Wednesday, October 9, 2019

basic problem that can be seen in (MRP) Material requirement planning

basic problem that can be seen in (MRP) Material requirement planning Exercise 2 Material Requirement Planning for each part and Sub-Assembly a. It has been done in the attached excel sheet. b.Problems The basic problem that can be seen in MRP is the decision that the company should take with respect to procuring a sub-assembly directly or manufacturing it by using the raw materials. It has been seen that even though the lead time of the raw material like rubber face is 10 weeks, it is economical to manufacture the product through it. This is because, there has been enough time given before the first set of demand is predicted by the company. Hence, it is useless for the company in both cases to procure handle assembly or face assembly directly. The standard cost of manufacturing with the given lead times has cost it lesser. Also, one has to keep track of availability of all the materials so that the final product can be manufactured. Hence, maintaining unnecessary inventory to the maximum is the biggest challenge in this entire MRP design. No te: As procuring handle assembly directly costs more than making it through raw materials, hence handle assembly has been made with raw materials taking appropriate lead time and EOQ into account.ÂÂ   The same concept has been used for face assembly as well in the MRP. c. Alternatives For any further problem that the company identifies, it is appropriate that it is able to analyse the costs of all the sub-parts and sub-assemblies even before the actual forecasting is done. This would not put on into a dilemma as to how to approach the same. Also, the company has given the starting week of sales from week 13 which is far too late. MRP should be done on a closer basis so that none of the days get wasted. Here, we can see that none of the sub-parts required the first or second week of work. At the same time, one has to maintain least possible inventory. Exercise 3 It has been done in the attached excel sheet Exercise 4 It is certain that the average inventory value of the co mpany would increase with the imposition of safety lead time. The reason for the same is that initially it had been planned that while justifying the lead time of all the sub-parts, one would endeavour for least possible inventory. In all the cases, zero-inventory has been maintained over the exercise except for those occasions where there was initial inventory on week 1 itself. Even this has been used judicially so that the company is not left with the inventory once the sales proceeds as predicted by the company management of Psycho Sports. Hence, efficiency on this ground is certain to decrease this way hence raining the average inventory. Also, it is important to note here that while the safety lead time had been imposed, a number of sub-parts where procured to be remained in inventory without having any processing done. This also raises the cost of inventory for the company. But as it brings safety, there is lesser amount of risk involved in keeping the same. The exact values o f the same have been shown in the attached excel sheet. This safety lead time only decreases the dependency on the sales department of the company on achieving the exact sales in the week specified.

Tuesday, October 8, 2019

Comparison between the retail revolutions in the UK and US Essay

Comparison between the retail revolutions in the UK and US - Essay Example Lao (2008) pointed that the transformation of economic sphere thru retail system generated both social acceptance and disdain because the development of chain stores have also marginalized the small retailers that lacked the capacity to offer first class convenience, a feature preferred by most consumers for comfort while shopping. Its adverse impact leads to the closure of small bookstores, eyewear, footwear and the like as branded goods enter the chain stores (Lao, 2008). This reality is true for United States of America (USA) and United Kingdom (UK). In the last four decades, the countries’ retail revolution boom with the influx of chain â€Å"stores, supermarkets and self-service stores† (Lao, 2008). The UK and the Retail Industry It’s just lately when UK retail trade is dominated by small shops run by the whole family which offers services to the market for long hours and sometimes round the clock. This system also engenders personal relations with customers as owners sometimes allow credit. Others employ salesmen for home delivery services or for mobile selling. Lao (2008) however pointed that retailer and consumer relations in the UK was affected when large chains like Fine Fare, Sainsbury’s, Tesco and other food stores started to operate with express leverage in bargaining power and in offering cheaper prices of pre-packed fresh goods in the markets compared to that of â€Å"old small proprietary stores.† As a consequence, old corner shop closed in favor of thriving convenient well-stocked stores.; employment shifted from proprietary to supermarket chains; and relationships were formalized by using checkout counter and digitized sales and accounting. Stores restructured and employed educated salespersons and managers. And as competition heightened, proprietary retailers and wholesalers organized themselves into association to devise their own promotions, pricing of products, and mechanism to retain customers. With these turn of events, it is likely that dominant chain will rise and proprietary stores die in the absence clear state policies that protect small retailers. This affirmed fears that with retail owners allying themselves to protect their corporate interests, the retail grocery will maintain its oligopolistic character (Burt &

Monday, October 7, 2019

Analys Essay Example | Topics and Well Written Essays - 250 words

Analys - Essay Example Joe has taken a loan of $5000 which is not being put into any use since cash of $14,444 is lying idle. The high profitability and strong liquidity of indicates that the overall financial position Joe’s firm is quite strong. However, Joe should better utilize the resources to generate more revenue and expand his business. C) The inventory costing method that a firm uses does affect the level of profit in the income statement of a company. If the closing inventory is overstated, the cost of goods sold decrease, since the closing inventory is deducted when calculating cost of goods sold, and when cost of goods sold decrease, net profit increase. The reason is that the units that remain in the closing inventory are not sold and hence they should not be included in the cost of goods sold. For example, if a company has a revenue of $2000, opening inventory of $300, purchases of $700 and closing inventory of $175 using Average Cost method and $200 using FIFO method then its profit will be as

Sunday, October 6, 2019

Veterans Health Administration NSQIP Program Case Analysis Coursework

Veterans Health Administration NSQIP Program Case Analysis - Coursework Example The benchmark standards were established by understanding and comparing the characteristics of best performers. The major criteria used were health status of patients after medical treatment; The morbidity and mortality rate in 30 post operative days; length of patients’ stay after operation; patients level of satisfaction; surgical and anesthesia techniques used; better supervision of residents in surgical training; and impact of technology and equipment. These benchmark standards were vital issues that reflected health status of patients and thereby, the level of services and impact of technology in surgeries. The program relied on using data comprising of pre-operative patient risk factor; key intra-operative process information; post operative 30 days morbidity and mortality rates; and length of stay. These were critical issues within the surgery that gave vital information about the outcomes of operations. The information collected from the database of surgical outcomes from 123 VAMS greatly helped to improve and improvise operations when the information was used to optimize surgical outcome. The NSQIP or Nation Administration Quality Improvement Program was highly successful that significantly contributed in the improvement of surgical outcome across VAMS. Indeed, while the morbidity and mortality rates were considerably reduced, the length of patients stay was also decreased from 10.2 days to 5 days. The length of stay was deemed important as it illustrated the efficacy of treatment and endorsed patients’ satisfaction. It clearly showed vast improvement in the health status of patients after the surgery, thus reaffirming the importance of new programs in developing an effective healthcare delivery system. Effective communication among the surgeons, nurses, administration and also with the patients was also one of the major factors that contributed to

Saturday, October 5, 2019

Do I know that I have a Hand Essay Example | Topics and Well Written Essays - 1750 words

Do I know that I have a Hand - Essay Example For the case of the dream doubt, we are prone to doubt our dreams, why? Because dreams are an assumption of what the reality would be to us rather than a certainty of what it really is. For instance, one uses his/her hands to grab something in real life and dream; therefore, it is hard to tell when we are imagining and we are not.REM is the stage where dreams occur and in eight hours of sleep there is about three cycle of REM stage. The first is close to 15 minutes then the rest are 40 to 60 minutes long. Because we are not dreaming for few minutes like we remember when we wake up from a dream, we cannot really prove if we woke up from a real life and continuing to dream or woke up from a dream and continuing the real life. If hands were unmovable items, it would be harder to believe they are not real. That is why when we wake up we find that in was just a brief assumption and not a reality. We need to discover that we cannot know something at the same period and doubt it. One comes first. We need to doubt to believe. That is why when we dream we are using our hand we are believing in a different perspective as opposed to waking up from our dream to find out that reality is far much bigger that the dream, thus we seek to doubt the dream. Thus the dream and reality all refer to the uncertain and certain analytical point of view. â€Å"They are on the one hand experiences of the ordinary, healthy mind, experiences with which no one could plausibly deny an acquaintance, and yet, on the other hand, they are comparable, in their extravagance and deceptiveness, to the delusions of insanity the narrator has just been considering.† †¦ I see plainly that there are never any sure signs by means of which being awake can be distinguished from being asleep. The result is that I begin to feel dazed, and this very feeling only reinforces the notion that I may be asleep. If someone without hands can dream that they have

Friday, October 4, 2019

Statistics of Migrants in the UK Essay Example | Topics and Well Written Essays - 8250 words

Statistics of Migrants in the UK - Essay Example Migration is a prevalent issue especially in developed nations and even those surrounded by relatively low-income economies. People are generally found to traverse from one place to another for a number of reasons, varying from the propensity of being employed to an increased level of per capita income. But, the question of migration turns out to be a glitch owing to social factors more than those arising from economic aspects. The problems which crop up in such instances are those related to ethnicity and the country of origin which operates behind the culture that the migrants are habituated to, as well as their compatibility with the citizens of the nation where they decide to move in. Matters associated with the employment of the migrants are dependent upon the labour rights of the respective nations; in most of the cases, they are related to matters aligned with their nationality which however, could be taken care of officially. In fact, the member nations of European Union do n ot face any difficulty in such matters, given that their labour markets provide an automatic entrance to the migrants from the co-member nations. Nevertheless, the concern about being able to integrate socially is actually a major point to be stressed upon while discussing migration factors. Inability to integrate with the local environment is often treated as a primary reason behind reduced levels of labor productivity. Thus, the nation which faces the problem of migration might suffer from an economic shortfall from this aspect, with an almost unchanged demographic stance and lowered levels of per capita income that tilts its domestic growth rate in a negative way. The present paper is an empirical work in this area with regard to the case of the United Kingdom that witnessed a net immigration of 100 thousand per annum between  the years 1991 and 2000, prior to which it had experienced a trough in the statistics. In fact, migration statistics had been exhibiting a hike in its tr ends hitherto, with the latest figure standing at 176,000 compared to 143,000 in the phase 2001-2002 itself.

Thursday, October 3, 2019

Contemporary Issues in Nursing Essay Example for Free

Contemporary Issues in Nursing Essay In todays world of nursing, there are efforts to improve patient care at hospitals. Severalstates across America are considering implementing nursing ratio laws. This ratio law wouldrequire hospitals to have strict nurse-to-patient ratios enforced at all times. Only California hasimplemented nursing ratios so far and it has been the subject of mixed reviews. Steps the legislation went throughThroughout the 1990s, health care labor unions in California tried to implement nursestaffing laws through legislation and ballot initiatives. The California Nurses Association (CNA)campaigned for several years to constitute a mandated nurse-to-patient ratio system in California. The first endeavor was in 1993 when Assembly Bill (AB) 1445 was introduced into theAssembly. Unfortunately, the bill did not succeed. The nurse-to-patient ratios were also a part ofProposition 216, the health care reform initiative introduced by CNA in 1996. Governor PeteWilson vetoed another version of the ratio bill, AB 695, which was passed by the legislature in1997 (Institute for Health, 2001). The CNA organized a rally of nurses and patients throughoutCalifornia to win enactment of AB 394. More than 10,000 letters, post cards and phone callswere made to the governor in support of the bill. Registered nurses (RN) and senior citizens bythe thousands assembled on the Capitol Steps in support of the bill in September, 1999 (Dumpel,H. 2003). Description of issue and recently enacted legislationAB 394 was passed and signed by Governor Gray Davis in 1999. This bill directs theCalifornia Department of Health Services to establish minimum, specific, and numerical licensednurse-to-patient ratios by licensed nurse classification and by hospital unit in acute carehospitals. Although it passed in 1999, it was not implemented until January 1, 2004 due to thefact that the California Department of Health Services could not base deductive evidence onwhich to base the actual ratios (Coffman, J., et al, 2002). The implementation was frozen as anemergency by California Governor Schwarzenegger due to the severe nursing shortage and highcosts. California courts upheld the Governor  and enforced tougher standards (Anonymous,2007). Under the legislation enacted, acute care hospitals in California need to have a minimumof one licensed nurse for every two patients in intensive care units, one nurse for every operatingroom patient and one nurse for every five patients on a medical surgical floor. The legislationcalls for half of the licensed personnel working in intensive and coronary care units to belicensed as an RN. The consequence of the nurse ratio law on quality and access to patientcare is still a subject of debate in California (Coffman, J., et al, 2002). Impact of nursing practiceThe CNA claims that ratios have been successful in creating safer workingenvironments in hospitals. The CNA believes that having the ratio laws in effect will attractRNs that have left the field. Data obtained from the CNA shows that since the ratio law wassigned, the number of actively licensed RNs in California have grown by more than 60,000,with an additional 60% increase in RN new applications. Turnover vacancy rates in Californiasbiggest hospital systems have fallen below 5% as a result of this ratio law (CNA, 2005). Supporters of the ratio law believe that staffing ratios help improve working conditions andattract more young people to the nursing profession. Working conditions within acute carehospitals have an impact on the number of RNs that choose to practice there (Coffman, J, et al,2002). Impact on quality of health care delivery to the patientThere is a strong correlation between nurse-to-patient staffing ratios compared to lowrates of medication errors and patient deaths. Nurse staffing is key to influencing patientoutcomes. In a study of orthopedic and vascular surgery patients discharged from 168Pennsylvania hospitals, the risk of adverse outcomes were 31% higher in the hospitals thatstaffed 1 nurse to 8 patients, compared to 14% higher with hospitals that staffed 1 nurse to 4patients. Hospitals that staff 1 nurse to less than 5 patients also have a lower incidence of patientfalls, medication errors and nosocomial infections (MacPhee, M., et al, 2006). Improved RN topatient ratios also have a reduced rate of  pneumonia, urinary tract infections, shock, cardiacarrest, gastrointestinal bleeding, and other adverse outcomes in acute care settings. Recentresearch indicates that the cost of the RN to patient ratio law is considerably lower than the costof basic safety interventions commonly used in hospitals such as PAP tests for cervical cancerand clot-busting medications to treat stroke and heart attacks. Shorter lengths of stay have alsobeen reported since the ratio laws took place (Needleman, J., et al, 2002)HistoryCalifornia became the first state to mandate minimum nurse staffing ratios. Suggestionsfor nurse-to-patient ratios have been specified in union contracts at hospitals in several otherstates. Since California passed AB 394, related bills were introduced in many other states suchas Massachusetts, New Jersey, New York and Pennsylvania. The cause for staffing ratios was aresult of average patient acuity in the state of California rising and projected increases for acuitylevels to keep increasing through the next 20 years (Institute for Health, 2001). AB 394 mayhave a major impact on demand for nursing personnel, the adequacy of nursing supply and thequality of nursing care provided to consumers. Nursing unions in California representing nursessaw this bill as an aid for improving patient and employee safety. Hospitals throughoutCalifornia were concerned that AB 394 would incr ease the difficulties they face in recruiting andretaining nurses (Coffman, J., et al, 2002). Position of various health organizations on the issueThe topic of nursing ratios seem to be a convincing tool in protecting patient safety andimproving working conditions for nurses. However, realistic thought must be taken inestablishing attainable and pragmatical ratio standards. It is expensive and difficult to attract andretain enough qualified nurses to meet these ratios. Many proponents feel there are not enoughnurses available to meet these requirements. Difficulties in recruiting and retaining hard-to-findnurses costs an estimated $422 million and is a factor in the closure of several hospitals and aleading cause for shutdowns of 11 ERs and psychiatric units throughout California (Leighty, J.,2005). California ranks 49th across all states in the number of nurses per capita. The stateEconomic Development Department states, California will be short  more than 97,000 RNs bythe year 2010. When the ratio law began in California in 2004, 85 per cent of hospitals were notable to be compliant with the regulations. The main contributing factor was not having enoughnurses to cover meal breaks (Anonymous, 2004). Medical surgical nurses see understaffing as a problem that contributes to nurse burnout. Three out of five nurses state that low staffing levels have a negative impact on patient care. Three out of five nurses also state they have thought about leaving the hospital floor nursingsetting in the past two years. Nurses across the country feel that ratio regulations would improveworking conditions (AFT Healthcare, 2003). Impact of this legislationThe CNA believes that nursing ratios protect patients safety and eliminatesdangers associated with patient overload. CNA President Deborah Burger strongly feels that theratio laws have alleviated the nursing shortage by attracting 30,000 RNs to the state. She feelsthat burned -out or retired nurses are coming back into the profession because of betterconditions in the workplace (Leighty 2005). From a nurses point of view, the ratio regulations are what has been needed to improvepatient care and nurse satisfaction. For each extra patient above 4 added to a nurses assignment,there is a 23% increase in burnout and 15 % increase in job dissatisfaction. Research has shownthat better staffing for nurses in hospitals is reflected lower levels of absenteeism and higher jobsatisfaction (MacPhee, M., et al 2006). Legal responsibilities and Ethical dilemmasThe recent ratio regulations have caused problems throughout California. Hospitals areat times unable to receive patients, ambulances are diverted to more far away hospitals andpatients are now waiting longer in the emergency rooms. Before the regulation was made inplace in California, many nurses felt they made  decisions about patient care and were able toplan his or her workday to meet their patients needs. Many feel now, that the regulation is anumbers game. (Leighty, J., 2005). Some hospitals may look to cut costs to keep up with thecost of the ratio laws. They may look to decrease other personnel such as unlicensed caregivers,ward clerks, transporters and housekeepers. This could make nursing jobs in the hospital lessappealing to RNs. Higher personnel costs can also sway hospitals from ordering new medicalequipment with state of the art safety features (Coffman, J., et al 2002). Although the ratios are a subject of mixed reviews, many nurses in California are happywith the regulation. As a newer nurse who recently entered the profession, I am overwhelmed attimes with my patient load of five patients. I am thankful to work in a state where nurse ratiolaws are in place. Adding more patients to my daily assignment would more than likely makeme leave the hospital setting due to burn-out due to high levels of job dissatisfaction. References AFT Healthcare (2003, April) Patient- to- Nurse Staffing Ratios: Perspectives from HospitalNurses. Retrieved February, 10, 2004 from http://www.aft.org/pubs-reports/healthcare/HartStaffingReport2003.pdfAnonymous (2004). California Hospitals Express Disappointment Over Court Ruling on NurseStaffing Regulation: Ruling Jeopardizes Hospitals Ability to Guarantee Access to Care. Retrieved February 13, 2007 from http://www.calhealth.org/public/press/Article%5C103%5CCHA%20News%20Release%20on%20Nurse%20Ratio%20Lawsuit%205-26-04.pdfAnonymous (2007). Does Nurse-To-Patient Ratio Legislation Help Patients or Harm Hospitalsin the United States? Retrieved February 10, 2007 from http://www. Globalinsight.com/Perspective/PerspectiveDetail6099.htmCalifornia Nurses Association (2005) RN to patient Ratios. Retrieved February 10, 2007 fromhttp://www.calnurses.org/nursing-practice/ratios/ratios_index.htmlCoffman, J., Seago, J., Spetz, J., (2002) Minimum Nurse-to-Patient Ratios in Acute CareHospitals. Health Affairs, 21(5), 53-64. Retrieved February 13, 2007, from Research LibraryDatabase.