Case Assignment: Potential Controversy

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Case Assignment: Potential Controversy

Case Assignment: Potential Controversy

Case Assignment: Potential Controversy

Week 3 discussion Discussion Prompt #1 Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues. Discussion Prompt #2 The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following: Did you find any of the scenarios more difficult to deal with than others? Did you feel any internal conflict with any of the scenarios? How did your personal and professional background impact how you decided to interact with the patient? Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical? Were you taken aback by any of the patient reactions? How might this activity contribute to your role as a nurse advocate in a moral and ethical practice? Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness. Week 4 discussion Discussion Prompt #1 Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points. Discussion Prompt #2 Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case. Patient Safety Advocate Carole Hemmelgarn https://www.youtube.com/embed/3SfrQnwRIjU Week 5 discussion Discussion Prompt #1 Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates. Discussion Prompt #2 The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text. Week 6 discussion Discussion Prompt #1 Identify two issues that a nurse might bring to an institutional ethics committee. Describe why the nurse should bring these issues to the ethics committee. Elaborate on how a nurse should prepare to present one of the issues to the ethics committee. Discussion Prompt #2 Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?” If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle. Do you consider this situation a conflict of interest? Why or why not? Give your rationale. What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.

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