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.
The conflict arises because the decision not to resuscitate could be seen as not promoting the well being of the patient and an omission on the nurse’s part, causing detrimental consequences (Rumbold, 1999). On the other hand, clause seven of the ‘Code of Professional Conduct’ states that a nurse should “recognise and respect the uniqueness and dignity of each patient and client and respond to their need of care” (UKCC, 1992). The nurse who does not comply with a patient’s wish to die with dignity and not to be resuscitated, could be seen as violating this clause (Rumbold, 1999). There are several viewpoints regarding the use of cardio-pulmonary resuscitation (C.P.R.). One such viewpoint is that it
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.
Root Cause Analysis of a Case Study Alice Holliday Western Governors University Organizational Systems and Quality Leadership RTT1 Root Cause Analysis of a Case Study Healthcare presents numerous opportunities for patients to be helped by healthcare personnel. Unfortunately, there are also numerous opportunities for patients to be failed by healthcare personnel. When patients are failed by healthcare personnel, it is required by the Joint Commission for hospitals to carry out a Root Cause Analysis in order to understand the systems within the organization that failed so that improvements can be made and the failures can be prevented from happening in the future. (Cherry & Jacob, 2011) This paper will describe how a Root Cause Analysis (RCA) can be used following the death of a patient, and how Change Theory and Failure Mode and Effects Analysis (FMEA) can be utilized to come up with ways to prevent the failure from being repeated. A. Root Cause Analysis A Root Cause Analysis is an organized process used to determine the processes that lead to sentinel events.
Religious Refusal of Care Robenson Saint-Jean Bio-ethics Abstract There is a thin line between law and medical ethics when dealing and establishing policies and procedures for risk management. Ethical issues tend to arise in the delivery of healthcare. When patient wishes go against recommended medical treatment. Within the discipline of ethics, proposed action is based on values that are held by the institution or society. In healthcare medical refusal of treatment causes clashes between patient and medical team.
Nurses should also identify limits to their own knowledge/skill/authority and identify key resources for referring situations that exceed those limits. Nurses trained in specialized practices may be called on to attend to things public health nurses do not practice on a daily basis. A disaster of any size relies on nursing collaborating with supporting agencies to take care of the needs of the public prior to, during and after a
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.
Another recommendation for the host facility would be to alter the method that medical services are provided. Other literature pointed out that the daily presence of a physician or mid-level health care providers decreased the number of hospital transfers of nursing home residents (Ackermann & Kemle, 1998; Joseph & Boult, 1998; Intrator, Zinn, & Mor, 2004). The mid-level provider could be a physician assistant or nurse practitioner. An experiment by Kane, Keckhafer, Flood, Bershadsky & Siadaty (2003) demonstrated that nurse practitioners managing a group of residents “prevented the occurrence of some hospitalizable events, but its major effect was allowing cases to be managed more cost-effectively” (p. 1430). From a cost standpoint to society and the government, the decreasing number of hospital transfers lowers the expense; however, to the facility, fewer Medicare days, lowers their revenues and abilities to improve their facilities, hire staff, and pay other expenses.
Myths have developed surrounding the law and ethical principles in end of life care, which can make care provision at the end of life complex and fraught with potential dilemmas. This article examines three of the most common myths related to the provision of palliative care and highlights their inadequacy when set against the ethical and legal principles on which end of life care pathways are based. the following end of life decisions (Quill et al 1997, Taylor 2003, Veterans’ Health Association National Ethics Committee 2007): Withdrawing or withholding life-prolonging treatment. For example, the care team might decide not to start a patient on ventilation, dialysis, artificial nutrition or hydration, or antibiotics. Alternatively, having
Many in our care have also got weakened immune systems and as a consequence are more susceptible to infection from the outset. We want to give the patients in our care the best treatment and quality of care possible and this would not be possible without infection control. Were we to neglect patient control their quality of life and indeed health would deteriorate, they would get sick and suffer and in extreme cases would die. This runs totally contrary to the attitudes, duties and commitments we hold so dear as healthcare workers. In this assignment I will introduce, explain and discuss one of the most topical worldwide infections in the workplace – mainly hospitals and other places of healthcare environment; MRSA.