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Ethical concerns of negligence
Ethical concerns of negligence
Ethical concerns of negligence
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D- Met with the patient as he arrived to the clinic. The patient was upset about his dose decrease of 4mgs due to his AWOLs. This writer discussed with the patient about the clinic's policy of daily dosing. Furthermore, this writer addressed with the patient about his benzo positive result since December of 2016; however, there is no prescription on file. The patient self-admits of the illicit use of klonopin-0.5mgs once a week. He's provided with such medication by his sister as the patient complained about pain and the difficulties of sleeping. This writer discussed with the patient about treamtent violation as the use of medication that aren't prescribed to the patient and the potential harm it could have had. This writer rendered a Step 1 treatment violation and included the patient's AWOLs. Furthermore, the patient signed an ROI for his home care provider as the patient is receiving in-home assistance with daily routine, OT, and PT. However, due to the alarming concerns of the patient medical condition as there has been reports from the home care agency and the patient himself of falling and the patient refusal to seek medical attention to the ER. The patient decline the notion of seeking a high level of care, such as a skilled nursing facility due to the fear of dying in such home and his sanity. …show more content…
Beebee (Orthopedic) office about the status of the patient's knee surgery. The patient plans to explore Hartford Hospital for assistance but will address it with his PCP. Nevertheless, the patient discussed his plan of obtaining a wheelchair from assistance of his home care
The two of the six rights of medication administration that were violated where the right medication, the right dosage, and the right client. The nurse failed to read the medication order three times before administering the medication, failed to scan for the right count of the medication, and as well failed to match the patient ID with the scanned
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
Anthony is a 40-year-old Asian American male who presents on the unit from RRC-W. He is SMI designated and on COT. He is ACOT for non-compliance. Per clinical team, client has been ignoring his diabetic condition due to increase psychosis and delusions. His team believes once he is stabilized on medication, he will begin to recognize his diabetic condition. Upon arrival, client refused intake assessment and vital signs. He will benefit from meeting with provider to discuss medication
Hospitals are busy places, and with so much going on it is hard to believe that mistakes are not made. However, there are some accidents that should never happen. Such events have been termed ‘never events’ because they are never supposed to happen. This term was first introduced by Ken Kizer, MD, in 2001 (US, 2012). The Joint Commission has classified never events as sentinel events and asks that hospitals report them. A sentinel event is defined as, “an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof” (US, 2012). Never events are termed sentinel events because in the past 12 years 71% of the events reported were fatal (US, 2012). Because these events are never supposed to happen, many insurance companies will not reimburse the hospitals when they occur. A study in 2006, showed that the average hospital could experience a case of wrong-site surgery, one example of a never event, only once every 5 to 10 years (US, 2012). This study illustrates how rare a never event is. Hospitals do not want these never events to happen any more than a patient does. To help prevent these errors, hospitals have created policies that, if followed, will minimize the possibility of a mistake. The consequences of never events are devastating and because of this the goal is to make sure that they are eradicated from hospitals and medical facilities.
Our system isn’t require to provided five star services to its incarcerated members of society, our justice system is only require to provide enough care to not inflict any addition harm. The Plaintiff may or may not have been aware of his medical condition prior to entering pretrial confinement, therefore, it was not noted on the intake
The vignette described a woman who comes in for a session in an agitated state. The psychologist has worked with her for a few weeks and she was not overtly suicidal or homicidal. On this visit, the psychologist decided to refer her to an inpatient due to her becoming unreliable and taking 17mg of Xanax in 30 hours instead of 2.5mg prior to her appointment.The decision making process for this vignette is very important because of the dilemma involved. The ethical decisions-making process I am going to engage in will be the Canadian Code of Ethics for Psychologist and the decision- making process that accompanies it.
Although Pfizer was not required to warn the public and Kline, they were responsible for warning physicians. Pfizer dismissed Kline’s Complaints pursuant to Federal Rule of Civil Procedure 12(b)(6), which successfully dismissed Counts I and VII. Motion to Dismiss under Federal Rule of Civil Procedure 12(b)(6) “for failure to state a claim for which relief can be granted.” As the Plaintiff, Kline should have provided several sets of proof in order to support his claim and be granted the relief. Kline failed to provide the Fact Sheet and Authorization forms under the Joint Coordinate Plan.
What? The patient is 65-year-old man Mr. John Douglas who is suffering from dysphagia and have been admitted to the surgical ward for insertion of a percutaneous endoscopic gastrostomy (PEG). Apart from that, he is a Type 1 diabetes patient and has weakness in his right leg and arm because of right-sided hemiplegia. He is thin in appearance and has stage 1 pressure sore on his right heel.
In August of 2001 Robert Ray Courtney was arrested in Kansas City, Missouri and charged with diluting drugs used to treat cancer patients. Courtney’s actions not only violated criminal and civil laws but they shattered the ethical code and the oath he took as a licensed pharmacist. His actions left many people wondering why anyone would commit such a horrible act, let alone a trusted pharmacist who was providing medication to patients whose very lives depended on him doing his job.
The Supervisor stated that we don 't really do anything but call the doctor and request the order to be discontinued. If the doctor doesn 't care then the patient has free range to harm themselves with who-knows-what kind of drugs. This problem displayed in the "Swiss cheese" model shows there are holes throughout the issue.
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).
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).
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
The issues are: (1) whether Dr. Stotler wrote an ambiguous order that led to the administration of fatal dose of Lanoxin and (2) whether negligence occurred as a result of not following standard of care by the nurse who misinterpreted dosage administration directions of the medication leading to fatal
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).