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. 

Firing and discipline interview

This week I interviewed Will Pace of UPS. 

  1. What is the hardest part of disciplinary meetings for you?
    1. Making time in my work day for them. 
  2. Do you find it more difficult to conduct a disciplinary meeting or to fire someone? Why?
    1. Objectively it is more difficult to fire someone because it requires more paperwork and is a longer process. 
  3. Do you feel that people respond better to emotional or logical appeal when  implementing discipline?
    1. It is easier to appeal to rationality but it must be done in away that they can emotionally buy in and it is important to their self interest. 
  4. How do you navigate a meeting when it becomes emotionally volatile?
    1. First deescalate, if this does not work, take the employee to a more secluded area so they are not disruptive and can calm down. If this doesn’t work human resource involvement would be implemented. 
  5. What time do you find it best to hold these meetings? Do you pull people during their shift or ask them to come in at a different time?
    1. I pull people during their shift they is no reason to pay people to disciples them. 
  6. How do you deal with an employee who is adamant they have done nothing wrong?
    1. I luckily have not been in that situation, it is common that I explain what was done wrong and the employee acknowledges it. 
  7. What do you do when an employee threatens to get a lawyer for being wrongfully terminated?
    1. Generally that is resolved through union representation. They don’t have any legal ground because the union does everything they can to help keep them employed and if they can’t then they have nothing to go off of. 
  8. Do you always have to have documentation backing up reason for discipline?
    1. Yes. There is documentation signed by management, the employee and the union group. 
  9. How many strikes does an employee get before termination? Why no more than this?
    1. There is five usually, however it is a case by case basis depending on the unions involvement and backing in certain cases it can actually lead to more. But with these 5 there allows for warnings, verbal and written, 2 kinds of suspension, and union trial. 
  10. What factors contribute to your decisions on how to discipline?
    1. Number of previous infractions, severity, and willingness of employee to respond to criticism in an informal manner.
  11. What type of language do you use to encourage change?
    1. Inclusionary statements, phrases that allow the employee to understand their value to the operation. Encouragement and reinforcement of desired behaviors in an informal and formal presentation. 
  12. What determines whether you fire the employee or whether you give them another chance?
    1. Previous number of infractions. 
  13. What is the most common offense you see that leads to termination or discipline?
    1. No call no shows. 
  14. How many people are involved when you need to discipline or fire an employee?
    1. Discipline: Me, employee and union steward.
    2. Firing: It could be as many as ten. Me, employee, my manager, labor manager, a union steward and a panel of 4-5 union stewards.

Outcomes: The main outcome of this weeks interview was how much the union is involved and how much the union can do for employees. I felt that this interview was very similar to last weeks and the inclusion of the union in this weeks discussion allowed me to see how a union contributes to a company and protects employees from being unfairly fired. The main outcome I was about to take away from this is the work a union does and how it is a crucial part to understand where I will sit within that realm if I one day work in a hospital that has a union. 

Summary: Overall this interview went rather smooth. This manager was straight to the point and is reported to be well liked by his employees, so it was interesting to see how an objective approach can be really beneficial. I think there will be times when people are being treated fair that they think they are not being treated fairly, however, for the most part people understand when someone is being objective. The interviewee did make a comment that he is well liked unlike some of the other managers who for the most part are very objective but that word spreads like wild fire and that when one person gets special treatment, employees become difficult to work with when they realize the lack of “special treatment” they are receiving. 

Till next weeks interview.

Abbey 

 

Week 6 is….. DONE.

This week we discussed ethics.

1. What did you actually learned from the unit.

I learned how much messed up stuff can happen in a hospital setting. Reading some of the case studies and learning about things that nurses and doctors thought were a good idea left me dropped jawed and wide eyed. I like to think that the whole health care team has the patients best interest in mind, however, I think some times people get stuck in procedure or thinking about what they would want done which then is not advocating for the patient but rather choosing for the patient. My team is continuing to work together more and more and I felt that this week we had the smoothest conversation and communication about assignments. 

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

Team actives went well this week. My team tended to agree on most subjects and when we didn’t see eye to eye, everyone was very patient and explained their point of view which was met with open ears. My opinion this week seemed to match everyone elses. there was one case that I was able to learn about solutions to a problem that I hadn’t heard before. So overall team actives went very smoothly and we all worked well together and in a timely fashion. 

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

I will utilize what I learned about the ethics portion this week by approaching situations with an open mind and arms. In doing so I will hope to avoid putting any wishes or ideas of my own on to the patient and allow them to come to their own ideas about their disease and incorporate them and their family into the care as much as they would like. I will also use information gathered about evaluating employees to give clear and concise constructive criticism and feedback to employees or those who I delegate to in order to make clear goals and build an inclusive relationship. One that holds them responsible but still says we are all in this together.

4. You personal feelings about the material covered.

I felt that it was an emotional week. When discussing ethics, I feel that sometimes people have very strong opinions and those opinions more than likely will not be changed in a discussion but when they are met with strong opposition, people can butt heads. I personally did not experience this but felt like when reading one or two posts there was some tension, though everyone was very respectful on the discussion boards. I felt that the interview being with someone outside of health care allowed me to understand how therapeutic conversation is used in non health care settings and how some patients may feel certain ways about their care because of how it will affect their work, especially if it affects an area in which they are evaluated on, such as speed.

Overall good week. Till next week!