ % Other income 3,782 3,100 % Income before income tax $122,832 $173,100 $ 10% Income tax expense 34,400 51,900 10% Net income $88,432 $121,200 10% 2. Net income has from 20Y1 to 2042. Sales have ; however, the cost of goods sold has », causing the gross profit to
 
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