First, and most important of these, the patient or persons requesting the physician assisted suicide must have a condition that is incurable and associated with severe, unrelenting suffering and understand the prognosis. Second, the physician must be sure the request is not made because of inadequate pain control. Third, the patient must clearly and repeatedly request to die. Fourth the physician must be sure the patient’s judgment is not distorted. Fifth, the physician assisted suicide should only be carried out in a meaningful doctor patient relationship.
“Never events” are also known as “serious reportable events” (SREs), an official term adopted and used by the National Quality Forum (NQF). The NQF defines SREs as events that should never have occurred to the patient when receiving care in a hospital. SREs are viewed as identifiable events that cause substantial harm to the patient and are almost always preventable. (Lembitz, 2010, pg. 30) Examples of “never events” include, but are not limited to the following: • Death due to administration of wrong medication • Wrong surgery procedures conducted on the wrong patient and/or wrong body part • Patient abduction • Handing an infant patient to the wrong person during discharge NQF has compiled a list of 28 “never events” that is used in many states across the nation.
* Informed consent occurs when a provider explains the treatment or procedure and the patient or patient’s representative agrees, can be verbal, but it is usually written in a signed consent form. Implied consent is when the patient’s behavior suggests compliance (Connor Sl.13 & 14). The consent in Sandra’s case was implied. The reason that say it was implied is because Sandra is in an emergency situation and there is no time to wait or waste to try to find a representative, based on her condition. Implied says that” in emergency situations, consent by accident victims is considered to be implied (Connor Sl.14).” Sandra fits that statement perfectly.
The range of codes that would be used for Darlene would be Codes 680-709 because Darlene had an infection of her skin due to shards of glass still left in her wound. These codes are for Diseases of the Skin and Subcutaneous Tissues. 2. A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event.
In the given case study, for instance, future provision of moderate sedation and additional backup must remain a mandatory exercise. Second, involves gathering of data and available evidence as a means of highlighting the occurrence of events, a behavior, or even condition (Clark &Taplin, 2012). According to most hospital regulations and ethics, when a patient begins to exhibit complications, it is upon the nurse and the ED physician to note the symptoms and offer appropriate treatment. Further examination of this scenario reveals a number of hazards/errors, i.e., shortage of qualified nurses, unfamiliar with appropriate medication dosages, the current procedure for conscious sedation was not followed, and the most fundamental hazard is the inability of the staff to prioritize and inform the administration (Nursing Supervisor) of the situation in the ED. The emergency department still failed to abide by medical ethics of practice.
After answering a few more of the officer’s questions I was transported to Umass Medical, A Medical University in Worcester, Massachusetts. It took doctors a total of 14 hours and 2 operations to put my hand to the way it is now. I am missing my middle finger all the way down to my wrist and the tip of my ring finger. I also have massive scaring on my hand, arm, and foot (the doctors took a vein out of my foot to replace one in my arm that was badly damaged); all from one little firecracker. The moral of this story is simple don’t play with things you don’t know anything about, and whatever you do don’t play with
ETHICS CASE STUDY BRANDI M C UNIVERSITY OF PHOENIX In healthcare many things go off of ethics, every healthcare worker has to understand that. In this case study Jerry Mccall has to decide whether to call in a medication refill without consulting the doctor first. Many things need to be considered like legal consequences, patient complications, consequences for Dr. Williams. All of these could have grave consequences for Jerry. In this case study Jerry Mccall takes a call asking for a prescription refill, the person requesting the refill isn’t a normal patient of Dr. Williams he states he is a close friend.
He was then transferred to Vancouver to undergo emergency surgery. The bullet had severed his carotid artery and jugular vein on his right side. Once surgery had been completed, he had discovered that the bullet had broke up in his body, and also damaged his spinal cord. He was now a paraplegic. He was 21 years-old when this had occurred.
Task 7: Secondary prevention clinic This morning on the 17th September 2013 at the Hospital I attended the secondary prevention clinic, were patients with hypertension had to attend. One of the first patients to attend the clinic was a male and he is 49years. He was first presented to the hospital’s emergency department after an accident at work. This accident caused the patient to have two broken ankles which later lead to a myocardial infarction (MI) within a two hour period due to a possible ischaemic event within heart, suggesting ischemic heart disease. A clot busting drug Streptokinase was administered immediately to disperse the thrombus.
Amputation Nightmare Angie Simpson, RN HCS 478 November 4, 2013 Fran Mieczowski Amputation Nightmare It would be a nightmare to wake up from surgery with the wrong limb amputated or the wrong surgery performed. This is exactly what happened to Joseph Benson. He went into the hospital for surgery for amputation of his left leg just below the knee. When he woke up from surgery he awakened to find out his right leg had been amputated instead. The hospital has not officially commented on this but has had other issues recently from “nursing shortages and union problems” (Lowel, 2013).