Case Study
You are a nurse manager at a local skilled nursing facility (SNF). Today is April 1, and you have received the following budget printout for your department. Your charge nurses are requesting an additional registered nurse (RN) on both the day and night shifts (average annual salary cost per nurse would be approximately $65,000) since the patient acuity has increased dramatically over the last two years. Dr. Simpson has requested two new continuous passive motion (CPM) machines for the postoperative orthopedic patients on your unit at a cost of $3,000 each. In addition, you would like to attend a national orthopedics conference in New York in August at a projected cost of $1,500. The conference registration fee is $650 and is due now.
Annual Budget Expended in March Expended Year to Date Amount Remaining
Personnel (not including benefits) 600,000 68,000 475,000 125,000
Overtime 50,000 7,800 47,000 3,000
Supplies 28,000 2,500 23,500 4,500
Travel (personal) 2,200 0 1,700 500
Equipment 9,000 0 9,000 0
Staff Development 8,000 1,200 7,800 200
*Fiscal year begins July 1
**Remember, in fiscal planning you cannot shift money from one budgeted area to another to cover deficits.
Write a paper of at least 500 words (2 pages), addressing the following questions:
⢠How will you deal with these requests based on your current departmental budget?
⢠What expenses can and should be deferred to the new fiscal year?
⢠In what budgeting areas were your previous projections most accurate? Most inaccurate?
⢠Discuss at least three factors that may have contributed to these budgeting inaccuracies. Were the factors you discussed controllable or predictable? Why or why not?
Sample Solution
chieved by force. But in 1984, conscious learning from an early age makes rebellion harder. Teaching Crimestop not only defends Big Brother in the peopleâs view, but also makes them (nearly) invincible to criticism of the Party. 3.page 165-âThe blissful feeling of being alone with the forbidden book, in a room with no telescreen, had not worn off. Solitude and safety were physical sensations, mixed up somehow with the tiredness of his body, the softness of the chair, the touch of the faint breeze from the window that played upon his cheek. The book fascinated him, or more exactly it reassured him. In a sense it told him nothing that was new, but that was part of the attraction. It said what he would have said, if it had been possible for him to set his scattered thoughts in order. It was the product of a mind similar to his own, but enormously more powerful, more systematic, less fear-ridden. The best books, he perceived, are those that tell you what you know already.â The last part of this section is very revealing about Winstonâs need for reassurance that he is not alone in his atypical views. This feeling is what drives his conversation with the proles, his journal entries, and later discussions with OâBrien. 4.page 171-âGiven this background, one could infer, if one did not know it already, the general structure of Oceanic society. At the apex of the pyramid comes Big Brother. Big Brother is infallible and all-powerful. Every success, every achievement, every victory, every scientific discovery, all knowledge, all wisdom, all happiness, all virtue, are held to issue directly from his leadership and inspiration. Nobody has ever seen Big Brother. He is a face on the hoardings, a voice on the telescreen. We may be reasonably sure that he will never die, and there is already considerable uncertainty as to when he was born. Big Brother is the guise in which the Party chooses to exhibit itself to the world. His function is to act as a focusing point for love, fear, and reverence, emotions which are more easily felt towards an individual than towards an organization.â Why is this description of Big Brother so much like a religion? The personification that the party exhibits in Big Brother is eerily reminiscent of the saviors of religion. As said, putting a face on something means a lot, easily seen in midterms versus presidential elections. His relationship to a deity is resounding, as they share a lot of traits ( unknown birth, never dies, claims responsibility for all achievement, omnipotent) is it this god-like state makes big brother so respectable to the people?>
chieved by force. But in 1984, conscious learning from an early age makes rebellion harder. Teaching Crimestop not only defends Big Brother in the peopleâs view, but also makes them (nearly) invincible to criticism of the Party. 3.page 165-âThe blissful feeling of being alone with the forbidden book, in a room with no telescreen, had not worn off. Solitude and safety were physical sensations, mixed up somehow with the tiredness of his body, the softness of the chair, the touch of the faint breeze from the window that played upon his cheek. The book fascinated him, or more exactly it reassured him. In a sense it told him nothing that was new, but that was part of the attraction. It said what he would have said, if it had been possible for him to set his scattered thoughts in order. It was the product of a mind similar to his own, but enormously more powerful, more systematic, less fear-ridden. The best books, he perceived, are those that tell you what you know already.â The last part of this section is very revealing about Winstonâs need for reassurance that he is not alone in his atypical views. This feeling is what drives his conversation with the proles, his journal entries, and later discussions with OâBrien. 4.page 171-âGiven this background, one could infer, if one did not know it already, the general structure of Oceanic society. At the apex of the pyramid comes Big Brother. Big Brother is infallible and all-powerful. Every success, every achievement, every victory, every scientific discovery, all knowledge, all wisdom, all happiness, all virtue, are held to issue directly from his leadership and inspiration. Nobody has ever seen Big Brother. He is a face on the hoardings, a voice on the telescreen. We may be reasonably sure that he will never die, and there is already considerable uncertainty as to when he was born. Big Brother is the guise in which the Party chooses to exhibit itself to the world. His function is to act as a focusing point for love, fear, and reverence, emotions which are more easily felt towards an individual than towards an organization.â Why is this description of Big Brother so much like a religion? The personification that the party exhibits in Big Brother is eerily reminiscent of the saviors of religion. As said, putting a face on something means a lot, easily seen in midterms versus presidential elections. His relationship to a deity is resounding, as they share a lot of traits ( unknown birth, never dies, claims responsibility for all achievement, omnipotent) is it this god-like state makes big brother so respectable to the people?>
