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 a Patient expresses a desire to refuse or withdraw from a treatment or diagnostic study against medical advice. (AMA) or if a Patient expresses a desire to leave the hospital AMA, the following procedure will be instituted: a. Request that Patient discuss AMA decision with the physician.