Justice – The rights of the patients receiving care in the hospital has been compromised due to the sub-optimal care being provided to them. Patients are not able to receive the appropriate care they are meant to be given to them and thus, is breaching the Standards of Practices set up by the Singapore Nursing Board (SNB) for nurses to do their duty to maintain the standard practices of nursing and respect the care, dignity and life of their client (Standards of Practices for Nurses and Wives,
Nurse Practitioner are registered Nurses who serve as primary and specialty health care providers under a physician. Much like a geriatrician, Gerontological Nurse Practitioners work with elderly patients, diagnosing illness, conducting exams, and prescribing medication. (“Geriatric Nurse…”). These type of nurses work at nursing homes, with home healthcare services and in hospice facilities, or run your own private practice. A geriatric nurse work with finding illnesses and diseases, prescribing medication and therapy, routine check-ups and screenings, etc…etc. Some job characteristics are multifaceted, structured, patient- facing, and being independent. (“Geriatric Nurse…”).
Delegation is considered to be among the most involved nursing skills which require a nurse to apply knowledgeable clinical judgment and accountability during patient care. RNs have an obligation to finding what is needed for patients and families and then using the appropriate delegation to staff to help carry out the plan. This helps maximize on achieving the most desired outcomes and also maximize the use of available resources. The only way to help RNs maximize the available resources is through improving their delegation skills. If a nurse is to be delegated a task, it should be within their scope of nursing and also be tasks they are qualified to perform. If a nurse is not qualified then the work should be
Another aspect of this mistake, is that Sue did nothing to dissuade the nurse from continuing the discussion in front of the patient and in a public space. Sue should have invited the nurse to come to her office
Florence Nightingale has impacted my nursing practice. She came into a hospital setting that had low standards and the environment had caused more problems for the patients than the war. She made efforts to clean up the facilities. She kept records of the changes and was able to show that a more aseptic environment was crucial to the healing process. This is something that I use in my daily tasks as a nurse. I wash my hands regularly, keep my patient’s rooms clean and organized and make sure that my patients have baths daily to prevent infections.
Duty of care plays a major role for health professionals, Duty of care follows codes and principles put into action for facilities such as hospitals via external sources such as the Government, in order achieve one core goal which is to ensure that the patient is subject to the best possible care that can be given by the facility and the Health Professionals working at the health facility.
Primarily, Caring Memorial Hospital will be held liable in this malpractice case under the premise of respondeat superior. “Under respondeat superior an employer is liable for the negligent act or omission of any employee acting within the course and scope of his employment” (Thornton, 2010, para. 2). The risk manager Susan Post, JD and the quality assurance director Amy Green were both aware of the potential for increased risk on the Oncology unit. They had been making observations several months prior to incident that related to deficiencies in staffing and safety standards. Per, ASCO and ONS (2012) new staff are required to demonstrate competency and receive comprehensive chemotherapy education. Jeffery Chambers, RN was
Valerie, I agree with you, the solution to these problems begins with the charge nurse, Sherry. The charge nurse seems preoccupied and does not give James the time he needs. He is a new nurse to the unit and has questions about this type of surgery and it is the charge nurse’s responsibility to make him feel at ease. Like you stated, the charge nurse should have went and spoke to the patient and try to understand what the issue or issues were with the patient and why she was being nonverbal towards James. The patient’s safety and satisfaction are of utmost importance, it not only reflects on the care given, but the organization as a whole. By law, a nurse cannot just stand by and watch unsatisfactory care being given, the nurse has an
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 he or she provides to patients (p473). By the author accepting the responsibility of x number of patients, she became legally liable. Also, Provision 4.2 addresses the fact that all nurses are accountable for decisions and actions taken in the course of the nursing practice (P473). Although no harm was done, nursing professionals must learn from wrongful acts and stand up for what we know and believe is ethically
An important point here is that after the confrontation Dr. Frederick admitted his mistake and for future decisions respect patients and verify that the informed consent is completed and the patient understands the risks they are exposed to, along with that the patient is in his right to change his mind, and if necessary notify it and complete a new consent for the benefit of all, but especially for a patient who is ultimately the one that suffers the physical and emotional damage and for the institution to avoid legal claims. As nurses is our responsibility to monitor the safety of the patient and the informed consent is an aspect which monitors the Joint Commission and a legal claim is the first aspect to be evaluated. Not only procedures
A literature search was carried out to find a definition of accountability using the BNI and CINHAL (Cumulative Index to Nursing and Allied Health Literature) ‘accountability’ was inputted into the databases. 18,114 results from search engine BNI and 16,725 results were produced from CINHAL respectfully. Results were reduced as filters were applied (see appendices 2). Filters were applied, before titles, abstracts and whole articles were reviewed, this was the case for Mullen (2014) on CINHAL. Mullen (2014) was then analyzed regarding its content. 83 words
The article that I chose for this week relates to effective delegation in nursing practice. Delegation is an extremely important ingredient in the delivery of care provided by health care professionals. However, with delegation comes great responsibility. Licensed Nurses must always know the laws enforced by their state boards as to what levels of care can be delegated to another provider and who has the authority to perform the delegated tasks. Every state has different laws as to what services can be delegated and by whom. Nurses are required to delegate care only if the assistant is capable of the task and the Registered Nurse (RN) must follow up on the care provided as well as be available to assist or intervene if necessary. Effective
I was on my rehabilitation clinical placements at the Bundoora Extended Care. Mr John, 84 year old man, was admitted to the clinic 2 days past to my day of work. He had been experiencing retention of urine and was in extensive pain. My buddy nurse and I were educated amid handover that we would be taking care of John on this specific movement and might we be able to change the dressing on his right leg as he had an ulcerated leg because of affliction from a condition known as Peripheral Vascular Disease. My buddy nurse requested me to get him washed and changed. We assembled all the equipment we required from the treatment room and advanced toward John's room. I knocked his door and presented myself as a nursing student and approached him for his agree for me to help him to have a wash and put on something else. John was sitting on his bed, very strained and yelled
This paper seeks to analyze the legal and ethical issues arising from Jessica’s case scenario. Jessica is a third year nursing student tasked with performing a medication round. During the round, Jessica was unable to read a medication order for one of her patients and sought assistance from her buddy registered nurse. The registered nurse admitted that she could not read the medication order but told her what she thought the medication was and suggested that she should go ahead and administer it.Jessica is torn between trusting the experience of the registered nurse and following the nursing code of ethics in solving to solve the issue. If she follows the registered nurse advice to administer the medication, Jessica risk administering
When delegating tasks it is important to look at the specific situation. In this scenario the charge nurse Sherry is responsible for making sure that the task delegated to another nurse or nursing assistant is appropriate for his or her scope of practice (Mueller & Vogelsmeier, 2013). Even though a task is delegated, the nurse is still responsible for it to be completed correctly and safely (Ohio Board of Nursing, 2015). Sherry should also be familiar with the experience of her staff for the day, as well as the responsibilities of each job title. According to Huber (2014), The Five Rights of Delegation should be used. These include, the correct job, circumstance, patient, instructions, and supervision.