Based on the case scenario, the nurse had breached the ethical principle of beneficence. There were no positive actions taken to promote well-being of the resident. Bactrim was not discontinued even though the laboratory test results showed that the resident has no bladder infection. Her duty is to prevent harm to the resident but due this situation, the resident has higher risk for bleeding due to adverse interaction with other medication. Besides, the nurse has breached the ethical principle of non-maleficence. There was nothing done after being notified of continued bleeding and the resident bled to death from gastrointestinal hemorrhage. Lastly, the nurse has just breached the ethical principle of fidelity. She has failed in keeping up with commitments of nursing by not being competent in taking care of the resident. She did not perform her responsibility of keeping copies of her notes or reports during calls from …show more content…
One such example would be, nurses have to frequently assess any change on patient’s condition and notify doctor immediately if there are changes. Delaying may increase the complication and makes it harder to treat. Other than that, nurses must document down all the information in accordance to approved standards of practice which includes evaluation of how treatments work, assessment, compliance, reaction of patient and communication. Evidence by charting can help to prevent liability in a malpractice suit. Lack of documentation can alter the nursing intervention, such as in the scenario which stated medication was not discontinued when the resident was at high risk for bleeding. This can put a patient to danger and at risk for injury. Hence, they must make sure to record down all the patient’s evaluation findings, information and findings. Other than that, nurses should also be discreet, stay educated and follow proper procedure and
This is something that needs to be looked into more and more monitoring of how the nurses are able to treat their patients. There has been too many episodes where nurses just didn’t want to do their job like give meds when they were suppose to be administered or reporting when patients were in extreme
All patients have the right to have their medical information provided to them in terms that they can understand. Nurses are supposed to be patient advocates and we must advocate and assist in educating our patients. This is so important since many patients are their own caretakers and need to have the knowledge and tools to care for
Reviewing the standards and practices employed by primary care the practices, training is the very important when it comes to risk management, and achieving accreditation with a self-governing organization such, as The Joint Commission on the Accreditation of Healthcare Organization. This organization performs intermittently on site reviews of procedure and compliance. This will help to promote awareness and compliance (Reising, 2012). Nurse Practitioner needs to protect themselves by: (1) Caring, establishing a good connection with patients and maintaining confidentiality. (2) Communicating with client by following up with all laboratory results and follow up with referrals as this will show competence.
As a nursing student I am taught how to document using special medical terminology, and the importance of documenting, however the article “Stay Out of Court with Proper Documentation” by Sally Austin confirms just how critical it is to be accurate, timely, and unbiased with patient documentation. Proper documentation not only helps keep the patient safe, but just as importantly protects the nurse should a lawsuit occur. Austin’s article defines the legal terms used in the more common lawsuit, negligence, involving nurses and how to avoid them. First, the patient must prove four things in order for a lawsuit to be deemed in their favor: A duty to the patient existed, a breach of duty occurred, the patient was injured, and lastly the injury
By law, a nurse cannot just stand by and watch unsatisfactory care being given, the nurse has an
Bridgett Beuckens How sad it is that nursing leaders allow, much less participate in such acts. The stress and responsibilities this author was subjected to are not fair nor safe. The ANA Code of Ethics addresses occurrences as in this scenario. Provision 4.1 states nurses are responsible and accountable for the nursing care
Evidence and Evaluation in Bedside Reporting Bedside reporting assist nurses with a chance to improve patient safety and increase patient collaboration in the arrangement of care. There is also less care correlated to inaccurate or deficiency of information because the report process includes actual patient apparition. Increased staff approval with bedside reporting supports teamwork and supports accountability. By associating bedside reporting there is an optimistic impact on the patient and their relatives.
That’s why it is necessary to chart every visit, procedure, and test performed on a patient so all the medical staff knows exactly what has been done to the patient or resident and what’s
The nurse failed to assign the appropriate task and person to the case. The LPN floated from an obstetric unit to the surgical unit. The nurse should have first determined if the LPN had any surgical or medical background along with assessing the understanding of wound care before allowing the LPN to care for the patient. Also, the RN failed to assign to communicate to the LPN that the patient may need wound care. Prior to assigning the LPN, the nurse could have assessed the LPN’s knowledge and history of wound care.
The 3rd provision of the code states that “the nurse is responsible for promoting, advocating for and protecting the health, safety and rights of the patient”. This means that it is the nurse’s responsibility to ensure that the patient has a safe environment to be treated and the ability to discuss health issues without unwanted
Secondly, nurses were not taking any kind of permission from patient before changing her clothes. They were not showing any kind of respect to the patient and acted like as if she was taken for granted. While changing her clothes, the doctor in charge unveiled the curtain abruptly without caring for the patient’s privacy. 2. Other than errors in communication, several safety concerns were presented.
There was an obvious breach of duty by the nurse who was doing a procedure on the wrong patient. The nurse should have correctly identified Dr. McKey before continuing with the enema.
D-The patient arrived on time for her session and informed this writer that she has decided to remain with the clinic as she learned on her own that no detox facility will accept her because she is testing negative and currently on methadone. The patient further mentioned that she is questioning as to whether or not her sister and her mother would help her as they said they would; however, the patient had a moment and looked back when her family did not help her as she struggled with her children. Furthermore, the patient reports, her sister did not give her the $80.00 for her rent. The patient reports that she had asked some guy for assistance. This writer addressed with the patient about her employment status and money management.
Therefore, it is essential for a nurse to review any relevant medical histories or clinical data regarding the client before an assessment and by talking to other caregivers’ information can be collected as a result of any arising or concerning
As a group we all decided that it is best for the patient’s notes to be filed in the nurse’s station due to issues surrounding confidentiality and privacy. As a group we chose to show a clinical scenario which started off with a role play and ended with a debrief discussion which also incorporated the Australian nursing and midwifery code of ethics (2008) and the competency standards for registered nurses which explained where an ethical breach had been made.