The researcher will state the practical problem, identify the most important ethical questions and the theoretical bases for his analysis, discuss arguments and counterarguments, including their specific ethical concepts and supporting facts, name options, and choose and explain his final decisions…
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The researcher starts with description of his first day at his first job. His nurse trainer was evidently flustered with her numerous tasks in the hospital. The researcher followed her to a patient’s room, where she administered medication. The patient was recovering from a car accident, where he suffered from some chest and abdominal trauma, as well as a badly-broken leg. The researcher was confused, because the name on the door was not the same in the med chart. He returned to the nursing station, where she documented the medication. After opening the patient’s chart, she was distressed to find out that she gave the wrong medicine. She checked the patient’s chart for allergies and was comforted that the latter had no allergies with the incorrect medication. However, the patient complained of dizziness and nausea later on, and the nurse did not provide the pain meds as scheduled. The patient also showed signs of discomfort for several hours. The nurse closely watched the patient all evening and up to the next shift, since she volunteered to cover it because a nurse called in sick. The next evening, this same patient was assigned to me. The researcher checked his chart and was surprised that the medication error was not documented, and that the normal dose of pain medication was documented. During his dinner break, the patient had difficulty in breathing and went into arrest. The patient died and autopsy showed that he died from an embolus to the lung. This was a probable unavoidable complication of the injuries. But since the patient experienced pain the evening before, his family members believed that the nursing staff neglected to observe him for complications. They said that they consider suing the facility and I know that I will be named in the suit. Case Study Analysis: 8-Step Model for Ethical Decision Making The case with this patient involves an ethical dilemma of reporting the medication error of my colleague. I will examine this case using the 8-Step Model of Ethical Decision Making (Bennett-Woods, 2001). I will determine the facts of the case and all information needed to properly analyze and resolve this issue. I will state the practical problem, identify the most important ethical questions and the theoretical bases for my analysis, discuss arguments and counterarguments, including their specific ethical concepts and supporting facts, name options, and choose and explain my final decisions. Step One: Gather Relevant Information Clinical indications. Patient was recovering from a car accident, where he suffered from chest and abdominal trauma and a badly-broken leg. The most common effects of car accidents are head, chest, pelvis, and abdominal trauma (Schmucker et al., 2010). The patient complained of dizziness and nausea, which can be the result of his injuries or the incorrectly given medicine. One of the primary tasks of nurses is drug administration and it occupies around 40% of their work time (Armitage & Knapman, 2003, cited in Tang et al., 2007, p.448). Administering drugs have become more complex, especially when there were only 656 medications in 1961, but now there are more than 8000 medicine being prescribed, with more than 17000 trade and generic names in North America (Tang et al., 2007, p.448). Giving medication is “one of the most error-prone steps of the medication-use process, with 34% of all errors originating in this phase” (Bates et al. 1995, cited in Helmons, Wargel, & Daniels, 2009, p.1202). Some studies discovered that medication errors normally take place during the prescription and administration stages and can compose 65% to 87% of the total number of medication errors (Bates et al. 1993, 1995; Benjamin 2003, cited in Tang et al., 2007, p.448). Less than 2% of incorrect medication actions are not intercepted by the patients’ bedside (Helmons, Wargel, & Daniels, 2009, p.1202). The patient also showed signs of discomfort for several hours.
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(Undocumented Nurse Medical Errors Essay Example | Topics and Well Written Essays - 3500 Words)
“Undocumented Nurse Medical Errors Essay Example | Topics and Well Written Essays - 3500 Words”, n.d. https://studentshare.org/nursing/1394888-undocumented-nurse-medical-errors.
Despite the impressive principle, harm has become common in healthcare to unacceptable levels. Medical errors occur anywhere within the healthcare system in clinics, hospitals, surgery centres, pharmacies, nursing homes, and patient’s homes. Statistics indicate that one in seven Medicare patients within hospitals experiences a medical error.
Wrong calculation and administering of medications, insufficiency of personal experience and knowledge, inability to conform to standard procedures, poor facilities and equipment, inadequate staffing, pressure, exhaustion, and time constraints all contribute to medical errors.
Medication errors have led to premature demise of considerable number of patients annually. Medication faults that lead to loss of life or injury among outpatients and inpatients have become a critical and a costly predicament that have propelled health regulatory agencies, governmental organizations, and private health providers to seek viable means of alleviating such preventable errors.
Causes range from illegible physician handwriting, and tired, distracted and exhausted nurses. This paper looks at the various medication administration rights that should be observed by nurses in an effort to prevent medication errors. The study treats patient safety as an important aspect of nursing.
In many respects, they belong to a class of people, who like parents, have the responsibility to take care of the life and welfare of other people.
But it must be considered that doctors are, in the end, not gods. They too make mistakes, as it is human to do so.
The facts related to these medical errors are extremely shocking. There are in excess of “at least 1.5 million people” (US Medication Errors Injure 1.5M People Annually and Cost Billions, 2005, para. 3) who are being harmed due to the medical errors in
Many healthcare providers display expertise in their line of production, although there are reported cases of errors in the medical practice. Medical errors occur at various levels of medical and health care practice, with most of these errors being accidental as opposed to intentional.
der and Moreno (2012) refer to medical error as the failure of an action to be completed as planned or the application of a wrong plan to attain the intended objective. Rogers, Dean, Hwang and Scott (2008) further argue that registered nurses have the critical responsibility of