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.
A change always follows multiple implications for the individual of the person who is experiencing the transition. The transition period is also likely to induce high tension in long-term care for older people (Strang et al, Clinical Nursing Research, vol.15) In this essay I will discuss ways people can be effected by transition between different care environments, and in which ways these individuals can be supported along the way. Transition commonly requires a period of time of adjustment to respond and gather thoughts about it. A major transition, no matter what circumstances or however it could have been triggered could create changes and effects to an individuals self-esteem. (Hopson and Adams 1976, Open University) As an example, moving into a care/nursing/residential setting is a big transition that could happen in anyones life, yet with the help of social workers and nurses and doctors we are often able to assess these individuals to evaluate if this is the right transition for them.
Nurses should always chose the wider nostril and lubricate the tube to decrease friction and prevent the insertion of the tube into the skull (Nursingtimes, 2012, para 2). 3- Pulmonary aspiration: inappropriate tube placement or regurgitation may cause reflux of stomach contents leading to aspiration and pneumonitis and the risk is increased when the patient lies down (Nursingtimes, 2012, para 2). Prevent by keeping the head of the bed at 30-45 degrees or have patient sitting up in bed or chair (Nursingtimes, 2012, para 2). 4- Tube occlusions: Thick feedings and medications occlude the tube. To avoid that irrigate the tube with water before and after feeding (Potter & Perry, 2009, p. 1124).
According to Ulrich and Zimring there are 600 articles that explain that the healthcare design can influence patient outcomes are published. When a hospital has a stressful environment to the patient’s healing process with loud intercom systems and machinery, long hallways that echo, bland colors and cramped rooms, it contributes to the patients stress level. These things will hinder a patients healing ability. Promoting and allow the patient to experience their spirituality and assisting them if needed will promote healing by allowing them a feeling of control and familiarity as being at
Healing Hospital: A Daring Paradigm Nina Skaria Grand Canyon University: HLT-310V 10/19/14 When it comes to health and healing, there are many different components that come to play. In the hospital setting, patients are constantly disrupted during the day whether it is for blood draws, procedures, receiving medications, etc. The disruptions do not stop at nighttime. Nurses must stop in to check on their patients, fix the IV machines that are beeping, or come in to get vital signs. While these are all important throughout the nighttime, it does not allow for healing.
Research Summary and Ethical Considerations LaRonda Joyner Grand Canyon University NRSV433- Introduction to Nursing Research August 23, 2015 One of the many nursing dilemmas is medication errors. As nurses continue to handle challenging patient loads with high acuity and troubling staff shortages, many medication errors are being discovered. I decided to choose this topic of interest because it is a challenge I face at my current employer. In the article, “ Nurses’ Experiences and Perspectives on Medication Safety Practices: An Explorative Qualitative Study”, Smeulers expands on the nurses take on why these medication errors are occurring and even includes some ethical dilemmas they face with the errors. The purpose of the research
The obstacles to effective delegation can be summarized as belonging to one of three general groups: communication, interpersonal relationships, and knowledge. Ineffective communication impedes effective delegation since delegation relies on sharing findings and knowledge (Finkelman, 2012, p. 412). Weak interpersonal relationships foster a lack of trust and confidence, fear of disapproval or of losing control, or feeling that that no one can perform a task as well as you (Finkelman, 2012, p. 412-413). I witnessed a nursing tech who has been employed by my hospital for 30 years, telling a young new nurse “the
Nursing Liability in Critical Care Settings Robin M. Rostock University of Phoenix Health Law and Ethics HCS/478 Debrah Archer March 05, 2011 Nursing Liability in Critical Care Settings Litigation in critical care is a question of when, not if. This reality makes it even more important to understand how nurses expose themselves daily to lawsuits and how they may prevent or limit their liability. Charge nurses found liable for the actions of reassigned nursing personnel when delegating assignments is always a risk. Many of the tools used by the critical care nurse to expedite care such as standing orders do not offer the protection that one might expect in a lawsuit. Administrative policies may be incomplete in their definitions, leaving them open to court determination.
HCA 250 | Change and Innovation | By: Roger Hart | Instructor: Carolyn Hart | University of Phoenix | 10/30/2011 | At times change can be a scary thing, special when you have an office filled with employees who have been used to doing things one way for so long that the thought of having to learn something new is more of a frustration more than anything else. I have planned an office meeting with my employees to explain the (EMR) electronic medical record computerized style and why it is so important to change to this form from the old way, because now we can store, retrieve and modify patients records and share them all over the world to other doctors and specialist by a click of a button. By allowing the employees
Many of our patient are either diabetic or they consist of compromised circulation. In this area registered nurses and the HBO technician need to be fully aware of side effect that can occur in patient and any problem that may occur in the chamber or equipment. I have been in the process of training and I find it overwhelming. The barriers I have encountered are changing out patient in the HBO and making sure vitals are within normal range before and after. I have also find it difficult to open the chambers for operation and closing them and assessing weekly maintenance.