Where clearly has brought a difficult situation to the healthcare team of the hospital raising ethical and legal issues in all aspects due to the fact that the parents of the pregnant teen have refused any assistance and the nurse assigned has complied silently. This scenario compromises patient safety and puts the minor and child in medical danger. Not only are the lives of the minor and the teen in danger but also it raises an ethical issue of the hospital and patients’ rights. It would make sense to attempt to provide all medical attention necessary to promote patient safety for the sake of the minor and unborn child but also it is important to evaluate the legal liability of the hospital to determine if the parents have all the rights and responsibility in decision making for their daughter. Therefore, treating all patients fairly is an ethical duty of the hospital and staff with respect to values and beliefs.
Complicating matters Mr. Y called his niece, Ms. H., who arrives at the hospital before him. Dr. K sees her and proceeds to discuss the patient's privileged and protected health information in a public area while inferring she must provide consent for placing patient on a ventilator. This is extremely unethical and unprofessional
However, the nurse refused to do so, on the woman by claiming that it was against company policy to perform CPR on those living in the home. The EMTs arrived at the scene some 7 minutes and a few seconds later, but by then, Bayless had breathed her last. As I will argue in this paper, Eeven though Bayless had wanted a natural death without any life prolonging intervention, the nurse had a preexisting duty to attempt to save the old woman’s life. (State in one sentence what that duty is based on – her professional obligation, the principle of beneficence/nonmaleficence, or what?) Kant advocatesd duty-based or deontological ethics, which focuses on what people do, not the consequences of their actions.
Policy Deviation Initial observation on the unit showed that most of the nurses follow the policy. However, there were some specific issues where the policy was not followed. When answering call lights, nurses would respond, turn off the call lights and respond to the patients needs. Often times, if a patient needed assistance getting out of bed or any task that required direct patient contact, the nursing staff would not wash their hands. The policy states “hands are to be washed before initiating direct care with patient” (Community Mercy Health Partners, 2006).
during a lingering illness. However, if the patient does not desire to use these medications due to not wanting to become “addicted”, feeling “out of it” or for other reasons, the nurse needs to respect the patient’s decision. It is the nurse’s duty to make sure the patient has been accurately informed of treatment options including side effects, common misperceptions, etc. but to not sway the patient’s decisions for treatment based on his/her own beliefs. A nurse may personally feel that a patient who is dying of cancer should utilize any and all pain management options available to them, however, if the patient does not wish to use pain medications because he/she feels “out of it” or is afraid of becoming “addicted”, the nurse needs to respect that patient’s choice.
Eventually, the doctor arrived and briefly and asked the patient few question before calling in the nurse to give her a prescription for some antibiotics. As a result, the patient felt the doctor had not spent much time with her. The patient had no opportunity to voice her concerns. She had not been given a chance to ask the doctor for a sick note for her employer verify that she was sick. The patient
When she was in her right state of mind she consented to treatment. Despite her refusal in the evening to allow the placement of the feeding tube, due to her being disoriented and not capable of making proper medical decisions, her physicians would have to wait until she’s coherent to ask her about informed consent, before placing the feeding tube. Therefore, physicians providing June with a “diagnosis, planned course of treatment, alternatives, risks and prognosis” all relate to how the Patient Bill of Rights applies to this situation (Showalter, p. 272). Based on the facts given in the scenario, would the patient be considered competent to decide?
Knowledge of pressure ulcer prevalence. Knowing the stages of pressure ulcers, repositioning the patient every two hours, and not replacing him back onto his back when putting back to bed would have helped the nurse and CNA prevent one with this patient. Restraint prevalence knowledge by the nurse of when to use restraints and the proper management of patients in restraints. Patient satisfaction is another nursing sensitive indicator not taken into account here because of the nurse’s attitude towards the wrong diet being delivered and not keeping Mr. J.’s daughter informed of the incident and how it was remedied. The remark the nurse made was also inappropriate and shows she did not have the patient or family’s satisfaction in mind.
American Nurses Association Code of Nursing Ethics The ANA Code of Nursing Ethics consists primarily of nine statements that help guide the actions and behaviors of a registered nurse (RN). In the case study of a 79-year-old female who becomes unresponsive, has no advanced directive. The attending physician has recommended surgery to remove the blood clot but cannot offer much assurance that she will recover neurological function. The family is split between the husband who wants to try anything to save her, and her children who believe she would not want to be kept alive in a miserable state. According to the ANA code of ethics, the RN’s primary commitment is to the patient and to protect the health, safety, and rights of the patient.
This may leads to offensive quality of care and unprofessional code of conduct. By violating the expected behaviour, she had put the safety of the patient at risk. Apart from that, false documentation was also being made which clearly proves that she is competent and untruthful in profession. Traditional process used for apprising and displaying nurses who have made honest mistake in the course of the work need to be substantially modified as they are odds with the modes of human error management that are currently being advocated and adopted globally to improve patient safety and quality of care in health care domains. The nursing profession expect that nurses will conduct themselves personally and professionally in a way that will maintain public trust and confidence in the profession.