Victoria Ambulance (2013) protocols follow a similar pattern to St. John for PHM of APH. The left lateral tilt is also used, stating that this can help reduce aorta-caval compression and subsequent hypotension. The use of blankets or pillows as wedges placed under the patients right hip is encouraged to achieve a 30° tilt of the patient. If clinical signs of altered perfusion are present fluid resuscitation as per the hypovolemia section is indicated. With a BP less than 100mmHg systolic, 0.9% normal saline at 20ml/kg IV is indicated. If the BP does not improve to over 100mmHg that a second IV is inserted with repeat administration of normal saline 20ml/kg. Victoria Ambulance (2013) recommends pain relief according to their pain relief section. IV Morphine at 5mg doses every 5 …show more content…
This entails the legal rights of those receiving health care. Rights five, six and seven strongly apply to the role of the paramedic. Right five is the right to effective communication, right six is the right to be fully informed and right seven is the right to make an informed choice and give informed consent. Ethically, four fundamental principles apply to paramedic practice. These address patient concerns and professional etiquette. Theses principles are benificence, nonmalifecence, autonomy and justice. Benificence is the principle of doing good for the patient. Nonmalifecence means doing no harm. Autonomy refers to a competent adult patients right to determine what happens to their own body. Justice refers to fair treatment regardless of sex, race, socioeconomic status or cultural background (Bledsoe et al., 2011). The Health Practitioners Competence Assurance Act 2003 ensures regulation of health practitioners to protect the heatlh and safety of the public. Mechanisms are put in place that ensure that practitioners are competent and fit to practice (Ministry of Health,
Ethical principles are judgments that serve as a basic justification for the ethical evaluation of one’s action. They are the viewpoints from which guidance can be obtained along the pathway to a decision. According to the Journal of the American Nurse Association, ethical principles are the general goals that each theory tries to achieve in order to be successful. The widely accepted prima facie ethical principles are; Autonomy, duty to respect one’s right. Beneficence, the desire to do good. Non-maleficence refers to avoidance of harm or hurt. Justice, duty to treat one fairly. (Beauchamp, 2004). While some of the ethical dilemmas includes: ensuring informed consent, determining decision-making capacity, promoting advance care planning, surrogate decision-making, withdrawing and withholdi...
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
Vice versa ethical principles clarify a nurse by eight factors which are autonomy, beneficence, confidentiality, fidelity, justice, non maleficence, and veracity. These virtues have hidden moral guidelines and the precepts to the nursing profession. Autonomy is defined as freedom to drive sound judgment in the clinical setting. Beneficence is my good in worth than the whole good for the patient care. Confidentiality is not exploiting information on the records and holds of the patient. Fidelity is the explicit and implicit oath of a person’s will. Justice is the strong force for what is righteous and morally disciplined. Non maleficence is doing no harm. Veracity is exact opposites which are truthful or deceive someone. These morals promote patient’s rights by promoting self governing, ensuring nurse, and act in a way that aids the patient, respecting a patient’s own info, and making faith filled and oaths. Also, a provision of appropriate, fair, and equal cares (Dohert & Purtilo, 2014).
On the 7th of March in 2018, I attended the Community experience with the EMS team at Fire station of area one. This station is located at the northeastern corner of nine mile road. Upon arrival I introduce myself to the team. Every member of the team was presented in a professional manner that included: one’s skills, education, and the years of experience. During the meeting, several subjects were discussed such as: nursing student’s objective from this experience, Clarifying tasks and tactics, protocols and daily operations. All the tasks were executed with each member of the team with integrity, honesty and beneficence to the warren community. During the twelve hours shift, there
..., beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and adequate. These principles are used to protect the rights of a patient and the physician from being dishonored. The principle autonomy allow an individual to act freely in accordance to their self-chosen plan. This means that healthcare providers must always get the patients consent before making any decision about patient’s life. The of non-maleficence states one must cause no harm to an individual. This means that we must always restrain from harming others. The principle of beneficences say that one must always promote good. This means that healthcare providers must always do what is good for the patient. Lastly the principle of justice promote fairness and equally. This mean that healthcare providers cannot act in a prejudice manner toward patients.
There are weaknesses in professional guidelines and rules because they are unable to provide the directives for moral reasoning and action is health care situations. Many people state that biomedical ethics provides a framework and emphasis on the person rather than the professional code and legal policy (Beauchamp and Childress, 2001). On the other hand they serve a purpose to provide some direction for professionals however codes of practise do not dismiss.
A lot of information has been stipulated concerning how patients should be treated and the legal rights involved in the health care system. Different values are, therefore, involved. In the correctional setting, the patient entirely relies on the nursing service offered and various services are expected to be offered by a nurse. However, in the process of providing these services, a nurse has to uphold all ethics that dictate the profession (National Commission on Correctional Care, 2011). The legal ethics include right to autonomy where the patient’s view should be respected and incorporated in the provision of nursing care. A nurse should always tell the patient the truth according to how he or she is fairing on health wise. The principle of beneficence also allows a nurse to concentrate on provision of services that are beneficial to the patient. A registered nurse also ensures equitability and fairness in the provision of care to the patient (National Commission on Correctional Care, 2011). Another principle that a nurse understands is the principle of fidelity that allows a nurse to remain committed in the process of provision of care. The principles help a nurse in making ethical decisions in the process delivering nursing care to the patient. For instance, having in mind the principle autonomy, one can be able to appreciate an advance of health care directive that enables one to act as per the patient’s
As with every code of ethics the Physician Assistant profession has revised its code of ethics to keep with the changing times in the medical field. Four main bioethical principles broadly guided the development of these guidelines: autonomy, beneficence, no maleficence, and justice.3This Physician Assistant (PA) should follow the do no harm rule, understand the patient has the right to make decisions about their care, always act in the best interest of the patient, and treat all the patients the same and make sure care is consistent for every
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
There are four ethical principles that can be applied to issues surrounding nurse-patient communication. These ethical principles include Autonomy, Beneficence, nonmaleficence, and Justice. In communication, these principles are important when communicating between the nurse and the patient. Without the principles, ethical issues could result which could be damaging to the nurse-patient relationship as well as result in legal ramifications. Nurses must understand each of these principles when communicating with a patient.
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
Keep the patient NPO, and establish two IV access sites with a large bore catheters running one IV with NS at KVO and morphine sulfate for pain. Initial laboratory testing including a complete blood cell count (CBC), basic metabolic panel (BMP), cardiac enzymes (creatine kinase, creatine kinase-MB, and cardiac Troponin) and repeat in 90 min. Administer antiplatelet ASA 324mg PO (Sen, B., McNab, A., & Burdess, C., 2009, p. 18). Before administering nitroglycerin 0.4 mg SL (every 5 minutes up to three doses) reassess blood pressure if systolic <90 mmHg, patient has used cocaine in the last 24 hours, or taking PDE-5 inhibitors do not administer. Thrombolytic therapy should be implemented within 30 minutes from the patient’s arrival to the emergency department, and if they are a candidate for cardiac catheterization it should be done within 90 minutes from the patient being admitted to the hospital. Delay on either therapy option increases the risk of mortality (Kosowsky, Yiadom, Hermann, & Jagoda, 2009, p. 10).
This provision is strongly connected with nursing as a human science because one has to treat every patient in a unique matter with respect, compassion and empathy to their particular situation they are experiencing. The third provision interrelates with the fundamental nursing responsibilities of optimizing the health by advocating for the patient and protecting the patient. In sixth provision, it explains how nursing is group work that is constantly being evaluated, and improving to provide a safe but quality environment for everyone. (Morrisard, n.d.) Each of code of ethics are essential in providing care for the patient as well as protecting the patient’s safety, rights, and
In October of 1992, the new computer aided dispatch system of the London Ambulance Service (LASCAD) failed to meet the demands of use and brought their operations to a standstill. Dispatchers could no longer locate ambulances, multiple ambulances showed up for the same calls, errors built up in the queue slowing the system down further, and callers became frustrated as the hours went by with no ambulance showing up (London Ambulance Service Unofficial, n.d.). In addition, it has been targeted for causing the deaths of approximately 20-30 people in the process, due to excessive wait times for transport to the hospital. This unfortunate incident is one of the poster children for examples of the ramifications of poor management and lack of process in software development.