Part A:- 1. From an Enrolled Nurses perspective discuss the use of bed rails in the hospital and nursing home, in relation to restrained patients and safety. Consider the ANMC decision making framework for your response. The Enrolled Nurse is and has the capacity to utilize under the National Competency Standards for the Enrolled Nurse, decide the use of bed rails for safety of the patient and potential use for restraint and risk to patient, staff or others. However, under these policies, the EN must notify the Registered Nurse (RN) on duty and the RN will make the final decision.
This decision was reached after the consultant, named nurse, patient and the patient’s family discussed together and based their decision on the patient’s age, condition, quality of life and wishes. The UKCC ‘Code of Professional Conduct’ (1992) states that every registered nurse, midwife, and Health Visitor should act, at all times, in such a manner as to … promote and safeguard the interests and well-being of patients and clients [and to] ensure that no action or omission on your part, or within your sphere of responsibility, is detrimental to the interests, condition or safety of patients and clients. Therefore, how does withholding life-saving treatment, comply with the ‘Code of Professional Conduct’? The decision not to resuscitate conflicts with this clause of a document that aims to define and develop professional standards to protect the public and offer direction regarding the suitable conduct of the profession (Kenworthy et al, 1999). 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).
“Knowledge of legal issues are essential because nurses are required to practice in accordance with legislation affecting nursing practice and health care failure to respect the legal rights of clients may result in legal or disciplinary actions.” (Makely, Austin, & Kester, 2013, p.64). Failure to respect the legal rights of clients may result in legal or disciplinary actions. According to the Department of Consumer & Industry services, regulation R338.10104 Delegation; Rule 104. (1) Only a registered nurse may delegate nursing acts, functions, or tasks. A registered nurse who delegates nursing acts, functions, or tasks shall do all of the following: (a) Determine whether the act, function, or task delegated is within the registered nurses scope of practice.
1.1 Legislation: Health and Social Care Act; The Medicines Act and The Misuse of Drugs Act Guidelines could include the Nursing Midwifery Guidelines for the management of medicine administration - registered nurses have to abide by this set of guidelines and for paid carers, the General Social Care Council's Code of Conduct will have something which could relate to medication. Policy - for example - consider the Government's drive to ensure people with dementia are not over medicated - so their policy is currently designed to 'push' the professionals responsible for prescribing to bear in mind the effect of drugs on frail elderly people and to consider alternative treatments such as activities and therapies. Other examples of policy might be the Goverment's drive to limit the prescribing of antibiotics to reduce the incidence of resistant strains of bacteria. Protocols - a protocol is a procedure and you could outline your company's procedure (protocol) for disposing of controlled drugs or medication in general 2.1 Pick 3 medications - these could be taken from a copy of the British National Formulary (BNF) - any workplace which is administering medication ought to have a copy (relatively up to date!) on the premises.
("United States Department of Health and Human Services | HHS.gov," n.d.) Most of all this rule absolutely protects patient’s rights when it comes to the privacy and confidentiality of their health information. The regulations of HIPAA require all healthcare professionals and healthcare providers to input and follow certain procedures to ensure the security and confidentiality of patient’s health information when it is being transferred, received or shared. Patient’s Rights Patients have rights when it comes to their health information. They have the right to access, inspect, and obtain a copy of their health record, whether it’s on paper or electronic. ("Health Information Privacy," n.d.) When a patient enters a healthcare facility they have the right to be notified of the privacy practices within the healthcare facility.
This form requires health professionals to document both how they have come to the conclusion that the patient lacks the capacity to make this particular healthcare decision, and why the proposed treatment would be in the patient’s best interests. It also allows the involvement of those close to the patient in making this healthcare decision to be documented. The development of these forms does not change the current position on when written, as opposed to oral, consent to treatment is necessary. It is a matter of local determination what form of consent is appropriate for individual procedures, within the broad guidelines set out in the model consent
Smithsonian desire is for all patient to be well informed of his or her care plan. To make certain that patients understand the facility provides interpreters to help individuals participate in his or her procedures. Informed consents allows individuals to give permission prior to provider treatment. The consent protects patients and the facility, however situations may occur in emergencies when minors or adults are not available to sign and providers must make an ethical decision to save the patient. Religious beliefs also affect healthcare, some individuals refuse to receive blood transfusion if the patient is available to sign the refusal care providers
Thomas about her disease and its outcome may be needed. Explaining how cancer metastasis and what to expect at each stage will give Mrs. Thomas a sense of control. It will allow her to make informed decisions about her own care such as; implementing advance directives and or code status documents. Reiterate that pain control will give her more quality time with loved ones and allow her to be independent for as long as possible. The goal is to keep her pain under control if not completely relieved.
There are so many things that the Medical Law and Ethics course has covered that pertains to the healthcare field. This includes situations that have to do with patients, healthcare workers, laws & procedures, and patient confidentiality, which I will now tell about briefly. The Medical Law and Ethics course has covered many situations pertaining to the relationships between healthcare workers and patients. Healthcare workers must make sure that a patient understands any procedures that they may be given, and they must have the patient’s consent to give the procedure. If the consent is not given by a patient the practice, physician, or the healthcare worker can be held liable in a lawsuit.
The criteria for informed consent or refusal as stated in Chapter 6 of Ethical & legal issues in Canadian Nursing are as follows: * Consent must be given voluntarily. * The patient must be told of all material risks inherent in a proposed procedure, together with its benefits and drawbacks, as well as the risks of forgoing the treatment. * The consent must be specific to the proposed treatment or procedure. For example, a consent to an appendectomy does not authorize the medical team to remove other infected or diseased tissues unrelated to that condition. * The consent must specify who will perform the procedure or treatment.