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Health care ethics quiz
Ethical dilemmas in the emergency room
Health care ethics quiz
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On Wednesday, December 28, 2016, approximately at 2:36PM, I responded to the ER, Room 15, in reference to an intoxicated patient that was being very disorderly with medical staff and officers.
Upon arrival, I made contact with a patient that was identified as Burke W. Duncan, medical staff and officers. I observed officers standing in the hallway in front of this patient room. A nurse by the name of Allison Cockerham was caring for this patient and this subject became beligerent and started using all kinds of profanity and vulgar language towards her.
This subject was so agigated that he started using profanity towards the doctors, nurse and officers on scene. This subject told nurse Cockerham to suck his dick and he was ready to get the fuck out of this hospital and go over to St.Vincient. This subject started pulling his patches off his chest area and was about to pull his I.V out of his arm until Ms. Cockerham the nurse asked him to allow her
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There were two medical doctors that came into the room to speak with this subject and he curse them out stating he wanted to get out of here. The nurse and the doctors tried to get this subject to cooperate with and they were talking politely to him and he kept saying fuck this with a slurred speech im ready to go.
As the subject spoke, I could smell a strong odor of intoxicants comning from his person as he spoke. This subject eyes were watery glassey and red. This subject was crying and tried to get up but almost fell. This subject started spitting on the ER room floor and constantly was using profanity.
I intervened and advised this subject that he was going to have to stop with all the profanity and he said fuck you nigger. This subject stated that I dont tell him shit and take him to jail. I advised this subject to watch his mouth and once again he said fuck you that he say what he wants. This subject further said fuck this
In July of 2010 in Miami, Florida, Richard Smith, a 79-year-old dialysis patient was admitted to the ICU after a dialysis appointment left him with severe shortness of breath. The following day after being admitted the patient complained of an upset and the doctor had prescribed him an antacid. Uvo Ologboride, the nurse taking care of Mr. Smith, gave him a deadly dose of a drug called pancuronium, which is a drug that induces paralysis, instead of the antacid. 30 minutes later the patient was found unresponsive, but they were able to revive him. Unfortunately when he was revived, he was left brain dead to which did not settle well with his family. When the patient son had came in he had found his father unconscious, unresponsive, and on a respirator. When looking over the chart to try and figure out what happened it had said his dad had just been resuscitated 10 minutes earlier and the nurse had pretty much told him to go and speak with the doctor. Upon speaking to the doctor he was told the nurse had given his dad the wrong medication which lead to his current state of his condition. The nurse was not able to be reached and spoken to about what happened on that fatal day but from what the doctor had explained was the nurse had grabbed a
On the above listed date and time, deputies arrived at Hampton County Medical Center, and made contact with the complainant regarding the above listed incident type. Deputies gathered the pertinent information needed to complete this report. The complainant and his mother wrote a voluntary statement. Photos were taken while at the Emergency Room. The complainant was issued a Victim’s Right’s Form along with a case number attached. Deputies attempted to make contact with the subject, no contact was made. Deputies cleared the call and resumed normal patrol duties.
As the EAI team was discussing Molly’s case, one of the ED Residents made a few telephone calls. Molly’s PCP reported that during her last visit about 2 weeks ago, Mollie was alert and able to respond to questions appropriately. He confirmed that Mollie’s daughter and son in law have experienced psychiatric problems, adding that the son in law has expressed anger regarding Mollie’s living arrangements. The home health care agency was contacted. The RN and aide both report they have never met the son in law and have had very limited contact with Mollie’s daughter. When contacted by telephone, the daughter provided no explanation for Mollie’s extensive bruises noted on admission to the hospital. The daughter stated that Mollie did not fall, but in fact lowered herself to the floor in an effort to draw
During this time the DJS student Raquazia Donyia-Shoalyne Gross was being assessed by the Nurse Carol ; another staff Telethia Menefee (Care Specialist) and April Smith (Residential Unit Supervisor) and Ephraim Okech (Residential Counselor ) was able to calm DJS student Raquazia Donyia-Shoalyne Gross down and the letting go process began. DJS student Raquazia Donyia-Shoalyne Gross was able to spit the screw she was holding in her mouth into a cup when the student was totally back to baseline she agreed to walk out of her room and sat in Gwendolyn Simmons Residential Unit office.
Mrs. Hylton is a 45 year old female who presented to the ED via LEO under IVC by her therapist, Melanie, from ADS. Per documentation Mrs. Hylton denies suicidal ideation and homicidal ideation to nursing staff and MCM before the evaluation. She also contracted for safety with MCM. Dr. Horton requested a mental health assessment on Mrs. Hylton. Before the assessment Ms. Melanie and her supervisor Melissa were contacted. Ms. Melissa reports Mrs. Hylton verbally contracted for safety, however left before ADS could type up terms of verbal agreement. Melissa reports afterwards she was not aware of Mrs. Hylton symptoms of psychosis when speaking with her until being informed by Melanie of findings after conversation with Mrs. Hylton. Melanie upon
At first, the head nurse Nurse Ratched, tries to ignore him. After all, plenty like himself had come and gone. Most of them had been treated with a little electroshock and they were down to normal, or as normal as someone in a nuthouse could be. She tried to get him to the shower, a cleaning process all incoming patients have to go through. He says that he's plenty clean. Soon it became clear he had to be dealt with. He taught the patients how to play blackjack, and he even had a deck of cards with pictures of naked ladies on them. He also tried to teach a large Indian man (who was the narrator of the story) to play basketball.
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.
Mr. Newman is a former sexual health adviser at the Countess of Chester Hospital. His license was suspended causing him not to practice nursing for nine months. In 2012, a patient filed a complaint against Mr. Newman stating his misconduct. He was found guilty for violating the confidentiality of a patient who undergoes treatment at the hospital. Patient X claimed that Mr. Newman shared her medical condition that she has been protecting from her children to a common friend that resulted great distress on Patient X’s part. Mr. X, the common friend of Mr. Newman, confirmed that he is 100% sure it was Mr. Newman who disclosed the information to him (The Standard Staff Reporter, 2015).
nurse manipulates the patients by forcing them to give up many of their personal secrets. They
Dr. Canton then complained to Dr. Kutup the chairman of surgery who called Mrs. Mintz the head of pre-admissions at SSH. Mrs. Mintz stated that the corporate call center at Great West made those calls. Dr. Gasser, an anesthesiologist at SSH had experienced the same issue with the call center. Dr. Canton, Kutup and Gasser met with Mrs. Mintz and related their concern. Mrs. Mintz called the corporate call center at Great West and spoke with the head of the department Mr. de Money. He explained that they do follow a script and the hospital should not have to lose money because, as he put it, those deadbeats. Mr. de Money was not a team player and refused to listen to Mrs. Mintz concerns about the harassment and complaints. When Dr. Canton heard this he threatened to take his patients to another hospital (Buchbinder & Shanks, 2012).
I wrongly assumed that we were attending just another alcohol intoxicated patient, so typical of a Saturday night duty. On arrival I had considered scene safety due to the behaviour of the intoxicated male shouting at me, “where have you been?” I felt he tested my communication skills due to his aggressive behaviour, I put this down to the amount of alcohol he had consumed. This proved frustrating at times but I knew I had to diplomatic, as it could have escalated the situation. His body language displayed he did not...
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...
My sixteen week class in English 111. I was really nervous about this class. Because English has never been my strong point. This class has hard, but fun all at the same time. I learn a lot from this class. Meanwhile,the first day of class you handed a paper with a question on it. “The first thing I want to say to you who are students is that you must not think of being here to receive an education; instead, you will do much better to think of being here to claim one.” Even though putting my all in what I have learned, claiming my education with hard work because using the skills of the meal plan, as we write to different audiences and learning to be a Critically thinker as I start becoming a critically-Literate Citizenship.
They started calling each names, swearing at each other and making treats of harming each other. The patients got interrupted by the clinical staffs, were told to break it up and go to their rooms. Patient (L, M) turned around and was going back to her room when she overheard patient (S, H) saying “What a bitch”, so the patient (L, M) turned back and started swearing again and said that “you better watch your back because I am going to fuck you up!” in a really high tone. The clinical staffs succeeded in de-escalated the situation and convinced the patients to go back to their rooms.