Day: April 24, 2018

A manufacturing company is thinking of launching a new product. The company expects to sell $950,000 of the new product in the first year and $1,500,000 each year thereafter. Direct costs including labor and materials will be 45% of sales. Indirect incremental costs are estimated at $95,000 a year. The project requires a new plant that will cost a total of $1,500,000, which will be a depreciated straight line over the next 5 years. The new line will also require an additional net investment in inventory and receivables in the amount of $200,000.

Assume there is no need for additional investment in building the land for the project. The firm’s marginal tax rate is 35%, and its cost of capital is 10%.

To receive full credit on this assignment, please show all work, including formulae and calculations used to arrive at financial values.

Assignment Guidelines

Using the information in the assignment description:
Prepare a statement showing the incremental cash flows for this project over an 8-year period.
Calculate the payback period (P/B) and the net present value (NPV) for the project.
Answer the following questions based on your P/B and NPV calculations:
Do you think the project should be accepted? Why?
Assume the company has a P/B (payback) policy of not accepting projects with life of over 3 years.
If the project required additional investment in land and building, how would this affect your decision? Explain.
Your submitted assignment (130 points) must include the following:

A double-spaced Word document of 2?3 pages that contains your calculation values, your complete calculations, any formulae that you used, and your answers to the two questions listed in the assignment guidelines.
You must include your explanation of how you used Excel for your calculations if applicable.
Grading

You will be graded on the accuracy of your value calculations as well as your demonstrated understanding of payback periods, net present value, and cash flows.

Drawing on an analysis of internal and external constraints, a firm creates a mission and vision as a cornerstone of its strategy.You can do the same for yourself as an individual. A personal vision will be a broad statement of your intended future, whereas a personal mission statement we’ll emphasize your individuality and inspire you to achieve and be relevant to all of your particular stakeholders. Together they form the foundation for the strategies that you will choose to achieve for your future desired state.

Craft your own personal vision and mission statements.You’ll have one vision statement and one mission statement.Each should be brief; ideally, the vision statement will be one sentence and the mission statement will be three or four sentences.

Share your personal statements in the discussion forum.In your discussion forum response, address the following:

?How different are your final personal statements from what you started with?

?Does this process have value?

?How flexible should these statements be; should they be reviewed and adapted often?

?What are your thoughts, now, about corporate vision and mission statements?Is there real value here for stakeholders?

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2-Amazon

This case describes a unique opportunity for one of the largest financial brand names in the world, American Express, whose leaders have demonstrated a knack for identifying obscure market niches. The rapid success of Green Dot has drawn attention to American Express and creates an interesting opportunity to explore the dynamics within a company attempting to diversify its revenue stream and to discover a long-term strategy.

This case begins with the birth of Enterprise Growth. The CEO of American Express, Kenneth Chenault, named Dan Schulman to lead the group, and stated, ?the Enterprise Growth group is designed to extend our leadership into the world of alternative payments and to create new fee-based revenue streams for the post-recession environment.? Other leaders include Chokshi as the president and Wright as the head of the product development. The case then delves into the American Express?s primary and traditional business model, the model of exclusion for the affluent consumers. The leadership team, competitive landscape, history of prepaid products, the target customer segments, and marketing efforts are presented to justify why American Express wants to serve the unbanked and the underbanked. Financial records are also included, so that an assessment of the company?s performance and capital structure can be conducted.

Respond to these questions in the discussion forum:

1. Define American Express?s overall business-level strategy. Does Bank 2.0 fit into American Express?s overall business-level strategy?

2. How does Bank 2.0 stand up against the competitors in the industry?

Choose an organization with which you are familiar or one in which you have an interest. Research and analyze the organization?s Human Resource Management programs, policies, procedures, or initiatives. Evaluate their effectiveness and select a program, policy, procedure or initiative which you believe needs to be changed.

Write a one (1) page paper in which you:

Assess the current Human Resource programs, policies, procedures, or initiatives in terms of effectiveness.
Hypothesize the changes that require improvement.
Format your assignment according to the following formatting requirements:
Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
Include a cover page containing the title of the assignment, the student?s name, the professor?s name, the course title, and the date. The cover page is not included in the required page length.

The specific course learning outcomes associated with this assignment are:

Evaluate an organization?s readiness for change.
Use technology and information resources to research issues in managing organizational change.
Write clearly and concisely about managing organizational change using proper writing mechanics.

Read the table on pages 317 and 318 ?Examples of Transformational Events Associated with HR Process? from your textbook. Create a similar table, with at least 3 levels, using specific details on the organization you are researching for the Capstone project. Offer a 200-250 word explanation on the decisions you have made on the table. Use at least one scholarly source other than the textbook to support your ideas. Critique at least two of your classmates? tables by offering constructive feedback. Remember to properly cite your sources.
Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread.

Conflicting HRM Systems

Almost every organization with more than 200 employees has at least one significant conflicting HRM practice, which undermines the total performance of the organization at least marginally?examples abound. Discuss one or more conflicting practices you have experienced and recommend one or more alternative HRM practices that could appropriately minimize, or even eliminate, the conflict. Explain in detail. Present your views in 200 words or more in your discussion post. Use at least two scholarly source to support your ideas. Respond to at least two of your classmates? posts

You are considering opening a small doughnut shop in your hometown. Research the process required to make doughnuts. After learning all of the steps that are required in the production of doughnuts, respond to the following:
List and describe all of the steps required to produce doughnuts as well as the equipment required to complete each step.
Create a bill of materials to list those ingredients required to produce doughnuts.
Describe what would be the capacity of the doughnut production operation that you are envisioning. In other words, describe what would define the maximum number of doughnuts that you could produce per hour.
If your doughnut business is incredibly successful (to the point that you are now selling them frozen, via grocery stores nationwide, so that people can prepare them in their own homes), explain how you could effectively increase the capacity of your doughnut operation. What change in process strategy would be required to produce and sell doughnuts in this way?
Support your responses with examples.
Cite any sources in APA format.

Assignment & Portfolio Submission: Coaching Employees

Consider the following scenario:
You were very pleased with your decision to select Mala during your last recruitment initiative. Just out of college, Mala has the enthusiasm and professional drive that could benefit your health care organization. However, you recognize that Mala will have a lot to learn in a clinical setting. As a nurse manager, you have led many successful group trainings, but have far less experience coaching employees one-on-one. You wonder how you should approach this relationship and what steps you should take to increase the positivity and effectiveness of this experience.
Coaching is an ongoing process that is an integral function of the management role. It focuses on the development needs of the employee and is built on a relationship of trust between the leader and follower. Coaching is a powerful activity that demonstrates value of and respect for the employee. In this Assignment, you examine how you could serve as a coach to facilitate an individual?s professional development.

To prepare

Reflect on the information shared in the article, ?Coaching Nurses: A Real Example of a Real Difference.? Which of these best practices might you use to strengthen your own coaching skills?
Review Chapter 7, ?Coaching and Developing Others? in the course text, From Management to Leadership: Strategies for Transforming Health Care. Consider how the author compares coaching staff in a health care setting to coaching athletes, directing a movie, and conducting a symphony. Then, examine the six steps of the coaching process. How does each of the coaching steps build upon one another to create a positive and effective coaching experience?

In preparation for this hypothetical coaching exercise, identify one individual, staff member, or employee (from your current organization or a past setting) who could benefit from coaching. Create a pseudonym for him or her.
Use the six-step coaching process to develop a coaching and development plan.
Note: This assignment also serves as your portfolio submission.

To complete

Submit a 5- to 7-page paper in which you do the following:

Step One: Determine your intention.
Describe your intention and purpose for coaching this specific individual.
Explain the goals, skills, and/or competencies you have in mind, and define your primary focus.
Explain how you would engage this individual in identifying these and other development opportunities.

Step Two: Assess the performer.
Identify the individual?s strengths and level of development.
Explain the leadership style and interventions that would be most appropriate to help this individual achieve his or her identified goals, skills, and/or competencies.

Step Three: Clarify expectations and parameters.
Describe the roles and expectations of both you and the individual.
Outline the learning opportunities you could provide and the order in which they should be approached.
Identify the specific objectives to be achieved for each learning opportunity.
Explain the coaching best practices you would apply and why.

Step Four: Carry out the coaching intervention.
List the coaching questions you might develop to ensure that learning opportunities and interventions are applied as needed, and explain how any additional development opportunities might help to address your intended coaching goals.

Step Five: Observe performance.
Explain the observation method you will use to assess whether or not your coaching has been effective.

Step Six: Give feedback.
Describe how you will administer feedback to this individual.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Select TWO court cases (from different chapters) from the list below, and respond in writing to the case questions. . Johnson v. Transportation Agency, Santa Clara County (Ch 8, p 269) Lomack v. City of Newark (Ch 8, p 275) Cleveland Firefighters for Fai

Select TWO court cases (from different chapters) from the list below, and respond in writing to the case questions. .

Johnson v. Transportation Agency, Santa Clara County (Ch 8, p 269)
Lomack v. City of Newark (Ch 8, p 275)
Cleveland Firefighters for Fair Hiring Practices v. City of Cleveland I & II (Ch 8, p 278)
Gerald v. University of Puerto Rico (Ch 9, p 304)
EEOC v. Management Hospitality of Racine (Ch 9, p 314)
Hardage v. CBS (Ch 9, p 319)

The requirements below must be met for your paper to be accepted and graded:

Write between 750 ? 1,250 words (approximately 3 ? 5 pages) using Microsoft Word in APA style, see example below.
Use font size 12 and 1? margins.
Include cover page and reference page.
At least 80% of your paper must be original content/writing.
No more than 20% of your content/information may come from references.
Use at least three references from outside the course material, one reference must be from EBSCOhost. Text book, lectures, and other materials in the course may be used, but are not counted toward the three reference requirement.
Cite all reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) in the paper and list on a reference page in APA style.
References must come from sources such as, scholarly journals found in EBSCOhost, CNN, online newspapers such as, The Wall Street Journal, government websites, etc. Sources such as, Wikis, Yahoo Answers, eHow, blogs, etc. are not acceptable for academic writing.

Introduction:
Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event such as the one described below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident.

Scenario:

It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog.

Mr. B was admitted to the triage room where his vital signs were B/P 120/80, HR-88 (regular), T-98.6, R-32, and his weight was recorded at 175 pounds. Mr. B. states that he has no known allergies and no previous falls. He states, ?My hip area and leg hurt really bad. I have never had anything like this before.? Patient rates pain at ten out of ten on the numerical verbal pain scale. He appears to be in moderate distress. His (L) leg appears shortened with swelling (edema in the calf), ecchymosis, and limited range of motion (ROM). Mr. B?s leg is stabilized and then he is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J. The admitting nurse finds that Mr. B has a history of impaired glucose tolerance and prostate cancer. At Mr. B?s last visit with his primary care physician, laboratory data revealed elevated cholesterol and lipids. Mr. B?s current medications are atorvastatin and oxycodone for chronic back pain. After the nurse completes Mr. B?s assessment, Nurse J informs the ED physician of admission findings and the ED physician proceeds to examine Mr. B.

Staffing on this day consists of two nurses (one RN and one LPN), one secretary, and one emergency department physician. Respiratory therapy is in-house and available as needed. At the time of Mr. B?s arrival, the ED staff is caring for two other patients. One patient is a 43-year-old female complaining of a throbbing headache. The patient rates current pain at four out of ten on numerical verbal pain scale. The patient states that she has a history of migraines. She received treatment, remains stable, and discharge is pending. The second patient is an eight-year-old boy being evaluated for possible appendicitis. Laboratory results are pending for this patient. Both of these patients were examined, evaluated, and cared for by the ED physician and are awaiting further treatment or orders.

After evaluation of Mr. B, Dr. T, the ED physician, writes the order for Nurse J to administer diazepam 5 mg IVP to Mr. B. The medication diazepam is administered IVP at 4:05 p.m. After five minutes, the diazepam appears to have had no effect on Mr. B, and Dr. T instructs Nurse J to administer hydromorphone 2 mg IVP. The medication (hydromorphone) is administered IVP at 4:15 p.m. After five minutes, Dr. T is still not satisfied with the level of sedation Mr. B has achieved and instructs Nurse J to administer another 2 mg of hydromorphone IVP and an additional 5 mg of diazepam IVP. The physician?s goal is for the patient to achieve skeletal muscle relaxation from the diazepam, which will aid in the manual manipulation, relocation, and alignment of Mr. B?s hip. The hydromorphone IVP was administered to achieve pain control and sedation. After reviewing the patient?s medical history, Dr. T notes that the patient?s weight and current regular use of oxycodone appear to be making it more difficult to sedate Mr. B.

Finally at 4:25, the patient appears to be sedated and the successful reduction of his (L) hip takes place. The patient appears to have tolerated the procedure and remains sedated. He is not currently on any supplemental oxygen. The procedure concludes at 4:30 p.m. and Mr. B is resting without indications of discomfort and distress. At this time, the ED receives an emergency dispatch call alerting the emergency department that the emergency rescue unit paramedics are en route with a 75-year-old patient in acute respiratory distress. Nurse J places Mr. B on an automatic blood pressure machine programmed to monitor his B/P every five minutes and a pulse oximeter. At this time Nurse J leaves his room. The nurse allows Mr. B?s son to sit with him as he is being monitored via the blood pressure monitor. At 4:35, Mr. B?s B/P is 110/62 and his O2 sat is 92%. He remains without supplemental oxygen and his ECG and respirations are not monitored.

Nurse J and the LPN on duty have received the emergency transport patient. They are also in the process of discharging the other two patients. Meanwhile, the ED lobby has become congested with new incoming patients. At this time, Mr. B?s O2 saturation alarm is heard and shows ?low O2 saturation? (currently showing a sat of 85%). The LPN enters Mr. B?s room briefly and resets the alarm and repeats the B/P reading.

Nurse J is now fully engaged with the emergency care of the respiratory distress patient, which includes assessments, evaluation, and the ordering respiratory treatments, CXR, labs, etc.

At 4:43, Mr. B?s son comes out of the room and informs the nurse that the ?monitor is alarming.? When Nurse J enters the room, the blood pressure machine shows Mr. B?s B/P reading is 58/30 and the O2 sat is 79%. The patient is not breathing and no palpable pulse can be detected.

A STAT CODE is called and the son is escorted to the waiting room. The code team arrives and begins resuscitative efforts. When connected to the cardiac monitor, Mr. B is found to be in ventricular fibrillation. CPR begins immediately by the RN, and Mr. B is intubated. He is defibrillated and reversal agents, IV fluids, and vasopressors are administered. After 30 minutes of interventions, the ECG returns to a normal sinus rhythm with a pulse and a B/P of 110/70. The patient is not breathing on his own and is fully dependent on the ventilator. The patient?s pupils are fixed and dilated. He has no spontaneous movements and does not respond to noxious stimuli. Air transport is called and, upon the family?s wishes, the patient is transferred to a tertiary facility for advanced care.

Seven days later, the receiving hospital informed the rural hospital that EEG?s had determined brain death in Mr. B. The family had requested life-support be removed, and Mr. B subsequently died.

Additional information: The hospital where Mr. B. was originally seen and treated had a moderate sedation/analgesia (?conscious sedation?) policy that requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void). All practitioners who perform moderate sedation must first successfully complete the hospital?s moderate sedation training module. The training module includes drug selection as well as acceptable dose ranges. Additional (backup) staff was available on the day of the incident. Nurse J had completed the moderate sedation module. Nurse J had current ACLS certification and was an experienced critical care nurse. Nurse J?s prior annual clinical evaluations by the manager demonstrated that the nurse was ?meeting requirements.? Nurse J did not have a history of negligent patient care. Sufficient equipment was available and in working order in the ED on this day.

Task:

A. Complete a root cause analysis (RCA) that takes into consideration causative factors, errors, and/or hazards that led to the sentinel event (this patient?s outcome).

B. Discuss a process improvement plan that would decrease the likelihood of a reoccurrence of the outcome of the scenario.
1. Discuss a change theory that could be used to implement the process improvement plan developed in B.

C. Use a failure mode and effects analysis (FMEA) to project the likelihood that the process improvement plan you suggest would not fail.
1. Identify the members of the interdisciplinary team who will be included in the FMEA.
2. Discuss steps for preparing for the FMEA.
3. Apply the three steps of the FMEA (severity, occurrence, and detection) to the process improvement plan created in part B.
4. Explain how you would test the interventions from the process improvement plan from part B to improve care in a similar situation.

Note:You are not expected to carry out the full FMEA, but you should explain each step, and how you would apply it to your process improvement plan.

D. Discuss how the professional nurse may function as a leader in promoting quality care and influencing quality improvement activities.

E. When you use sources to support ideas and elements in a paper or project, provide acknowledgement of source information for any content that is quoted, paraphrased or summarized. Acknowledgement of source information includes in-text citation noting specifically where in the submission the source is used and a corresponding reference, which includes:
? Author
? Date
? Title
? Location of information (e.g., publisher, journal, or website URL)

Note: The use of APA citation style is encouraged but is not required for this task. Evaluators will offer feedback on the acknowledgement of source information but not with regard to conformity with APA or other citation style. For tips on using APA style, please refer to the APA Resources web link found under General Information/APA Guidelines in the left-hand panel in TaskStream.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly.

Evaluation Method

Identify The main term
DiDiabetes mellitus, type 1, with hyperglycemia – E10.65 Main term – diabetes
2) Diabetes mellitus, type 2 – E11 Main term – diabetes
3) Hyperprolactinemia – E22.1
4) Morbid obesity due to excess calories ? E66.01

5) Polycystic ovaries ? E28.2

1) Alzheimer?s disease ? G30.1
2) Paranoid schizophrenia – F20.0
3) Alcoholic delirium tremens ? F10.231
4) Episodic cocaine abuse ? F14.10

5) Major depressive disorder, recurrent episode ? F33

1) Central pain syndrome ? G89.0
2) Bell?s palsy ? G51.0
3) Acute pain due to trauma; cervicalgia ? M54.2
4) Congenital quadriplegia ? G80

5) Intraspinal abscess ? G06.1

1) Primary open-angle glaucoma, mild stage ? H40.1191
2) Vitreous hemorrhage, left eye ? H43.12
3) Degenerative myopia, bilateral eyes ? H44.23
4) Alternating exotropia ? H50.05

5) Cystoid macular degeneration, bilateral eyes ? H35.353

1) Swimmer?s ear, right ear ? H60.331
2) Acute serious otitis media, left ear ? H65.02
3) Central perforation of tympanic membrane, left ear ? H72-02
4) Vertigo of central origin, bilateral ? H81.43

5) Granulation of postmastoidectomy cavity, left ear ? H95.122

1) Acute ST evaluation myocardial infraction, inferolateral wall, initial episode of care ? I21.1
2) Acute rheumatic endocarditis ? I01.1
3) Aphasia, late effect of cerebrovascular disease ? I69.920
4) Hypertension ? I13.0

5) Mitral and aortic valve insufficiency ? I08.0

1) Acute frontal sinusitis ? J01.1
2) Allergic rhinitis due to pollen ? J30.1
3) Chronic obstructive pulmonary disease ? J44.9
4) Atelectasis – J98.1

5) Croup ? J05.0

1) Crohn?s disease ? K50.00
2) Canker sore ? K12.0
3) Acute gastrojejunal ulcer, with perforation ? K28.1
4) Gastroesophageal reflux ? K21.9

5) Inguinal hernia ? K40.0

Please respond to the following:
? Define indigenous religion, and describe at least one aspect of indigenous religions that exists in a similar form in a traditional mainstream religion.

? Define religion, and discuss why it is useful in society. Explain why it is important for you personally to understand the beliefs of other religious groups.

MKT100 WEEK ONE DISCUSSION QUESTION

First, describe what marketing means to you.

Next, answer the following question: How did you participate in marketing-related activities this past week as both a consumer and on the job?

Be sure to include some actual examples in your postings.

REL212 WEEK ONE DISCUSSION QUESTION 1
“Understanding Religions and Indigenous Sacred Ways” Please respond to the following:
? Define indigenous religion, and describe at least one aspect of indigenous religions that exists in a similar form in a traditional mainstream religion.

? Define religion, and discuss why it is useful in society. Explain why it is important for you personally to understand the beliefs of other religious groups.