Ethical Dilemmas

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In this assignment you will analyze the implications of an ethical issue according to your worldview.

Write a 1,000-1,500-word essay in which you analyze ethical thinking and use values-based decision making to address a case study from the perspective of the Christian worldview as compared to your own worldview assumptions. Choose one case study from the five options listed on “Ethical Dilemmas.”

After an appropriate introductory paragraph with thesis statement, in which you name the scenario you are choosing, address each of the following six sections with at least one paragraph each. Use the underlined titles for each of your heading Ethical Dilemmas.

  1. Ethical Dilemma: Briefly describe the ethical dilemma in your own words, including (a) What in the scenario makes it difficult to make an ethical decision? and (b) Name at least two options for resolving the scenario, providing a brief overview of what sort of ethical decisions each option might make.
  2. Core Beliefs: What beliefs about God and humanity from the Christian worldview are relevant to the scenario? How might these core worldview commitments of Christians influence one’s decision making with regard to this scenario?

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  3. Resolution: Describe the Christian worldview’s proposal for resolving the ethical dilemma. How should the person in the scenario act, according to the Christian worldview? What is the best course of action for a Christian? (Note: The resolution should be consistent with Christian worldview commitments.)
  4. Evaluation: What might be the unintended consequences and perceived benefits of the resolution proposed by the Christian worldview?
  5. Comparison: How does the Christian worldview’s resolution compare to another option?
  6. Conclusion: Synthesize the main points, pulling the ideas of the paper together.
  7. References

Use and cite two course resources (textbook, lectures, and the Bible), and at least two scholarly sources that address the issue from opposing sides. You may want to make use of the Opposing Viewpoints in Context database found in the GCU Library.

Prepare this assignment according to the guidelines found in the GCU Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion Ethical Dilemmas

Informatics Competencies

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Nursing informatics is a discipline that is still evolving. Yet, there is a set of core skills and knowledge that applies to all individuals who work as nurse informaticists and many competencies that are specific to informatics roles, positions, tasks, and responsibilities. For example, a nurse informaticist who works as a consultant for a health care technology company and a nurse informaticist who works as a professor at a university will share much of the same expertise and knowledge. However, they will also have distinct competencies specific to their unique roles.

In this Discussion, you explore informatics competencies within the informatics functional area you selected for the Week 1 Assignment. Informatics Competencies

To prepare:

  • Review nursing informatics competencies such as those outlined by the American Nurses Association (ANA), the Technology Informatics Guiding Education Reform (TIGER), and the Quality and Safety Education for Nurses (QSEN).
  • Review this week’s media presentation Competencies for Nurse Informaticists, and reflect on the competencies outlined by the presenters.
  • Recall the informatics functional area you identified in the Week 1 Assignment. With this in mind, what competencies would be most important for you to master? How might you go about developing these competencies?
  • Create a list of competencies you would like to master.

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Post on Tuesday 06/21/16 a minimum of 550 words in APA format with 3 references addressing the level one headings below:

1)  A brief description of the informatics functional area in which you are interested

 2) Then, identify at least four ANA, TIGER and/or QSEN competencies that you believe to be vital for success in this functional area, and justify your choices.

3) Explain how you might successfully develop and master each of these competencies Informatics Competencies

NURSING CAREER PLAN

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Required Uniform Assignment: Career Planning

PURPOSE Having a clear vision for the future, setting reasonable goals, and developing strategies for meeting those goals are important steps in ensuring control of one’s professional future. This assignment provides the student with the opportunity to demonstrate a commitment to ongoing personal and professional development through the creation of a one‐year and five‐year professional career plan in nursing.

REQUIREMENTS In this assignment, the student will be producing a 4‐5 page essay that includes the following components:

• Transition into the Professional Nursing Role:  Identify actions to be considered in the transition from student to BSN graduate nurse including:   NURSING CAREER PLAN

 o Identify the state in which the student is seeking employment.

 o Detail a minimum of three (3) criteria set forth by the Board of Nursing for obtaining an RN license in that state.

o Conduct a new BSN graduate job search in a 30 mile radius of where the student lives or plans to relocate.

§ Provide the details of what is required to submit an application for hire for the top two choices of employment.

• Holistic Life Balance:  Provide a description of the ways in which the student intends to maintain holistic balance in their personal life as well as in the role of professional nurse within the first year and at five years.

• Stressors and Challenges:  Identify known stressors and anticipated challenges as well as plans for managing each of them within the first year and at five years. 

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• Lifelong Learning:  Determine a plan for lifelong learning and educational development anticipated within the first year and at five years.  

o This plan can include, but is not limited to, specialty certification, advanced nursing education, and the pursuit of formal education outside of the nursing discipline.

• Professional Contributions:  Summarize plans for contributing to at least one professional nursing community as well as the student’s general community in the healthcare professional role within the first year and at five years  

• Scholarly Resources:

o A minimum of three (3) peer‐reviewed scholarly sources are required in support of this assignment.  

o A minimum of one (1) professional nursing organization website or Board of Nursing website is required in support of this assignment.  NURSING CAREER PLAN

 PREPARING THE ASSIGNMENT

• Maximum of 4‐5 pages including the title page and the reference page. •

Students may find the following list of resources helpful in completing the assignment:

o American Nurses Credentialing Center at http://www.nursecredentialing.org/certification.aspx o Board of Nursing Contact at https://www.ncsbn.org/contact‐bon.htm

o Holistic Nursing at http://www.ahna.org/About‐Us/What‐is‐Holistic‐Nursing o National Council of State Boards of Nursing at https://www.ncsbn.org/index.htm

o Nursing Community at http://www.thenursingcommunity.org/

 o Robert Wood Johnson Foundation at http://www.rwjf.org/

o Sigma Theta Tau International  at http://www.nursingsociety.org NURSING CAREER PLAN

Future Scope, Role, And Professional Obligations Paper

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Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system.(Emergency Room R.N.) Write a 1,250-1,500-word paper that includes the following:

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  1. A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
  2. A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
  3. A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required .Future Scope, Role, And Professional Obligations Paper

Developmental Assessment And School Age Child

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The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 600-700-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:Developmental Assessment And School Age Child

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Case 2: Drooping of Face

A 33-year-old female comes to your clinic alarmed about sudden “drooping” on the right side of the face that began this morning. She complains of excessive tearing and drooling on her right side as well.

To prepare:

With regard to the case study you were assigned:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study you were assigned.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Note: Before you submit your initial post, replace the subject line (“Discussion – Week 9”) with “Review of Case Study ___.” Fill in the blank with the number of the case study you were assigned. Developmental Assessment And School Age Child

 

RESPIRATORY DISORDERS

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Case Studies 1–3

Respiratory disorders such as pneumonia and asthma are among the leading causes of hospitalization in pediatric patients (U.S. Department of Health and Human Services, 2011). With such severe implications associated with many respiratory disorders, advanced practice nurses must be able to quickly identify symptoms, diagnose patients, and recommend appropriate treatment. For this Discussion, consider potential diagnoses and treatments for the patients in the following three case studies. RESPIRATORY DISORDERS

Case Study 1:

A 14-month-old female presents with a 4-day history of nasal congestion and congested cough. This morning, the mother noted that her daughter was breathing quickly and “it sounds like she has rice cereal popping in her throat.” Oral intake is decreased.

Physical examination reveals the following: respiratory rate is 58, lung sounds are diminished in the bases, she has pronounced intercostal and subcostal retractions, expiratory wheezes are heard in all lung fields, and her tympanic membranes are normal.

There is moderate, thick, clear rhinorrhea and postnasal drip. Her capillary refill is less than 3 seconds, and she is alert and smiling. Her RSV rapid antigen test is positive.

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Case Study 2:

Brian is a 14-year-old known asthmatic with a 2-day history of worsening cough and shortness of breath. He reports using a short-acting beta agonist every 3 hours over the previous 24 hours. He has a long-acting inhaled corticosteroid, but the prescription ran out, and he forgot to get it refilled.

He says he came today because he woke up at 2 a.m. coughing and couldn’t stop, thus preventing him from going back to sleep. Over-the-counter cough suppressants don’t help.

He denies cigarette smoking, but his clothing smells like smoke. His respiratory rate is 18 and he has prolonged expiration and expiratory wheezes in all lung fields. There are no signs of dyspnea. All other exam findings are normal. RESPIRATORY DISORDERS

Case Study 3:

A father presents his 9-year-old with a 3-day history of cough. Dad states that his son is coughing up yellow mucus. The boy is afebrile and is sleeping through the night, but the father’s sleep is disturbed listening to his son coughing.

Dad says he thinks his son has bronchitis and is requesting treatment. Physical examination reveals the following: respiratory rate is 18, lungs are clear to auscultation, patient is able to take deep breaths without coughing, there is no cervical adenopathy, nasal turbinates are slightly enlarged, and there is moderate clear rhinorrhea.

Case Studies 4–6

Assessing, diagnosing, and treating pediatric patients for many cardiovascular and genetic disorders can be challenging.

As an advanced practice nurse who facilitates care for patients presenting with these types of disorders, you must be familiar with current evidence-based clinical guidelines. Because of the clinical implications, you have to know when to treat patients with these disorders and when to refer them for specialized care.

In this Discussion, you examine the following case studies and consider appropriate treatment and management plans.

Case Study 4:

Miguel is a 15-year-old male who presents for a sports physical. He is a healthy adolescent with no complaints. He plays basketball. He is 6 feet 5 inches tall and weighs 198 pounds. You note long arms and long thin fingers. He has joint laxity in his wrists, shoulders, and elbows.

Case Study 5:

Trina is a 9-year-old female who weighs 110 pounds. Vital signs are as follows: BP 122/79, P 98, R 20.

Her mother reports she is a picky eater and refuses to eat fruits and vegetables. Her physical activity includes soccer practice for 1 hour a week with one game each weekend from September through November.

Family history is negative for myocardial infarction, but both parents take medication for dyslipidemia.

Case Study 6:

You see a 2-month-old for a well-child visit. She is breastfed and nurses every 2 to 3 hours during the day, but her mother reports she is not nursing as vigorously as before.

She sleeps one 4-hour block at night. Birth weight was 7 pounds 5 ounces. Weight gain over the last 2 weeks reveals gain of 5 ounces per week. RESPIRATORY DISORDERS

Physical examination reveals the following: HEENT exam is benign, lung sounds are clear, a new III/VI systolic ejection murmur is noted along the left lower sternal border, cap refill is brisk, skin is pink and moist, and abdominal exam is benign.

To prepare:

  • Review “Respiratory Disorders,” “Cardiovascular Disorders,” and “Genetic Disorders” in the Burns et al. text.
  • Review and select one of the six provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the respiratory disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder. RESPIRATORY DISORDERS

SOAP NOTE SUBMISSIONS

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Patient has to be less than 18 years old

In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

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  • Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

SPIRITUAL DECISION MAKING IN HEALTH CARE

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Details:

 

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 SPIRITUAL DECISION MAKING IN HEALTH CARE.

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?

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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.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance SPIRITUAL DECISION MAKING IN HEALTH CARE.

COMBINING NURSE LEADER WITH ADVOCACY

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Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

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Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

RUBRICS

 Identification of strengths and weaknesses related to the four content areas listed. 

 Discussion of use of current leadership skills to advocate change in the workplac 

 Reflection on personal goal for leadership growth and development of implementation plan to reach goal COMBINING NURSE LEADER WITH ADVOCACY 

Net Revenue and Budgeting

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No one can predict the future, but accountants and financial managers must try and do exactly that!  By examining net revenue, costs, and cash flow, you can get a clearer picture of what to expect in your organization’s (or one with which you are familiar) fiscal future. Using these metrics to look forward will enable you to more effectively plan budgets that accomplish organizational goals.

When developing a budget, what variables do you have to take into account? In health care organizations, two of the largest groups of factors that you must consider are first, volume, and second, staffing and supply. The number of patients and tests performed each day, as well as employees and their pay rates are all crucial pieces of information when determining a budget Net Revenue and Budgeting.

In this Assignment, you address five scenarios: net revenue, fixed and variable costs, cash flow, volume budget, and staffing and supplies budget.

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Note: For those Assignments in this course that require you to perform calculations you must:

  • Use the Excel spreadsheet template for the Week 5 assignment.
  • Show all your calculations and formulas in the spreadsheet.
  • Answer any questions included with the problems (as text in the Excel spreadsheet).

A title and reference page are NOT needed in this assignment.  Put your name and assignment at the top of the Excel spreadsheet.

For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.

To prepare:

  • Review the information in this week’s Learning Resources regarding net revenue, fixed and variable costs, and cash flow, and how they are used in financial decision making. 
  • Review the budgeting information in Week 5 Learning Resources dealing with volume, staffing, and supplies budget.
  • View the following tutorial videos, provided in this week’s Learning Resources.
    • Week 5 Application Assignment Tutorial: Cash Flow Scenario
    • Week 5 Application Assignment Tutorial: Fixed Variable Scenario
    • Week 5 Application Assignment Tutorial: Net Revenue Scenario
    • Week 5 Application Assignment Tutorial: Staffing and Supply Budget Scenario
    • Week 5 Application Assignment Tutorial: Volume Budget Scenario
  • Use the Week 5 Application Assignment Template, provided in this week’s Learning Resources, to complete this assignment. Carefully examine the information in each of the scenarios and provide the necessary calculations. Using this information will help you answer the questions.

Note: All the scenarios will be submitted as one document.  Each scenario will be on a different tab in the spreadsheet.

Scenario 1: Net Revenue Scenario

Your clinic provides four kinds of services: Net Revenue and Budgeting

  • Comprehensive initial medical consultation is priced at $250
  • Established patient limited visit is priced at $75
  • Established patient intermediate visit is priced at $125
  • Established patient comprehensive visit is priced at $250

Question: The profile of your patients is such that the average collection rate is 75%. Assuming you have 100 visits of each type each month, what amount of new revenue will you generate in the next 12 months?

Scenario 2: Fixed/Variable Cost Scenario

You have performed a cost analysis of your health care organization and have determined the following: based on the latest three years of information, your annual cost of operations is $1,600,000 with annual volume of 10,000 procedures. You have determined that certain of your supply items are fixed in nature (those marked with an F) while others are variable (marked with a V).

Question: An insurance company that is considering directing its 1,000 units per year of procedure business to your organization has approached you. For the last three years, you have been charging a price of $165 per procedure (with a 100% collection rate).

Your board has mandated that you make $5 of profit from each of the procedures. You obviously want the highest possible price, but as you enter the negotiations, what is the lowest possible price you would be willing to accept from this payer?

Hint: Calculate the variable cost.

Scenario 3: Cash Flow Scenario

Your new business venture will begin operation on July 1, 20X2. You will hire staff effective January 1, 20X2 with a cost of $40,000 per month. You know from experience that collections lag billing by 3 months (in other words, once you bill for a service, you must wait 90 days for the payment to be received.) Your business volume is projected to be as follows:

Question: If you have $380,000 of cash on hand on January 1, 20X2, how much cash will you have at the end of June 20X3?  Assume a 100% collection rate Net Revenue and Budgeting.

Scenario 4: Volume Budget Scenario

You manage lab services in a large hospital. You have the following data on both the hospital’s budgeted patient days and visits for budget year 20XX along with the ratio of lab tests to patient days or visits.

Question: Based on this raw data provided , how many lab tests would you anticipate for the coming budget year? If each test is priced at $20.00, how much gross revenue would you budget? Assuming each full-time lab technician (FTE) can perform 200,000 tests each year, how many full-time lab technicians would you plan for?

Example on Template: 2 North Bldg calculated.  You will need to complete 2 South Bldg, ICU and OPD

Scenario 5: Staffing and Supply Budget Scenario

Calculate the supplies budget necessary to operate your unit for the fiscal year beginning January 1, 20X8. It is your expectation that you will perform 24,820 procedures in the budget year. The following spending data is available for the period January 1 to March 31, 20X7 during which time procedure volume amounted to 3,240. Items marked (F) are considered fixed, those marked (V) are considered variable. Inflation is planned at 4%.

In reviewing performance to date, you note that in January, you purchased $150,000 of D5W fluid replacement charged to IV solutions, which represents an entire year’s supply. In addition, you returned $2,800 of office supplies for credit from the vendor in Febuary. These supplies were purchased in a previous fiscal year.

You also need to prepare the salary budget for the same fiscal year. You have determined that staff needs are for 6.5 FTEs.

A pay raise will be given to all staff on October 1st of each year at a rate of 8 percent. In making your calculations, always round to the nearest whole dollar for annual salary amounts, but keep pennies in the hourly pay rates. New staff begins the new fiscal year at $16.00 per hour.

This Assignment will be due by Day 7 of Week 5. Be sure and include all of your calculations Net Revenue and Budgeting.