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.
Yes, always assess. When a patient is refusing to do something, you try to give them a logical explanation why they should do it. They do have the right to refuse, so you can't force them to do anything. Then, investigate to see if there's something to explain why they are refusing.