Just and exam to go…

1. What did you actually learned from the unit.

This Unit basically consisted of the Exam, which as we go through it, it is a kind reminder to meet people in the middle and that sometimes you need to take a deep breath and keep chugging along. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

I feel that through team activities this semester I have continued to grow and understand people and myself more. I feel that I have had to swallow my pride when I was wrong, and then change my opinion accordingly. I feel that throughout the semester I have benefited from so much feed back and different ideas from those in my group, especially since I am not working as a traditional bedside nurse. 

3. How you will utilize the information learned in your nursing practice.

I will utilize the skill I have gained here to navigate my interactions with people and understand how I best lead and follow. I felt at the beginning of the semester the emphasis on “team mates” was annoying, but now looking back I get it because I feel that I have learned how to play different roles within a team. 

4. You personal feelings about the material covered.

I feel that leadership is one, a great thing to possess, and if one does not possess it then two, I feel that it is a great thing to understand. I feel that even when one is not leading, if they understand their leader they can become better followers. This also goes for peer setting too, the more someone is understood, the better and more efficiently they can be navigated and worked with.

All in all it was a great semester.

Abbey Ardiana

Week fifteen.

Abbey Ardiana

1. What did you actually learned from the unit.

From this week I learned most about the case study. I tend to forget that people come up with some crazy ideas (under or not under the influence), and that some times just doing standard protocol is not enough when working in delicate situations. I would consider full restraints a delicate situation as well as someone not being in their “right” mind due to medication or recreational drug or alcohol use not their “right” mind. So in this unit it was understood by me that facility protocol is baseline, and that exercising, clinical judgment it is better to go above and beyond. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activity was less engaging probably due to having our exam this next week, however, it was interesting to hear other peoples points of view. It was nice to see it from a bed nurse on a med floors point of view and from an ED nurses point of view. I think that it somewhat changed my opinion but also reenforced other opinions such as utilizing protocol that is more tedious in delicate situations. 

3. How you will utilize the information learned in your nursing practice.

I will remember that protocol as long as clinical judgment is being used is a baseline and that when you understand the evidence based practice reasoning behind protocol you can go above and beyond and do more that what is expected of you in a way that promotes the health and safety of the patient. 

4. You personal feelings about the material covered.

I feel that it is important to understand that protocol must be met, from there I feel that when nurses are in this profession for the right reasons they will strive to do more than just what is required of them for their patient. I feel that when people who are frequent flyers or come into the ED under the influence it is easy to not be the one dealing with them, however, no matter the patient, I feel that the nurse needs to remember that they are always a patient advocate and that it is their duty to constantly promote the patients health and safety when under the nurses care. 

One more week to go!

Abbey Ardiana RN

It’s the final count down!!!

1. What did you actually learned from the unit.

This week I learned about providing incentive and how important moral is in a  working environment. It is something that I always noticed but didn’t but a lot of thought into what I would do if I was a manager that needed to build moral and get people fired up to come to work. So I learned some ways to do that.

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activity was very insightful this week. I automatically thought out things outside of the actual make up of a shift including things like employee of the month, chili cook offs, celebrating emplpoyee’s birthdays things of that nature.  Then my team was able to offer insight about how the first steps should be evaluation of shifts and the managers themselves which quickly changed my mind because these actions seem appropriate to take first, because the things I listed would only act as a band-aid.

3. How you will utilize the information learned in your nursing practice.

I think I will be able to be aware of when moral is low as a nurse and then can possible offer suggestions that we brain stormed this week to come to a solution before people start leaving and bigger problems such as being short handed on shifts arrive.

4. You personal feelings about the material covered.

I think this week was very applicable to what not only people experience in medical occupations but something that can be applied in any working environment. I personally like discussing things of this nature and feel it is important to understand.

Till next time!

Abbey

Week 11

1. What did you actually learned from the unit.

This unit I learned about navigating conflict and negotiating. I learned some new ways to approach conflict. I also came to the realization that conflict can look very different to different people and that conflict perceived by one person could be perceived as something totally different from another. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activities this week were very beneficial. I didn’t love the group test but it was a good way to practice meeting people in the middle and making agreements. Additionally getting to hear what peoples ideas of conflict, aggression and assertion were was also very eye opening. I think it allowed me to see how conflict to people that are sensitive are situations that I don’t see as conflict. So it will let me be more aware of when someone feels they are in conflict.

3. How you will utilize the information learned in your nursing practice.

It will allow me to understand that people may think there is conflict when I don’t but that it still needs to be addressed for the other persons sake so that there can be a resolution which may require my participation. It will also allow me to understand the constructive process to resolution. 

4. You personal feelings about the material covered.

I feel that this is information that I take for granted sometimes. I feel that for the most part I can handle conflict and that it is something that some people do struggle with. It was interesting to see how the team has started to deal with our own negotiation. I think it is due to getting use to each other. It is making us more efficient.

 

Till next week. Abbey.

Another week closer to finals.

Week…11?

1. What did you actually learned from the unit.

This week I learned about strategies in planning health care services in the community.  I also learned about how I view the BSN program. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The activity was really challenging and I found myself being frustrated and not knowing how to decide on what should go where and what even is the “what”. I was lucky that I have a group that have been working in health care and know about health care in communities and what is best where. It changed my mind and really opened my eyes to just how strategic that kind of health care planning can be. 

3. How you will utilize the information learned in your nursing practice.

I honestly learned that I want to stay away from this aspect of nursing. I did not enjoy this week as much as I have enjoyed other weeks. I might have been more comfortable if I could go actually into the town. I think my brain had a hard time taking the information in from a 2D map.

4. You personal feelings about the material covered.

I think the material was essential. I think I would have benefited from a little more background. I think this topic could easily be spread out over 2 weeks (like most of the materials). Overall I think the information was good and concise, I just wish I had more time to process it.

Until next week,

Abbey Ardiana

Budget Interview

Interviewing Shannon Boyd, CFO of metropolitan land group.

  1. How does one decide how to split up budgets? Do you split it up by dollar value or percentage?

    1. By dollar value based on previous years, to create yearly budgets. 
  2. Do you have investors? If so do you recruit them or do most volunteer themselves?

    1. We do have investors. We have a group, we have recruit investors to help us buy property. It usually is through word of mouth because our owner is constantly meeting people and gaining their interest. 
  3. Do you use a yearly budget or split it up to quarters and biannual budgets?

    1. We use all of those, so that we can examine the budget as a whole and to look at smaller time periods. 
  4. Who decides on what the annual budget is?

    1. It is me because I am the CFO.
  5. How big is the margin for overage and what happens when you don’t stay within budget?

    1. About 10% of the budget, and if we go over we have to either find a way to reduce from other items from the year or we have to go raise more capital or possibly increase revenue. 
  6. What is the disciplinary action when budgets aren’t met and where does the overage money come from?

    1. There aren’t clear cut consequences. The same as the previous question. 
  7. Do you oversee multiple department budgets? If yes, how are they different?

    1. I do. I oversee operating company, individual investment property budgets. The main difference is the investment property budgets have assets and and the only source of income is from investors where the other is an operating company that has not assets but the income comes from property investments. 
  8. If required to make budget cuts, where do you start? Do you prefer to cut employees or look for other options?

    1. Always other options. Because replace employees is so much more difficult when you have good employees. Cost of doing so is 20% of their salary, then there is a lost in productivity and a decrease in company moral which also cuts into productivity. 
  9. What do you find most difficult about budgeting for a company?

    1. Having a crystal ball would be nice because anticipating cost is the most difficult thing.
  10. How does budgeting for a company differ from budgeting for an individual?

    1. For an individual and a company have very different expenses.  
  11. What is the hardest part about staying within the determined budget?

    1. Not having direct control over spending.

Outcomes

Discussing with Shannon was beneficial because I was able to understand the types of things that are considered when thinking about a budget. I learned about how assets don’t always generate revenue and that sometimes cutting employees ins’t always the best move when trying to save money.

Summaries
Shannon has been working here for 13 years it is based out of Portland OR. Shannon has worked her way up from a controller to CFO. Our interview went very smoothly, Shannon was able to give answers so that I as a lay person could understand. 
It was a pleasant experience.

2/3rds.

 

1. What did you actually learned from the unit.

This week I learned about intuition and from the cheese story was able to understand that most of society is a haw and this may be due to the fact that people don’t like to think they are a Hem because people want to see themselves as having the ability to do what is required of them when the time calls. I think through the other readings I gained further understanding of the need to be flexible and innovative to reach goals. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activities are going well. Discussion has all been very positive and I feel lucky to be in a group that brings so much insight that I don’t have about hospitals and life that I don’t have. I am somewhat frustrated with the tardiness in some posts because it leaves adaptation of schedule just on me rather than them meeting me in the middle. If this pattern continues I plan to address it by asking to notify the group if you plan to be late on your part that way I can plan ahead. I don’t think my opinion changed much I still feel that I am a Sniff where most other people felt they were Haws.

3. How you will utilize the information learned in your nursing practice.

I will recognize that people react better when they have a “cheese” and have goals based around the cheese. I also will utilize the information about change in nursing practice by embracing new techniques and evidence based practices even if it is not what I am use to. I will also understand that when working with patients it may be common for them to cautious to change in the beginning. 

4. You personal feelings about the material covered.

I felt that this week provided a good opportunity for reflection on how we conduct ourselves and for insight about how patients may conduct themselves. I feel that this information about being innovative as learned by the crow could offer insight on the importance of stepping back and looking for maybe not obvious solutions to a problem at hand. 

Till next week.

Abbey 

Fall break week

1. What did you actually learned from the unit.

This unit I learned a lot about staffing. I never really thought about how difficult it may be to organize and conduct staffing of a unit. Even after I set up the template the girls that actually worked on units were able to correct more people to full time rather than part time etc. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activities were interesting to see input about where people are hoping to take their career. It was also wonderful to see what staffing on units might look like, and they were able to give some great insight for what I can expect when I am working as a nurse. The staffing assignment I was worried we wouldn’t get going but we all pulled together later in the week than we usually do and were able to work under a time crunch well together and share ideas in a very timely fashion. 

3. How you will utilize the information learned in your nursing practice.

I will apply it when thinking about scheduling my own shifts and when shifts get scheduled to me. I think I will be able to understand the staffing procedures and how things are scheduled a lot better after this unit than I would have before. 

4. You personal feelings about the material covered.

It was a interesting unit and I feel that as a nurse with a BSN the information about staffing was very pertinent. The reflection about where we all hope our career will go in the next 5 years was also useful because I personally feel like my ideas about what I want to do are always changing so it was good to step back and re-evaluate what I want out of my nursing future. 

Till next week.

Abbey Ardiana

Week…8?

Week… 8?

1. What did you actually learned from the unit.

This week I learned most about the goals that nursing in the US are looking to accomplished. I feel that the goal of making nurses and equal partner in the interdisciplinary team was most reiterated and reenforced. I think there are movements that are getting teams closer to this goal but I ultimately believe that it is an underlying social problem that will need to be fixed through generations before this will happen. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activity this week was not my favorite. I feel that we just professed what we got from the video. This was good in the sense that somethings resinated with some and others ears perked up to other ideas. However, I missed the collaboration that our team was required to do in earlier weeks because I felt that this week our group was not really on the same page. 

3. How you will utilize the information learned in your nursing practice.

I will utilize the two main points I learned this week in my practice in two different ways. I will utilize what I learned about my team work to understand that relationships between people change and sometimes people work really well together and other times people may not work as well together. I will also utilize the information about making nurses an equal partner to make sure that I am carrying my weight and am contributing like an equal partner would be expected to with knowledge and interventions. 

4. You personal feelings about the material covered.

I feel like it was an important week to understand where nursing is going in the future, because I feel like if all nurses are on the same page and working toward the same goals, those goals will more than likely be reached rather than if all of the nurses are working toward different goals the goals will be more likely to be missed. 

It has been a crazy week! I can’t believe I am over half way done!

Abbey Ardiana

Another week done!

Week seven is in the books, and so far this is the week it took the most resources to understand.

1. What did you actually learned from the unit.

I learned how to deal with a budgeting sheet. When looking at budgeting and trying to understand that system, I was beyond lost. I had to re-listen to lectures and call in some outside help of my own. I am lucky in the sense that my roommates mother does hospital financing and budgeting for a living. She was able to explain what the negative numbers meant where I could figure out employees wages etc. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

This week was unique in the sense that our team seemed to have different ideas about how to cut down the budget. My opinion was a little more concrete and I felt like I had a more difficult time keeping my mind open to other ideas because some suggestions weren’t in areas where there was a large amount of over spending. However, I love my group and they are all very respectful which makes discussion about how different opinions very easy and is done in a way which I feel safe to express my point of view. 

3. How you will utilize the information learned in your nursing practice.

It was scary to see how much over spending was done on staffing and especially for RN’s. This usually won’t be the RN’s fault, it could be faulty scheduling or overstaffing. This could put RN’s on the chopping block. When I work as a nurse job security may come down to budgeting for the hospital and not necessarily to me being a bad nurse, therefore, in my own selfish interest I need to be an exceptional nurse because there can be factors beyond my control that will indicate if I can keep my job or not. The spending in patient supplies and use of things that may cause my department money could also put my job at stake so it will be important to not overuse or misuse materials by making use that use of patient supplies are actually used on patients. I feel that this could be exceptionally true when maintaining sterile field. 

4. You personal feelings about the material covered.

I think in some ways it is a rude awakening to understanding how much money plays into health care systems. Tough choices have to be made when considering things like a budget and it is important to first keep the hospital in business because it has to make a profit to be able to care for people as well as employee staff and have supplies for staff to care with. So even though it seems disheartening, and money can be a difficult thing for people to talk about it is very much a part of the structure in which all health care must stay in the positive and even though it is not priority it is something that must be considered in aspects of care.

Till week 8!

Abbey A.