Case Study #2 (10 marks)
You have serious concerns that a colleague is delivering poor patient care because of problems with chemical dependency.
1. Describe your responsibility and course of action. (4= 1page) The core responsibility of nurses is to protect our client from harm, and to provide safe and ethical care to the clients, their families, and the public (CNA, 2008, 2009; CNO, 2009, 2014a). And because nursing is a self-regulated profession, it is also nurses’ responsibility to monitor, evaluate, and intervene our professional activity, to improve knowledge and skills by planning by themselves or by supporting each other, to report an incident and/or the individual to the authorities if required to protect the public, and to adhere
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The overall course of action explained in previous question is geared toward nonmaleficence because it is intended to prevent the colleague who is suspected to be under the chemical influence to be punished for her possible professional misconduct (CNO, 2014a; Laurentian University, n.d; McDonald & McIntyre, 2014). Also, because this course of action prevents the patients from receiving poor nursing care, it is the act of nonmaleficence from the patients’ perspective (Laurentian University, n.d; McDonald & McIntyre, 2014). Taking over the patient care on behalf of the colleague is, in other words, assisting the colleague’s duties. Therefore, it is considered as beneficence (Laurentian University, n.d; McDonald & McIntyre, 2014). Autonomy in ethical principle is to respect a capable person’s self-determination (Laurentian University, n.d; McDonald & McIntyre, 2014). Therefore, evaluation of the colleague 's capability to reflect on her own behavior and its effect on her patient care is a key step in respecting the colleague 's autonomy. Honoring the colleague’s freedom of choice of action after sharing of information about the possible consequences of the colleague’s behavior and the next possible actions without forcing is a way to respect patient’s autonomy as well (Laurentian University, n.d; McDonald & McIntyre, 2014). Justice is to respect for people’s rights (Gillion, 1994) and to adhere the law and regulations (Gillion, 1994; Laurentian University, n.d; McDonald & McIntyre, 2014). Therefore, the actions taking to protect the colleague’s autonomy is, at the same time, respecting the colleague’s right. To adhere laws, a nurse who found her/himself failing to meet the standards of practices while being incapacitated by chemical abuse is required to self-report (CNA, 2008, 2009; CNO, 2012, 2014a). As stated in the Code of ethics for
The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur which happened as a resident in a long-term care facility. Comorbidities include Alzheimer 's disease and diabetes type II. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this women many times prior to this hospitalization. The staff seemed to all chime in eager to express the faults in
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
Obtain a copy of the nursing organization chart. What is the position of this role within the institution 's/agency 's administrative hierarchy? What is the relationship of this position with other departments/areas within the institution/agency? Director of Nursing. In the chain of command it’s a position below the administrator.
According to section 149(b) of national law, tribunal has authority to exercise any power under subdivision 6 of National Law if the practitioner admits it in writing to tribunal. Section 149C (1) (a) and (b) of national law empowers tribunal, if it is satisfied a practitioner is not competent to practice the practitioner’s profession, or a nurse is guilty of professional misconduct, to suspend or cancel the registration.
The nurse is creating a four-column plan of care for a client. For which areas should the nurse prepare to document when creating this care plan?
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
The nurse’s first year of practice is the time to acquire new skills and build knowledge and confidence upon the same. Due to deficiency of skills, practical experience, and conflicts in the theoretical knowledge and practical knowledge during the initial phase of their employment, Registered Nurses (RN) face a lot of problems and challenges. Due to these gaps of knowledge, fresh graduates have a lot of stress to perform equivalent to the experienced nurses, which they find difficult. Due to this self-expectation and the expectation on the part of employers and senior nurses newly qualified nurses feel a lot of stress. Fresh nurses consider themselves ready to perform at the new job placements but find themselves not on par with
Privacy and confidentiality are very important in the field of nursing. As nurses, we have a right to our patients to protect their privacy and confidentiality. Privacy refers to the right to have control over what information can be shared with others, while confidentiality is the right to not have any information be shared with anyone who doesn’t have permission (Burkhardt & Nathaniel, 2014, p.76). Sometimes in certain cases, we must break privacy and confidentiality.
ANA defines Professional nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (ANA, 2010, p. 10). In order to gain professional competency and integrity amongst the nursing care professionals, certain guidelines should be stipulated, which can direct the nursing care towards growth. For example, to develop policies, set standards and regulations for nursing practice, to maintain a thorough system for licensure and certification of nurses, accreditation procedure and to postulate and monitor the code of ethics.
However, we are looking at a case study where patients safety has been compromised, professionalism has been voided, lack of communication, nurses aren’t liable for their work, the duty of care has been breached and lot more issues can be discovered. Which will be incorporated in this paper. Looking at the patient Christopher Hammett
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.
Therefore, nurses are expected to comply with legislation, policies, standards, and guidelines that will guide nurses to follow both legal and ethical duties. One of the ethical and legal obligations of a registered nurse and student nurse is to protect the privacy and confidentiality of patients (NMBA, 2013, p.6). Similarly, code of ethics for nurses has also outlined this nursing responsibility in their value statement 7 (NMBA, 2008, p.3). For example, Butts (2013), explained that the nurses can maintain physical privacy by draping the patient's body while providing care. Likewise, nurse and patient should discuss in a private room to maintain auditory privacy. Another duty of nurses is to keep the patient information confidential. This information can be either in written, oral or in electronic form. Other members of health team, like doctors who are directly involved in the patient care, can have access to patient data. Nurses cannot disclose the patient's information to patient's families, friends or third party without patient consent. However, if a patient's right and safety are jeopardized, then to protect patient, the confidential information can be disclosed. But when a nurse acts outside the code of professional conduct a nurse is held accountable by law. Therefore, in order to protect nurses and nursing students from ethical issues,
This assignment will discuss the professional, legal and ethical issues related to the self-use of medication by nurses. It will also explore the importance of reporting this misconduct by both professionals in the scenario and how they might do so. The self-use of medication by nurses is not allowed or justifiable according to the guidance provided to nurses by An Bord Altranais (ABA 2007). It will also be evident throughout this assignment the need for Jack to report Linda’s self-use of the medication or urge Linda to do so regardless of the consequences it may present to both him and Linda as according to Nurses and Midwifery Board of Ireland (NMBI 2013), nurses can now be held responsible for not taking action. This is because delivering the greatest level of care to a patient is an essential role of a nurse and the main focus of the nurse’s work should be on caring for that patient (ABA 2010). There is also an ethical duty upon both nurses to report the misconduct according to the four ethical principles; Beneficence, non-maleficence, justice and autonomy (Edwards 2009).