This is a very realistic scenario in a number of settings whether acute care or skilled nursing facility. This highlights the importance of educating patient care assistants of patient’s rights. Many ethical and legal issues arise in this case. The patient was subjected to false imprisonment as you mentioned in your primary post. The patient was contained to one area against their will. No matter the mental capacity, a person “has the right to move freely without hindrance” (Pozgar, 2016, p. 84). This was negated when the CNA placed the patient in their bed, and moving the bed to a position which would cause “hindrance” to the patient exiting the room, an “unreasonable way of escape” (Pozgar, 2016, p. 84). This could pose many threats …show more content…
It should have not taken the bad decision by a CNA to address the situation. If the patient would have suffered harm from this incident the charge nurse could have vicariously been liable. The charge nurse had duty to provide the standard of care that was considered reasonable in this situation. The lack of intervention by the charge nurse allowing the CNA to handle the situation on their own, improperly, could have led to negative consequence for the patient. This scenario could have been approached by first with identifying the patient was presumptuously a fall and flight risk. In the facility I work at these patients are identified with a yellow wrist band and yellow non-slip socks. A fall risk code is also hung on the outside of the patient’s room door. Splat mats, or cushion mats could be placed on the floor of the patient’s room. Two sides rails up on the bed at all times with the bed in the lowest position. Some of our beds have built in bed alarms or one can be applied externally to a patient’s bed. The patient’s room should be closest to the nurse’s station. I generally make every attempt for them to not be near any exit doors for the unit, or where they could wander into another unit. We have safety sitters within our hospital which can be taxing when a unit is are short staffed and have financial implications. Perhaps family would have been available and more than happy to sit with their family member for period of time. We even will place the patient in a wheelchair out at the nurse’s station for all staff to keep a close watch
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
With patient safety always being the number one priority FTR is the worst case scenario for the hospitalized patient. In an article titled “Failure to Rescue: The Nurse’s Impact” from the Medsurg Nursing Journal author Garvey explains ways FTR can occur “including organizational failure, provider lack of knowledge and failure to realize clinical injury, lack of supervision, and failure to get advice.” Nurses are problem solvers by nature, they heal the sick and help save lives. FTR is a tragic experience for everyone involved. The recent surge in this happening across the country has given FTR cases widespread media coverage. Hospitals are trying to figure out what the root cause is and how they can be prevented. Fortunately, with the advancement of technology and extensive research many hospitals have developed action plans and procedures to help prevent the early warning signs from being
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
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
Any job in the medical field is great, because it will always be needed no matter what. Doctors, nurses, techs, etc. are all very important and necessary people, but the people behind the scenes are just as important, medical administrative assistants. Being a medical administrative assistant seems awfully difficult, you have all these responsibilities but at the end of the day you’ll have a sense of satisfaction because you may have possibly really helped a patient or family with a serious and hard situation. There are different types or categories of medical administrative assistants, you have the front office, the back office, the clinic setting, private practices, and the floating position. Duties for
The healthcare field is a large organization filled with individuals that work towards the common goal of helping others. In the past several years’ health care organization have focused their attention in improving healthcare as a whole by focusing on factors such as access to primary care, control cost, increase efficiency and improve outcomes. A growing trend in trying to meet these challenges has been the use of physician assistants. According to Assistant, physician (PA). (n.d.). Retrieved September 30, 2015, from http://www.medicinenet.com/script/main/art.asp?articlekey=8593 a physician assistant is a mid-level medical practitioner who works under the supervision of a licensed physician. Their education qualifies them to examine patients,
As a result, she breached the standard 6 which states that “registered nurses 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 address potential and actual risks such as unexpected changes in a 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.
First to identify factors that contribute to a patient falling. Many patients that are appear to be at a high fall risk and appropriate for the use of a bed alarm are patients who are cognitively impaired, who have an unsteady gait, patients that have many wires or lines and need the assistance of a nurse or patient care assistant (PCA) to ambulate and patients who are a threat to violence. Other factors that many contribute to falls include the bed or chair exit alarm not being turned on, the alarm not being properly set up, family members turning off the bed alarm or trying to assist the patient to get out of bed, alarm malfunction, or infrequent checks on the patient to ensure they are comfortable a...
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...
While in medical Justine was struggle allowing the nursing to check her wound. After getting treatment Justine was able to leave the nurse suite and walking into the 502 hallway. Once she reaches the 502 hallway she sat down on the floor and removed her protective boot and began to removal her wound dressing. Staff attempted to use caring gestures and hurdle help to support Justine and encourage her to use her words so that could understand what’s going on. Justine was able to removal her dressing and staff placed her in a seated restraint from 4:40pm to 4:48pm. Justine was able to recovery and come down to baseline. Staff remains seated next to using caring gestures and encourage Justine to allow the nurse to redress her wound. Nurse Carol
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator monitored by the American Nurses Association, National Database of Nursing Quality Indicators and by the National Quality Forum. (NCBI)
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
A clinic and doctor 's office requires many positions that are crucial to a patient’s satisfaction, and one of the most important occupations is that of a medical assistant. Whilst their job may seem simple at first, much information, characteristics, and morals are to be expected in this medical field. Upon completing their educational requirements and proving their credibility, they may commence to search for a job in a variety of locations and opportunities. Once employed, they are responsible for operating either the front desk or the back, depending whether they are specialized as a clinical or administrative medical assistant. All in all, the simple role of a medical assistant has many requirements and
...ve heard, it may not be possible to prosecute the nurse as she was just following the home’s policy. In the same manner, it may also not be possible to prosecute the nursing home because such conditions (i.e. not administering CPR) are clearly stated in their policy, and all of their clients understand and are amenable with it. However, in cases like this, I don’t think that the law should be the be-all and end-all of things, that is, I think that mere compliance with the law does not necessarily equate to good management or administration; rather, I believe that good administration should also be guided by moral and ethical guidelines.