Download file to see previous pages...
This study is being conducted in order to comprehensively explain the legal and ethical issues which nurses often encounter and the possible ways that such issues can be legally and ethically resolved.
In the first scenario, a nurse decided independently to indicate in the chart of an 80 year old end-stage heart failure patient that the latter is classified as ‘not-for-resuscitation’ or NFR. The NFR order was not consulted with the patient’s doctor. Moreover, since the patient was too ill to express her consent or dissent to the order, her husband’s consent was secured. The nurse recorded in the patient’s chart that the on-call physician approved the NFR order. The physician also apparently agreed to the discontinuance of the patient’s continuous positive airway pressure (CPAP) machine. The following day, the patient died and the cause of death was not the withdrawal of the CPAP but because of a heart attack. The RN was later fired for disregarding the chart orders which indicated that the patient’s medical treatment should be continued.
The relevant legal and professional issues in the above case can be broken down to: a) the RN’s independent decision on the NFR decision – without proper consultation with the patient’s physician and in violation of orders indicated in the patient’s chart; and in b) ordering the withdrawal of the treatment without proper consultation with the patient.
First and foremost, NFR orders are decisions and orders which are indicated in patient’s charts by the patient’s doctor. It cannot be independently decided upon by the nurse without proper consultation with the physician. In turn, this decision is made by the physician after proper consultation with the patient (Dames Clinical Nursing Education Site, 2010). The function of a nurse in NFR orders is to carry it out and to follow the directive as indicated in the patient’s chart. In the current case, the nurse independently decided that an NFR
...Download file to see next pagesRead More
Since prescribing medication without seeing the patient has many consequences, I try to discuss all the possible consequences of the situation. This is a critical application of accountability, law, and ethics in practice.
The transnational companies currently are not liable to charges in regard to the destruction of the environment under international law which means that when harm is caused to individuals and by extension to future generations by a party, the party is bound to go scot free.
The well experienced trainers and HR managers often explain that we can train thousands of employees how to manage and administer things but we cannot make them accountable for what they are assigned and liable to. Accountability if considered according to its objective and purpose is basically a responsibility to act.
.The practice authority is based on social agreement outlining the practice responsibility expectations to enter the profession one must go through the territorial and national nursing boards all of which are administered and defined by the law thus defining a scope of practice.
These factors have redefined medical practices to fit into the changing health delivery system. Thus, Medical Profession is 'accountable' to the society. i.e. obliged to the laws regulating the professional activity. This 'accountability' is usually spelt out in "Patient Care Documents" established by hospital associations and medical associations or councils of every country (Suzanne, 2004).
Ethical dilemmas are universal in health care as the technological and scientific advances improving patient care are often accompanied by tough ethical questions. They are a challenge since one has to come up with a decision regarding two contrasting decisions most of the time, both of which contain ethical worth.
The author states that much hands-on care is now being carried out by support workers. And since they are not registered, it is important that they are trained and be qualified to a national standard. Also, patients must know who is taking care or treating them and they expect that these persons have understanding and knowledge.
On the basis of her case various values shall be highlighted which can affect nursing profession. Like any other profession there is a need for maintaining high ethical values within nursing profession. The nature of
Arnold and Mr. Ahmed require their pain medication of Ormorph. As this is a controlled drug, the ward sister asks a colleague to assist. Two hours later, Mr. Arnold who has mild learning disabilities is shouting at his visitors that the nurses are withholding
12 Pages(3000 words)Essay
GOT A TRICKY QUESTION? RECEIVE AN ANSWER FROM STUDENTS LIKE YOU!
Let us find you another Essay on topic Law, Ethics &Accountability for Nurses for FREE!