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Essay on quality issues health care
Quality in healthcare essay
Quality in healthcare essay
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The Mississippi Board of Nursing is a protection agency who regulates the nursing practice through licensure. This board ensures safe nursing practice within the hospital, community, and home setting from all of its nurses. In order to be sent in front of the board a complaint must and can be filed by anyone. The board will look into the incidence and act accordingly. On Tuesday, February 2 we were able to attend the Mississippi Board of Nursing to view the process of licensure. Within this meeting we were able to hear the cases of healthcare providers beginning with their allegations, steps they have taken to correct their circumstances, and any other insights they could provide that would help with their cases. On this day we were able …show more content…
She improperly filed her paperwork, neglecting to record her income acquired through overtime. She was charged with fraudulence, made to pay back the money she took, and placed on probation. She has since paid back the money she owed and is waiting to afford a lawyer to return to court and have the ban on her license lifted. She admits what she did was wrong and her intent was never to steal from anyone. With a charge of fraudulence the defendant may come across as a thief and untrustworthy. These are characteristics which are a must to uphold in the medical profession. However as the defendant was pleading her case you could see she was sorry for her actions and was truly attempting to get back on the right track. Noticing the defendant’s efforts to better herself the board granted the return of her license at the completion of her probation …show more content…
As the first defendant was pleading her case I was sure she would not be receiving a second chance being she had not made any progress and was making up her own treatment program. After noting she had not really abided by the recommendations of the board the first time I was surprised they allotted her another chance. When it came to the case with the second defendant I was glad to see she got her license back. Although it seems like common knowledge to most people I do believe she received improper guidance to document on her paperwork, leading to her charges. Being she was truly sorry and remorseful for her behavior I do believe she learned her lesson and will take this opportunity to grow.
Attending the Mississippi Board of Nursing was an eye opening experience. I was able to get a look into what a license can be revoked for, the proceedings of the case, and gauge the judgement process. Both these cases were different from each other allowing for more exposure of the court hearings. The first case was extensive and detailed while the second case was short and to the point. With the presentation of the different rulings tt was refreshing to see that the members of the board do try to work with those nurses whose licenses are in jeopardy, while at the same time ensuring public
The Nevada State Board of Nursing is an organization dedicated to ensuring that people receive safe and competent nursing care. NSBON’s mission is to “protect the public’s health, safety and welfare through effective nursing regulation.” The NSBON is able to achieve this mission through a variety of standards and rules.
While working at the OB-GYN department in the hospital, Dr. Vandall, as a Vice Chair of the Department of Obstetrics and Gynecology, learned that another employee of the hospital, Dr. Margaret Nordell was engaged in a level of treatment that was unethical and violated accepted standards of care. It was his duty to the hospital and to the patients, to monitor the competence of his staff members. Although he tried to take the proper steps to deal with it within the hospital, he ended up reporting this to the North Dakota Board of Medical Examiners. It was concluded by the Board that the treatment of Dr. Nordell was gross negligence and they suspended her license to practice medicine.
The violation was due to the failure to abide by the probation set forth during her first disciplinary action. The nurse was put on five years’ probation in June of 2015. The probation was for DUI, leaving the scene of the accident, being under the influence of methamphetamine, heroin, cocaine, alcohol, morphine,
This case study examines a case of an LPN who became ill while about halfway through her shift and chose to go home. This LPN was assigned to care for five patients in an obstetrical ward, four of which were considered stable. The fifth patient was awaiting an obstetrical consultation when the LPN became ill and vomited. At this time, she notified the other nurses and, subsequently, the charge nurse that she needed to leave due to illness. The charge nurse instructed her to notify her supervisor prior to leaving the facility; however, the LPN chose not to do so and went home. Her reasoning in not notifying her supervisor as she was instructed was that she feared that the supervisor would ask her to go to the emergency room for care. The LPN testified that she did not want to pay for an emergency visit and that she intended to make an appointment with her family doctor early that same day. The facility terminated the LPN’s contract and also reported her to the state board of nursing for patient abandonment. As a judgment, the board of nursing suspended here nursing license pending a psychological examination and fined her $1000 for abandoning her patients. In this paper, we will examine the viewpoints of the LPN, the charge nurse, and the nursing supervisor as they relate to the Nurse Practice Act and the board of nursing.
Montague and her Husband sued Drummond and Nursefinders. Montague alleged causes of action for negligence, battery and negligence per se and intentional affliction of emotional distress under a theory of respondent superior. She also alleged that Nursefinders negligently hired, supervised and trained Drummond. Montague’s husband claimed for loss of consortium.
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 care that the public health nurse provides to her clients is patient-centered. During one of the home visits, the nurse talked and questioned her client about what her needs were and if there was anything she could do for her. The client mentioned that she needed more supplies such as diaper and baby clothes. The nurse agreed to bring these items the next time she visits. When the nurse had to perform an assessment on the client’s son by using the ASQ-3, which is a screening tool that screens for developmental delays, the client mentioned that she was not feeling well and did want to answer questions. The nurse respected her client’s request and did not carry on with the assessment. Patient-centered care was evidenced in the nurse’s practice as she was assessing and responding to her client needs. The client also had control on how the care was delivered to her. By letting the client have a voice in her care, the nurse was establishing a caring relationship with the client, which is one of the cornerstones of public health nursing (Garcia, Schaffer, & Schoon, 2014, p. 9). In addition, by providing support and care as well as addressing the client’s needs, the nurse was working at the individual level of practice.
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
While working seemingly endless days, many nurses do not realize the many influences that affect their professional practice or how client care is delivered. Besides their employer, health care organizations are highly regulated by federal, state, and local laws and regulations. In addition to the rules set by governments, most medical establishments want to be accredited by The Joint Commission (TJC), a non-government regulatory agency. TJC does not have the authority to cite or fine a facility for not meeting standards or responding to its custodian alerts (The Joint Commission, 2011). However, these standards carry considerable weight through the loss of millions of dollars from Medicare and Medicaid programs.
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.
Unprofessional Conduct according to the Arkansas State Board of Nursing is detailed in ASBN Rules and Regulations, Chapter 7, Section XV, #6. The section states the following conduct are considered unprofessional. Failing to assess, evaluate, and intervene, Incorrect documentation, Missappropriation of residents property, Medication and Treatment errors, Performing or attempting to perform procedures that the nurse is untrained to do, Violating confidentiality. Neglect/Abuse or failure to report these incidents, Failing to report violations or attempted violations to the ASBN, Inappropriate delegation of duties, Failing to supervise, Practicing when unfit.
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
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.
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal