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Medical error affects practice
Essay about medical errors
Medical error affects practice
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Based on the case, I came to conclude that this case is a reckless behavior issue. According to the case, we know that the sonographer knew that the policy is not to leave a patient who has cognitive issues alone while waiting for an escort. However, this sonographer decided to leave because his shift was over after he pages for the escorts. This is a reckless behavior because the sonographer knew that he could not leave a patient unattended or alone until other healthcare professional come and take the patient. He was aware that it was wrong to leave a cognitive patient alone. However, he chose to leave because his shift was over. From my perspective, I strongly agree that his action is not justifiable because he decided to leave the patient
A summary of the case details (provide the circumstances surrounding the case, who, what, when, how)
While working at the OB-GYN department in the hospital, Dr. Vandall, as a Vice Chair of the Department of Obstetrics and Gynecology, learned that another employee of the hospital, Dr. Margaret Nordell was engaged in a level of treatment that was unethical and violated accepted standards of care. It was his duty to the hospital and to the patients, to monitor the competence of his staff members. Although he tried to take the proper steps to deal with it within the hospital, he ended up reporting this to the North Dakota Board of Medical Examiners. It was concluded by the Board that the treatment of Dr. Nordell was gross negligence and they suspended her license to practice medicine.
Paramedics deemed the patient competent and therefore Ms. Walker had the right to refuse treatment, which held paramedics legally and ethically bound to her decisions. Although negligent actions were identified which may have resulted in a substandard patient treatment, paramedics acted with intent to better the patient despite unforeseen future factors. There is no set structure paramedics can follow in an ethical and legal standpoint thus paramedics must tailor them to every given
Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through the use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in the diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies and is provided by obstetric and gynecologic sonographers, who also provide imaging of the female reproductive system. Other types of sonography include; abdominal sonography, breast sonography, musculoskeletal sonography, neurosonography and cardiovascular sonography. Due to the vast nature of uses in sonography, most professionals study one field that they choose to specialize in. Diagnostic medical sonography is a rapidly growing field because of the increase in medical advances. The area of Cleveland, Ohio has continued to rise in the medical field with great strides, providing better career prospects with the availability of numerous employment positions.
The Lewis Blackman Case: Ethics, Law, and Implications for the Future Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008). The Lewis Blackman Case 1 of 1 point accrued
Anything from helping a patient discover an issue in their body to allow them to get proper treatment to seeing the smiling faces of a future parent as they see their unborn child can be extremely rewarding for an ultrasound technician. Many people want to choose the path of an ultrasound technician as their career path in life, but getting started can seem complicated. With some good planning and helpful tips, you can be well on your way to a great career as an ultrasound technician.
A career is a long time employment role which centers around the passion of ongoing goals that one wants to achieve.For my career, I will choose to become an Obstetric sonographer.Obstetric sonographers are people who perform ultrasounds on the pelvic region of female patients and fetuses.medical sonographers typically need to obtain an associate or bachelor's degree in sonography from a college or university. Basic skills that are required are to have solid technical skills for being able to function the equipment and getting practicable images, the physical skills of good hand-eye coordination to move appliances on the patient’s body in correlation to what appears on the screen, endurance to stand for long periods of time and the capacity
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
advice, the health care professionals did not treat the situation in a way that respects and dignifies the patient. The patient’s state of mind barred him from making competent decisions regarding his health care. Considering Mr. T’s psychiatric state, as evidenced by his suicidal tendencies, he should have been placed on a psychiatric hold so as to prevent any harm that he may inflict upon himself. The health care professionals did not take Mr. T’s value/worth as a human into consideration and allowed him to leave against medical advice.
Wilson, B. L. (2013). Horizontal hostility a threat to patient safety. Jona’s Healthare Law, Ethics, and Regulation, 15, 51-57. doi:10.1097/NHL0B013e3182861503
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
I haven’t always wanted to be a cardiac sonographer. The desire to be in this career just started to spark an interest in me a couple years back. You see, since I was a little girl I had always dreamt of becoming an architect or an interior designer. At first, the design aspect of that occupation interested me greatly. My dream started to fall short when I realized that a job like this would require me to make a move to a bigger city and that is something that I do not wish to pursue. This meant it was time to find another path to go down and reconfigure my future.
Individual process- moral judgement. Patient is not safe to go home . Patient with multiple steps
Several ethical principles that are incorporated in the nursing care of patients on a daily basis are nonmalificence, autonomy, beneficence, justice, fidelity and paternalism. Nurses should strive to comply to as many of the principles as possible. In this case there are principles which support and conflict with the wishes of the patient. The first principle that supports the wish of the patient is autonomy. Autonomy means that competent patients have the right to make decisions for themselves and the delivery of the healthcare that they receive. Another factor that would support the patient’s wish to not be resuscitated is nonmalificence. Non maleficence means that nurses should not cause harm or injury to their patients. In this case the likelihood of injury after resuscitation was greater than if the patient were allowed to expire. A principle that could have negatively affected the outcome of the provision of ethical care was paternalism. Paternalism is when a healthcare provider feels that they know what is best for a patient, regardless of the patient’s desire for their own care. I demonstrated the principle of paternalism because I thought that I knew what was best for the patient without first consulting with the patient or family. This situation might have had some very negative consequences had the patient not have been competent. Practicing a paternalistic mindset might have caused a practitioner in the same instance to force their ideas about not resuscitating the loved one onto the family. This could have caused a sense of remorse and loss of control of care amongst the