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Ethics means
Professionalism in nursing is important because
Truthfulness and confidentiality in relation to nursing
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ETHICAL ISSUE
Ethics is a philosophic study that examines values, choices, and actions to determine right and wrong. Ethical principles include but not limited to; Justice, beneficence, nonmaleficence, veracity.
The case study which I am going to discussed in my paper is about an LPN, who was working from 7:00 P.M to 7:00 A.M. And was assigned to five patients, including a patient for whom an obstetrical consultation was needed. The other four patients were essentially stable. At about 4;30 A.M., the LPN became ill and vomited in the bathroom. She immediately went to the nurses’ station notified the other four nurses who were working with her that she was leaving. The charge nurse instructed her to notify the supervisor before leaving, but the LPN did not communicate with the nursing supervisor before existing the facility. The facility notified the LPN that it was terminating its contract with her and reported the LPN to the state board of nursing for abandonment. The board of nursing imposed a $ 1000 penalty for abandoning her patients and suspended her nursing license pending a psychosocial examination.
According to The Texas Board of Nursing (BON or Board),” in keeping with its mission to protect the public health, safety, and welfare, holds nurses accountable for providing a safe environment for clients and others over whom the nurse is responsible [Rule 217.11(1)(B)]. Though the Nursing Practice Act (NPA) and Board Rules do not define the term abandonment, the Board has investigated and disciplined nurses in the past for issues surrounding the concept of abandonment as it relates to the nurses’ duty to patient. The Board's position applies to licensed nurses (LVNs and RNs...
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... to prevent harm.
Nonmaleficence is defined as: The duty not to inflict harm intentionally. Based on my viewpoint, the LPN did not intentionally inflict harm on the patient’s. According to her statement, she became ill and decided to leave the facility and the reason she didn’t communicate with her supervisor was because she was afraid that the supervisor would send her to the emergency center, which she didn’t want to be billed for such a visit.
Veracity is defined as truth-telling and based on my point of view, the LPN was not telling the truth, when she testified that she intended to see her family physician early that same morning. It was 4:30 am when she left the facility and there is no way she could have seen her family physician that morning unless she went to the emergency room which she refused to go making her guilty for abandoning her patients.
Nursefinders argues that the causes of action based on respondent superior liability failed because Drummond was a special employee of Kaiser or acted outside the course and scope of her employment. they also asserted that no triable issues listed on Montague’s negligence claim and the lack of cable cause of action precluded a derivative loss of consortium claim.
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
Ohio Dep’t of Rehabilitation & Correction are the poor-quality patient care that Tomcik received and Tomcik’s health being at risk. Once engaged in a doctor-patient relationship, physicians are obligated to provide the best possible care for the patient by utilizing their skills and knowledge as expected from a competent physician under the same or similar conditions (“What Is a Doctor’s Duty of Care?” n.d.). However, in Tomcik’s situation, Dr. Evans did not deliver high-quality care, for he administered a perfunctory breast examination and thus did not follow standard protocols. There is evidence of indifference conveyed by Dr. Evans, and the lack of proper care towards Tomcik is an issue that can be scrutinized and judged appropriately. Additionally, Tomcik’s health was at risk due to the failure of a proper physical evaluation and the incredibly long delay in diagnosis and treatment. The negligence from Dr. Evans, along with the lack of medical attention sought out by Tomcik after she had first discovered the lump in her breast, may contribute to Tomcik’s life being in danger as well as the emotional anguish she may have felt during that time period. Overall, the incident of Tomcik’s expectations from the original physician and other employees at the institution not being met is an ethical issue that should be dealt with
The receptionist was on the phone for quite a long time before she could reach out to Ms. Patient. In the end, the receptionist just took Ms. Patient’s insurance without any clarification and made her wait for a while. Additionally, she was unable to focus on Ms. Patient and got distracted when another patient asked for indications. The receptionist clearly indicated unprofessionalism when she was unable to provide adequate information for the patient when she was disoriented. Also, the receptionist did not have any manners when she failed to excuse herself when another patient wanted to speak with her. Ms. Patient stated that she felt extremely vulnerable and lost when no one was able to help her understand what was going on. Therefore, the healthcare team in this case was unsuccessful in providing a caring and helpful environment for the
“A nurse may subject herself to a malpractice action if she accepts a work assignment that she is not competent to perform. On the other hand, refusing to perform an assignment may be considered patient abandonment, which may also bring a malpractice action or government investigation. Abandonment may also be found when a nurse does not observe a patient frequently enough, fails to find adequate coverage when the nurse ceases to treat the patient or fails to bring in a qualified professional when required by the patient's condition. The liability of the nurse often becomes the liability of the health care facility because nurses often act as agents for the facility” (Nursing Law Manual
Therefore, even if the facts show that these employees where somehow providing professionally approved care, i.e. physically restraining her during an out of control incident, the patient’s perception that she was being physically and sexually assaulted remains to be the outcome. Therefore, according to the consequential theory of ethics, this behavior would not be considered ethical. Therefore, an alternative action, or one that is not perceived to be threatening and harmful, must be executed.
To begin with, there is Autonomy with Lora wanting to make the choice on not having the abuse she encountered be reported. Secondly, Beneficence is present with the nurse wanting to do good by doing what is best for the patient, preventing further abuse, and getting Lora out of the environment she is in. Morally, the nurse wants to keep Lora’s abuse private and confidential per Lora’s wishes, but legally the nurse is required by law to report the abuse no matter what age the child is. Nonmaleficence is present in that the nurse must consider the pain in suffering the patient and family will encounter when this is reported resulting in Lora being removed from everything that is familiar to her with the end result of getting Lora out of the abuse and into a healthy environment. The nurse has to be truthful to Lora and explain why the nurse will report the abuse and what the process will be which pertains to the principle of Veracity. The nurse must keep the information that was given about the abuse confidential by only telling the appropriate agency or those in a need to know basis that will deal with the abuse. This is one of the few times that the nurse will go against the patient’s wishes of privacy due to the vulnerability principle. This occurs when there is a need for protection for
That is the rising number of negligent acts committed by medical professionals. Failure to follow standard of practice is the leading root cause of the troubles involving malpractice. Failure to assess and monitor the patient, failure to communicate, medication errors, negligent delegation or supervision and failure to obtain informed consent from patients are the top failures leading to malpractice. The American Nurses Association provides scopes and standards that if followed could prevent many of the negligent acts. Duty, Breach of Duty, Foreseeability, Causation, Injury, Damages must be proven for a nurse to be held
According to provision 4 in lecture, the nurse is responsible and accountable for individual nursing practice. After the new RN observed the nurse who was having difficulty focusing, legally the supervisor nurse was not following provision 4. The nurse was not demonstrating correct actions that he/she was responsible for and was not being accountable for her actions. It is stated that “The recognition of accountability for actions is the cornerstone for a profession because of the implied social contract with the public” (Lachman, 2009, pg.57). The nurse was demonstrating actions that are unfit and could lead to potential harm. The nurse should be accountable for her own actions. The new RN was being responsible and looking out for patient safety when the supervisor nurse came impaired to work. Also, the supervisor nurse was not following provision 3. According to lecture, provision 3 states “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”. The code of ethics states “Nurses must protect the patient, the public and the profession from potential harm when practice appears to be impaired” (ANA, 2015, pg. 13). The new RN is protecting the patients and the profession when the supervisor nurse was came to work
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
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
Q.3 Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered Nurse Standards for Practice. According to standard 1.4, the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified of this condition. Furthermore, the nurse failed to effectively respond to a deteriorating patient.
middle of paper ... ... In this case, if a nurse does something out of the scope and a client falls into trouble, it may affect the nurse legally. Even the nurse can be imprisoned.
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
is the duty to do no harm. The nurse first needs to ask him or herself what