#1 Service companies deliver “service” for a price. What we “sell” in healthcare can’t be put in a bag and carried off. So let’s think about service in this way: our staff/employees deliver the services, so we are essentially selling our talents, education, experience, compassion, i.e. everything that we as individuals bring to the table. We are providing the resource, health care, that people seek.

So, it’s important that employees are happy and feel good in their work environment. Employees functioning at their optimal level is so important in the service industry. I’d like you all to take a look at this you tube video from Vanderbilt Hospital, where higher employee satisfaction was obtained by implementing a very creative solution. Not only did employees feel better, but so did their patients and families in the ER. Please take a look: https://www.youtube.com/watch?v=8tDIDpscnLw

For print of the audio, click the closed caption icon on the right hand side of the bottom bar under the video

The emergency room workers certainly are “service” employees. And very specialized at that. Someone, or perhaps a team of employees, did a good job gaining success in their attempt to increase employee satisfaction with a non-traditional approach.

Class: what did you think about the content of the video? What thing(s) did you notice about customer service as you watched the video?

#2 Now that we understand the various accounts, and general sections of the balance sheet, then we can look further into the financial data by studying ratios. Analyzing the ratios sometimes requires thinking beyond a general rule. For example the current ratio is healthy above 1, and higher numbers are good except there can be potentially adverse effects to investors if the ratio is too high and cash is sitting around not making money for the business.

I bring up the point above so that you will understand that a reviewer of financials must think through the data even when using ratios which are effective tools. Please take the time to review this video: https://www.youtube.com/watch?v=XnL6Gom7N3w

For print of the audio, click the closed caption icon on the right hand side of the bottom bar under the video screen. I think the information in the video is excellent because it not only explains ratios but it also lets you see data from real balance sheets that you are now familiar with.

All: After viewing the video do have any new perspectives on ratios or balance sheet information? Please share.

Activity Title: Taking the pillows of the couch fluffing them, put it back and organize them.

Definition: What is activity analysis?

(First Part )

Directions : Reflecting on the activity just performed, complete the following sentences with the first thoughts that come to mind. (extended response, or paragraph)

1. During this activity I was thinking about …..

2. While doing this activity I felt like ….

3. In doing this activity, the parts of my body I remember using were …

4. To do this activity I need to …. (mentally, emotionally, physically)

5. When I do this activity again I will ….

6. From doing this activity I became aware of ……

2 Part : GRADING THE ACTIVITY

Next, identify the performance skill you are grading (e.g. coordination) and describe how you could make the activity more difficult (grading up) or easier (grading down) for your specific client. YOU CAN USE TALBES …..extended response please …

Goals:

this is an example, so you can have an idea : let me know if you need anything

Performance Skills	Grading down (easier)	Grading Up (harder)
Motor Skills: Posture-Stabilizes	Therapist will helps stabilize the dog in the bathtub.	Linda will use a handheld shower head to wash the dog while stabilizing the dog in the tub.
Strength & Effort: Grips	A small shampoo bottle will be used for ease of holding.	A larger and heavier shampoo bottle will be used during the bath.
Motor Skills: Manipulation	Linda can use a bath glove to wash the dog.	Linda will use only her dominant right hand to wash the dog.
Strength & Effort: Lifts	Therapist will lift the dog into and out of the tub for Linda.	Linda will lift dog out of tub using her non-dominant left hand only.
Mobility: Bends	Linda will complete activity in sink and avoid bending down to tub.	Linda will remain bending in all directions during bath, to hold dog, reach for items and, control water.

Journal Entry identify which topic 1-8 that you will be journaling about with your clinical experience. IF you do not state the topic 1-8 you will get points deducted.

NURS 416 CLINICAL REFLECTIVE JOURNAL/LOG

Objective(s):

Through reflective thought the student will compare and identify how their activities and observations relate to various management theories.

Each student will submit a clinical journal for each day in the field. Describe your experiences and how they apply to nursing leadership and management. Apply at least one of the topics listed below to each entry, as appropriate. Journal entry should be between 100-500 words.

1. Apply the nursing process as it relates to theoretical principles in the nursing management of children and adolescents within the family system.
2. Integrate caring behaviors, critical thinking and clinical reasoning in the therapeutic management of the pediatric client and family.
3. Implement effective, age appropriate, therapeutic communication skills in the care of children and adolescents within the family system.
4. Evaluate the effectiveness of interventions that are congruent with the cultural beliefs, traditions, and behaviors of families.
5. Demonstrate leadership skills to serve as a member of the health care team in the clinical setting.
6. Incorporate research findings in care planning.
7. Appraise health policies and laws that impact pediatric nursing practice.
8. Debate the outcomes of ethical dilemmas that arise in the care of the pediatric client.

CHOOSE ONE OF THE OBJECTIVES ABOVE AND INCLUDE IN THE JOURNAL.

Today was our first day of clinicals at the children hospital so we had mostly orientation

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

apa format 250-300 words

This week you will reflect on the debate of organized sports vs. unstructured free play. Over the years, parents, teachers, and researchers have weighed the advantages and disadvantages of each in consideration as to what is most appropriate for young children.

In this discussion forum you will research the issues and then offer the pros and cons for both organized sport and unstructured free play in the following categories:

• Cost of equipment and participation
• Safety and injuries
• Relevance within a school environment
• Inclusion of children with special needs
• Developing relationships within the community
• Home/school connection

You must include at least two outside sources. One source should support organized sports and one should support unstructured free play. Start your research using the Ashford Library databases.