Hello All, As you are aware Procurement is working with two separate companies, Total Construction and Titan Machinery, to rent a front wheel loader and 5 tandem dump trucks for spring land spreading. The equipment will be operated by MCES employees. Both companies have asked us to sign rental agreements that are not favorable to the Council. The largest concern relates to indemnification and insurance coverage. Phil Walljasper from Risk has weighed in and has concerns that the Council is not protected/covered from a risk perspective regarding either agreement.…
Phar-Mor Inc. was a discount pharmaceutical chain founded in 1982 by Michael Monus. The first store was opened in Youngstown, Ohio as an affiliate of Giant Eagle, a family-owned grocery chain ran by David Shapira. Shapira was a friend of Monus and will eventually become his business partner. Phar-Mor’s business tactic was to sell large quantities of merchandise in exchange for a small profit margin. The company would buy high volumes of products from manufacturers for cheap and then sell them for 25 to 45 percent off the suggested retail price.…
Ms. Thompson worked on the following contracts: Wells Lamont (assembling clips with buckles and rings), Plastic Ware (placing eating utensils, napkins, salt, and pepper packets into a bag), and Richardson Molding (packing flag kits and assembling hinge pins). The instructor noted a limitation in Ms. Thompson taking the initiative to complete tasks instead of waiting for instructions. She did janitorial work at HCC, DHS, MS extension offices, and the KAP building. Beginning March 08, 2017, Ms. Thompson began a community based tryout at a local restaurant, Frenchies.…
Subjective Data Chief Complaint: Mrs. T is a 67-year old lady who presents at the clinic with complaints of indigestion and abdominal pains. She describes the pain as dull and constant that emanates from the upper right quadrant of the abdomen. The pain, she says began three days ago, and has been progressing significantly such that the last two evenings she has not been able to sleep at all. At times, she says the pain extends to the right arm and shoulder and that she has been vomiting and has had severe nausea especially after meals. She feels excess gas and significant bloating while rating her pain at 7.…
Bowel sounds were active in all four quadrants and non-tender. She had plus two pedal edema in both feet and is wearing compression socks to help with the swelling. My patient is waiting for doctor to release her to a special care facility where she will have to have help getting taken care…
With respect to the abovementioned, the therapist should consider disclosures, authorizations, and a written release of information to obtain Steven’s medical records from his PCP, to coordinate care. Especially since he got dizzy while driving and experienced the inability to breathe at the mall, helps the therapist understand if a possible medical condition exists or rules out the possibility that his symptoms transpired in part of a medical condition. Not to mention, the PCP could have prescribed Steven some medication in the interim, unbeknownst to the therapist. Thus, knowing whether Steven’s symptoms were attributable to any biological effects of a substance/medication is paramount.…
I would consolidate the PE and EL depots, as the cost of running a warehouse is less than the transportation cost to deliver directly to the EL depot from PE. I would also do a centre of gravity exercise to ensure that all the depots are in the correct area. I would decrease the level of stock holding from 8 weeks to 4 weeks, and place orders more frequently. The transportation cost to deliver to the EL customers would be less than the cost to run an entire warehouse and separate fleet. If SGC makes five stops to the EL customers instead of just one stop at the EL depot, the cost for the driver and the fixed cost for the vehicle would not change, the only additional cost will be maintenance and fuel.…
Name: Sophia Gabbiadini DOB: November 20th, 1992 Age: 23 Occupation: Student/ grocery clerk Chief complain: Abdominal Pain, Muscle weakness, Dizziness History of present illness: This is a 23year-old Asian female previously healthy who went out for a party two nights ago. Sophia has been complaining of stomach pain snice after. Most people in the party apparently had problems afterwards with regard to their abdomen. She awoke up this morning with the pain worsen in her abdomen.…
Patient presents today with his wife for follow-up on shin wounds. HPI: Patient ended up with 2 wounds, 1 to his left shin in addition to 1 to his right shin. The left shin appears to be healing, it is scabbed over.…
relationship between the management of a company, employees and the stakeholders that are involved with the organization. They guide the decisions of management, especially when tough choices have to be made. Even though the main purposes of a company is to make profits, they should not do so if it compromises the integrity, morals and causes harm to others or the environment. In the case of PharmaCARE, the management optimized profits at the expense of the people of Colberia and the environment. This shows that they had no moral ethics and greed was the main motivator of their actions.…
Most people would agree that laws are something that were created to help people. Most of the help is figuring out who is right, how to handle something, or rules to follow (Behl, 2016). Hardly anyone would argue that this is a bad thing, until the law itself breaks the rules. Many laws can, in fact, contradict themselves. An example of this is the juvenile justice system and being able to wave the juvenile to adult court.…
Case 2 45 y.o. African American male with an intussusception Brandi Weaver, PA-S Bethel University History of Present Illness On 8/3/2015 a 45 year old African American male presented to the ER with a chief compliant of diffuse abdominal pain and trouble having a bowel movement. The patient stated that he was experiencing rectal pain with bloody stools. He also complained of feeling his bowels pulling.…
How else could you convey ahead An guarantee about “Passion” over through your employees?. “at the really heart for Pret’s method sits those begun and Johnson had proceeded support Also advancement of a society that fosters disappointments and outrage on his/her staff inspiration and engagement. ” Richard Harpham, Pret-a-Manger. Pret put their staff at the core of organization society Also choice making, and Subsequently revel in a low cooperation part turnover. Yearly representative engagement surveys reliably spot Pret in the Main 10% of organizations for representative fulfillment.…
Having two or more children, there is a maximum amount of qualifying expenses is $6,000. That amount should be reduced by $1,800, since Martha received $1,800 for dependent care assistance. The total expenses are $4,200. Tim and Martha’s AGI is over $43,000 they are entitled to a credit of 20% of their expenses, or $840. ($4,200 x .20 = $840)…
Patient Initials: XY Age: 60 Sex: M SUBJECTIVE DATA: Client Complaints: Acute abdominal pain after eating with nausea HPI: The patient came in with complaints of acute abdominal pain. He verbalized that his acute onset of abdominal pain started last evening after eating. He is also experiencing a gnawing hunger pain in the umbilical area. He also feels nauseous but no vomiting.…