8.6 Cost Accounting Year Total distance travelled Maintenance Cost (`) 1 2 1,60,200 1,56,700 46,050 45,175 The following are the details of expenses for the year under review: Diesel : ` 10 per litre. Each litre gives 4 km per litre of diesel on an average.. Calculation of total ton-km: Total Ton-Km. = Total Capacity Ã Distance covered by each vehicle Ã Average Capacity Utilisation ratio. = []()()()()() 290% 70% 5 9 6 12 7 15 2 20 9,000 +Ã + Ã + Ã + Ã Ã Ã = (+ + +) Ã Ã45 72 105 40 9,000 80% = 262 Ã 9,000 Ã 80%.
Refusing a patient assignment should be done for one reason only-patient safety. It takes insight and education to know when it is appropriate to refuse a patient assignment and it takes courage to speak up when patient safety is compromised.
If you feel you are being asked to accept an assignment that would cause you to violate the NPA or rules, especially any of the standards of practice in Rule 217.11, you will want to refer to Section 301.352 of the Nursing Practice Act which addresses the nurse's right to refuse an assignment.hough the BON does not regulate employers, and the NPA and rules are not prescriptive to specific practice settings, the Board believes on-call duties, telephonic nursing, and/or being on-call to handle urgent/emergent issues telephonically are all beyond the scope of practice for LVNs.