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ethical dilemma in healthcare technology
ethical dilemma in healthcare technology
ethics and medical technology
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Missing Image
Imagine this… You clock in to work and begin your day off as normal, you notice its going by rather smoothly. While out on portable exams, you get paged to do a routine portable chest x-ray on the patient in room 745. You immediately go to that patient’s room, without any known name or birthdate of that particular patient. As you converse with the patient and achieve a brief history, you begin the exam. After finishing you return to the department where another technologist indicates they accidently gave you the wrong patient room number. Without question you ignore the incident, and clear the images on the imaging plate then proceed to the correct patient room number and finish the images for the original x-ray order. As a radiologic technologist, one of the most important things to consider when dealing with ionizing radiation is reducing patient dose. Repeats are the main cause of patient dose, and unnecessary radiation to a patient is also another. In the example stated above, the radiologic technologist did not verify the room number with the other technologist giving the information. This led to unnecessary radiation exposure to the patient. Several ethical codes and rules were disregarded in this scenario.
According to the ARRT Standards of Ethics, “the Code of Ethics is aspirational” (American Registry of Radiologic Technologists, 2014, pg.1). This simply meaning technologists improving themselves to become even better than before. The previous scenario includes these ethical codes 1, 4, 5, 6, 7, and 8. Ethical code 1 describes the technologist acting in a professional manner, and responding to the patient’s needs. In this scenario the technologist did not only fail to verify name and birthdate, but he or ...
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... gave the room number. The technologist that took the image should have acquired the name and birthdate of the patient instead of disregarding it.
In the healthcare field, many patients come and go.
Radiologic technologists are educated on the damaging effects of radiation; therefore, it is important for them to reduce patient dose as much as possible through communication. Lead shields are provided by the hospital that technologists use, but self-consciously a technologist should be aware of reducing patient dose through step by step processes. As medical professionals it is our obligation to verify name and birthdate of each patient, this simple step will reduce the number of unnecessary radiation exposures.
Works Cited
American Registry of Radiologic Technologists (2012.) Retrieved from https://www.arrt.org/pdfs/Governing-Documents/Standards-of-Ethics.pdf
My job is to also ensure that the patient is aware of our HIPAA policies and that we are dedicated to protecting their records from any hackers or someone calling on the phone hoping to get any information. Looking at it from a mom and a patient’s point of view, it makes me feel a little easier about entrusting mine and my child’s information with them. We must as people in the health care field respect our patients and their privacy, and the code of ethics holds us accountable for these things. Being a billing and coding specialist, we have to be sure to code exactly what the doctor did during the visit to the best of my ability. The code of ethics mean I am responsible for educating myself on new changes that may be coming with future coding manuals, because they do change often. Overall the code of ethics ensure that as long as the guidelines are followed we can do our jobs accurately and with the proper
When taking a radiograph there are some precautions that can be taken to reduce some of the radiation that can be exposed to a patient, what would be used on all patients is call a lead apron and thyroid collar, these aprons are used to protect the patients that may be a bit more radiosensitive and also may give the patient a little of reassurance that they will be protected. “Radiosensitivity is the relative susceptibility of cells, tissues, organs, organisms, or other substances to the injurious action of radiation.”
Based on them, we can definitely eliminate options (c) and (d). Option (c) is against the principle of veracity and informed consent because the doctor was lying and hiding the information about the patient’s health that the patient was supposed to know. Option (d) is morally incorrect because the patient is lied to and the surgeon is not penalized. Option (b) does abide by the principle of veracity, but is against rationality because it sets negative example for the community that the doctors can be forgiven for their mistakes. Moreover, it does not abide by stewardship because the surgeon is taking advantage of being a doctor to conceal the truth. Consequently, the morally correct decision would be the option (a) because it abides by the principles of veracity and informed consent as the responsibility of disclosing the truth to the patient is fulfilled. Moreover, considering the rationality and stewardship, it will set an example for all the doctors that incomplete disclosure of information to the patient is unacceptable and the doctors should not take advantage of their importance in the
The other issue also may or may not be an ethical dilemma. Karen’s action of putting XCPs in cold sterilization throughout the morning and then removing them during her lunch hour is, by itself, ethically wrong. The ethical dilemma that may be associated is evident when the needs of the patient is taken into consideration. If the XCPs are required to diagnose patients, and insufficient XCPs are available, does the risk of infection outweigh the patients need for radiographs? Although a morally weak argument, the issue still stands to question.
I really don't like doing this, but I believe this case warrant me to inform you about a minor incident that took place on saturday night at about 0430. Alvin requested my assistance at emergency department with a coding patient arriving via ems. However, upon the conclusion of the code, a Nurse named Olivia Wilson approached me with vnasty attitude (yelling) saying her patient was suppose to be CT scan long time ago. First of all, I wasn't aware of the CT scan, the only reason I was down there in the ED was to assist Alvin with the code, and Olivia just assumed that I was aware of the CT scan. When I was exiting with Mellissa (who came to join us toward the end of the code) the ED to continue my work work in the ICU, Olivia
This negligence is due to the examiner's prejudiced and biased attitude, and misunderstanding of the code of ethics. For instance, there was a clinical rotation case, in which the medical specialist had pretended to be busy with paperwork only to avoid taking a patient into the examination room, because the patient was handicapped. As soon as the person entered the room, the sonographer did not make eye contact with the patient. Even though it was her turn to complete an echo, she did not approach the patient and thus he naturally felt uncomfortable. Instead, she deliberately decided to disregard his presence and engage in administrative activities. This is not a morally valid excuse, by which this particular patient can be delayed any type of healthcare, service, or assistance. In this situation, the caregiver believed that she will have to provide extra care, more attention, and dedicate additional time for performing the echocardiogram. The sonographer's choice to avoid the patient due to physical appearance and immobily, lacked any professional integrity and was
The sixth and final accident was supposed to receive small position verification doses. After the machine halted with an error message, the operator pressed the button to continue, and the machine displayed that it had delivered the correct dose. The patient complained of pain, and died from complications resulting from a radiation overdose three months later (Death and Denial, The Accidents).
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.
It has come to our attention that a breach of confidentiality has occurred in our office. One of our patient’s has filed a complaint regarding a breach of his (PHI) patient health information. The breach occurred when two of our employees were discussing the patient’s HIV status in a common area in the presence of his mother. This is unacceptable and is a violation of the HIPAA Laws and our policies. Fortunately, the patient’s mother was aware of her son’s condition and there were no other patients within earshot. Let me make this clear, this was an unauthorized release of patient health information and we are obliged by law to make sure this doesn’t happen again. Not only is it a privacy issue but also a violation of the patients civil rights. We will address our expectations of our staff in regards to PHI and what safeguards will we improve to guarantee that this does on happen again. We will review our policies, HIPAA and the conditions for HIV/AIDS patients and the consequences for this breach in confidentiality.
The role of the radiologist is one that has undergone numerous changes over the years and continues to evolve a rapid pace. Radiologists specialize in the diagnoses of disease through obtaining and interpreting medical images. There are a number of different devices and procedures at the disposal of a radiologist to aid him or her in these diagnoses’. Some images are obtained by using x-ray or other radioactive substances, others through the use of sound waves and the body’s natural magnetism. Another sector of radiology focuses on the treatment of certain diseases using radiation (RSNA). Due to vast clinical work and correlated studies, the radiologist may additionally sub-specialize in various areas. Some of these sub-specialties include breast imaging, cardiovascular, Computed Tomography (CT), diagnostic radiology, emergency, gastrointestinal, genitourinary, Magnetic Resonance Imaging (MRI), musculoskeletal, neuroradiology, nuclear medicine, pediatric radiology, radiobiology, and Ultrasound (Schenter). After spending a vast amount of time on research and going to internship at the hospital, I have come to realize that my passion in science has greatly intensified. Furthermore, both experiences helped to shape up my future goals more prominently than before, which is coupled with the fact that I have now established a profound interest in radiology, or rather nuclear medicine.
...why does the technologist step behind a shield to prevent exposure to themself?" The radiation dose for each exam is relatively small, but over time, the dose can add up. There are many state and federal regulations limiting the total radiation dose that may be received by people working with radiation. To comply with those regulations, the technologist must follow strict precautions to keep their cumulative exposure to a minimum.
The nature of work for radiologic technologists involves many tasks. Often referred to as radiographers, they take x-rays of the human body for a diagnosis. The techs remove jewelry and explain procedures, as well as position the patient to be appropriately radiographed. Lead shields are worn to prevent unnecessary exposure to radiation, but techs are also required to follow strict regulations for the use of radiation to protect their patients and coworkers. In addition, radiologic technologists maintain equipment and patient records (Bureau of Labor Statistics). There are certain skills one should possess to be an effective technologist and these include active listening, talking to others to convey information effectively, critical thinking, reading comprehension, and c...
The technologist asked the patient if he was able to stand for the upright abdomen exam and the patient affirmed that he could. The radiology technician positioned the patient against the wall bucky, and as the technologist walked to the control panel, the patient collapsed and hit his head on the floor. The patient was taken to the operating room, where a neurosurgeon evacuated the hematoma. A malpractice lawsuit against the radiologist, the radiology technologist, and the hospital. The lawsuit alleged that the patient had sustained a “serious head injury with permanent sequelae” (Berlin, par3) because the defendants had failed to provide a standard of care in allowing the patient to stand alone without support of personnel during a radiologic examination that consisted of distending the colon with air and barium to such degree that sudden loss of consciousness should have been anticipated. The radiologist and radiology technician violated Section A, Code of ethics number 4, 5 and 6 which states, “4. the radiologic technologist practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories consistent with the purposes for which they were designed and employs procedures and techniques
Radiology technology is a science of using radiation to produce images. There are many jobs you can perform in diagnostic imaging usually a radiologic technologist will oft...
The sixth ethical issue arises when the client is denied access to his medical chart. Currently, HIPPA (2006) grants clients access to their medical records. An exception to this is if the information contained within the medical records is “reasonably likely” to cause harm to the client (HIPPA, 2006; APA, 2002). The records were unlikely to cause harm to the patient and, therefore, the client should have had access to them.