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Recommended: Ethics for nurses
I wanted to let you know about an incident that took place on Wednesday, December 30, 2015, in the Department of Surgease. I was the circulating nurse participating in Dr. Fabian's procedure. After the patient had been induced, Dr Fabian began positioning of the patient. It is usually a joined effort shared between the surgeon and the circulating nurse. However, Dr. Fabian insisted on positioning her patient alone. She rejected a tourniquet that I had handed her, complaining about the tying strings not being of an equal length. I went to another room and gave her another tourniquet. After she had placed the tourniquet on the patient leg, she attempted to place the "leg holder", however, she quickly became agitated when unable to properly
On Saturday, September 9th, 2017, at 2034 hours, I was dispatched to 3217 Grouper Rd in reference to a domestic violence incident that had just occurred.
This assignment will explore a case study on an episode of care where a patient with chronic pain was hoisted. This will be written from the perspective of the author, a student nurse. The purpose of this assignment is to underline the ethical, legal and professional issues surrounding the episode of care during nursing practice and how these issues influence the role of the nurse and their professional judgement in delivering holistic, person-centred care for the patient. The author will cover the complications on delivering care when healthcare professionals should consider and respect the patient’s decisions and personal preferences whether it may benefit the patient or not. Therefore, the author will argue the principles of the patient’s autonomy against the concerns for the patient’s health and well-being, considering what form of care is appropriate and what must be done and how the nurse can maintain their professional role in being an advocate. Moreover, this will consider the nurses’ approach in providing the best care possible by means of ethical, legal and professional values. Furthermore, this assignment will briefly show an awareness of the roles of other professionals involved in the care.
Mrs. Ard brought a wrongful death law suit against the hospital (Pozgar, 2014). The original verdict found in favor of Mrs. Ard, but the hospital appealed the court’s ruling (Pozgar, 2014). During the course of the appeal, an investigation of the records showed no documentation, by a nurse; of a visit to Mr. Ard during the time that Mrs. Ard stated she attempted to contact a nurse (Pozgar, 2014). The nurse on duty stated that she did check on Mr. Ard during that time; however, there were no notes in the patient’s chart to backup the claim that Mr. Ard had been checked on (Pozgar, 2014). One expert in nursing, Ms. Krebs, agreed that there was a failure in the treatment of Mr. Ard by the nurse on duty (Pozgar, 2014). ...
She controlled every movement and every person’s actions and thoughts. She made the doctors so miserable when they did not follow her instructions, that they begged to be transferred out if. “I'm disappointed in you. Even if one hadn't read his history all one should need to do is pay attention to his behavior on the ward to realize how absurd the suggestion is. This man is not only very very sick, but I believe he is definitely a Potential Assaultive” (). This quote from the book illustrated how Nurse Ratched controlled her ward. She manipulated people into siding with her regardless of whether it was the right decision. This was malpractice by Nurse Ratched because she did not allow the doctor, who was trained to diagnose patients, to do his job properly. Instead, she manipulated the doctor to diagnose the patients incorrectly in order to benefit her interests rather than those of the
The formal “authority” for this issue is WA State Central Region EMS and Trauma Council with Harborview Hospital being its leader. Harborview’s authority in King County was established well before this issue arose. A top-down approach is being used to control the resolution of this issue. This is a driving force. It works well because “the environment is stable and tasks are well understood.”
Nurse A seemed confident and calm while nurse B appeared tired. With the first patients, I noticed that both nurses were asking for first and last name and confirmed the information with the picture in the computer and the medication cup. After a few minutes, I turned my attention to nurse B because I noticed she did not ask a particular patient for his name. Instead, she relied on the name provided by a patient care technician. When she was about to give the medication to the patient, nurse A noticed that the patient on the computer screen was not the patient on the counter. She immediately told nurse B “ That is not Mr… girl ” and nurse B responded while laughing “ He looks exactly like …, I need to get some coffee ASAP”. The patient immediately realized what happened and told nurse B his name. After that, nurse B reached for the right cup and administered the medication to the patient. Even though a medication error was not committed and no harm was inflicted to the patient, by violating important QSEN competencies this incident could have caused a negative patient outcome.
Statement: Benjamin M. Harrington Statement of the incident that happen on April 11, 2016 with my co-worker Pramond Patel.
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
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...
On February 1, 2003, the Space Shuttle Columbia was lost due to structural failure in the left wing. On take-off, it was reported that a piece of foam insulation surrounding the shuttle fleet's 15-story external fuel tanks fell off of Columbia's tank and struck the shuttle's left wing. Extremely hot gas entered the front of Columbia's left wing just 16 seconds after the orbiter penetrated the hottest part of Earth's atmosphere on re-entry. The shuttle was equipped with hundreds of temperature sensors positioned at strategic locations. The salvaged flight recorded revealed that temperatures started to rise in the left wing leading edge a full minute before any trouble on the shuttle was noted. With a damaged left wing, Columbia started to drag left. The ships' flight control computers fought a losing battle trying to keep Columbia's nose pointed forward.
As a nurse in the medical field for the past ten years, I have learned the differences in my scope of practice in providing care and facility policies. An experience I encountered, was a patient requiring a procedure that I hadn’t been trained on. This situation left me to figure out what I was legally able to do, questioning if I should speak up, and examining if by doing this if it would directly affect my job or having any lasting repercussions.
The patient was transferred into my care via the Emergency Assessment Unit for Surgical Patients (EAUS). I was given handover by the charge nurse who has already pre-a...
“Mitchell! It’s time!” my mom shouted from down the stairs. Nearly in tears at this point, I slowly walked down the stairs, stalling time with every step I took. Dreading this walk toward the kitchen table, I absolutely would rather be anywhere in the world than sitting at the kitchen table doing this. I took my time pulling the chair out and taking a seat. The pad was already on the table along with all of the necessary equipment. I tried telling my mom I didn’t need this, but the pain in my leg knew that was a lie. I knew that in only a few minutes all of this worry would be behind me, but the sight of the syringe and tourniquet were making me sick to my stomach. All of my focus was on the needle as it rested in my mother’s hand.
Circulating nurses must check the expiry date and the integrity of the packaging and wear the correct PPE prior to opening the articles. Each article must maintain its sterility; therefore the setup must be continuously monitored. Instrument nurses must create the sterile field using sterile drapes as they minimise the transference of microorganisms. They must also keep their hands at chest level, as areas below table height can be easily contaminated (Australian College of Operating Room Nurses, 2010).