Nursing Sensitive Indicators 1 Western Governor’s University Nursing Sensitive Indicators 2 Identifying Issues Using Nursing Sensitive Indicators Nursing sensitive indicators are key in recognizing problems that interfere with patient care. In this scenario, nursing sensitive indicators may have been utilized to avoid such issues. Nursing indicators are used in evaluating patient care quality. Multiple issues in this scenario have outcomes which are directly affected by nursing care, thus classifying them as nursing “sensitive”. Mr. J was in restraints in this case.
He needs to think about what is best for the practice, for Dr. Williams, and what’s best for Jerry and his job. He has to consider laws and the possible complications with the caller. At the end of the day Jerry needs to do what’s ethically right and that would be to wait and consult with Dr. Williams before calling in the refill. In the end Jerry should always consult Dr. Williams before calling in a medication refill. Jerry making that decision on his own could result in death of the patient, or life changes complications.
Ethics Case Study Jerry has the credentials to write a prescription and to authorize a refill. In this circumstance, although Jerry has the medical training that allows him to make requests for medication and refills, Jerry should not put in the refill or authorize a new script. Jerry should take the patients information and make sure this information is correct. Once confirmed Jerry could have this authorized by the Doctor and contact the patient as to what will take place. The patient may be on a time constraint but this liability is much more important to weigh.
While the physician did not believe that, at the time of treatment, the patient was competent to make this decision, the patient had an advanced directive that clearly stated that he did not wish to be intubated. Provision 2.1 of the ANA Code of Ethics also directs that the nurses primary concern is always for the patient and the best interest of the patient while Provisions 3.1 and 3.2 discuss the nurses responsibility for providing the patient with privacy and confidentiality, all of these provisions were ignored, to a degree, during the course of this scenario. While the scenario describes Mr. E as having a mild developmental disability we do not know his actual level of competence at the time the advanced directive and the medical power of attorney was signed. Just because he has a developmental disability does not mean that the disability was severe enough that the patient was unable to comprehend the choices he made when instituting these
Advance Directives What kinds of medical care would you want if you were too ill or hurt to make that decision for yourself? Well there is a way to express your concerns about your medical care when you reach that point in your life when you are unable to make those decisions. You can create an Advance Directive. Advanced Directives allows you to give directions about your decision regarding your future medical care. Advanced Directives can protect your rights if you ever become unable to communicate your wishes due to an illness or injury.
For example, side effects of appropriately prescribed and administered chemotherapy are an example of adverse events not caused by error (Hoy, 2006). Medical errors should be disclosed to patients for a number of reasons. Because of their fiduciary relationship with patients, physicians have an ethical responsibility to disclose errors to them. To withhold this information undermines the public trust in medicine and damages the therapeutic relationship between physician and patient. In fact, patients may be caused additional, avoidable harm by failure to disclose because they lack information that would allow them to receive appropriate treatment should further complications arise (Hoy, 2006).
HIPAA PRIVACY RULE ASSIGNMENT HCA322: HEALTH CARE ETHICS AND MEDICAL LAW In health care, physicians and team members must comply with the HIPAA Privacy Rule when dealing with a patient. If the HIPAA Privacy Rule is somehow breached, a physician or a health care team member can be penalized. In certain situations, the penalty can be severe and the team member involved can lose their license. On top of losing a medical license, a hospital can also be fined and lose their business. This paper will help to analyze exactly what the HIPAA Privacy Rule means and what the consequences are if it is breached.
How the ANA Code of Nursing Ethics would influence a final decision in each case study. With the patient with the hemorrhagic stroke, it is our responsibility to discuss with the patient’s family possible options in which they would feel comfortable taking. According to the Code of Nursing Ethics, “the nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA Code of Nursing Ethics). With the patient having no advanced directives, the decision is much harder to take. Ethics committees can be useful in this situation, because they can help explain the patient’s situation and provide possible answers to those hard questions.
Organizational Systems and Quality Leadership Task 2 Breanna Jordan Western Governors University Organizational Systems and Quality Leadership Task 2 A. Root Cause Analysis Although medical professionals take an oath to ‘do no harm’, errors in healthcare still occur. Patient safety is always priority when planning care for a patient; however adverse outcomes may take place resulting in a sentinel event. “A sentinel event is defined as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or the risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome.
According to American College of Medical Quality (2010), risk management involves identifying conditions that might put patients or a healthcare organization at the danger of undesirable outcome. In addition, the practice involves putting in place measures of avoiding, preventing, and controlling the risks. Quality management in healthcare organization is useful in managing, reducing, and alleviating risks. Risk management is an essential component of making sure that patients are safe, and that the care they get does not endanger their health or wellbeing. Process improvement is a quality management concept that involves the identification of weak areas in order to come up with ways to improve processes at the medical facility.