...Administrative Ethics Paper Dwyn Francis HCS/335 July 28, 2014 Melissa Green Administrative Ethics Paper In the administrative health care setting there is a continuous presence of ethical issues embedded in everyday activities. The health care administrator has responsibilities to self, to the organization, to the clientele served by the organization, and to the employees who provide services at the organization. With the growth of information systems one ethical concern that continually presents itself to the administrator is confidentiality of information. Confidential information refers to facts that are private, secret, or privileged. Confidential information for the administrator in the health care setting extends beyond a patients’ medical information to broader information systems that encompass the organization as a business and a workplace. Managing confidential information within the health care system requires ethical awareness, knowledge, and decision-making skill. In order to avoid a “cynical view” by administrators of the importance of ethically managing confidential information, increased education and discussion of these issues need to take place. Hopefully, through discussion, retrospective analysis, and ethics education, innovative ways to effectively answer difficult questions concerning confidentiality will emerge. Under what circumstances confidential information should be disseminated is an issue that most administrators encounter sometime in their...
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...Laughon February 5, 2012 Administrative Ethics Abstract of Article: Administrative Ethics and Confidentiality/Privacy Issues This article presents a case study highlighting the conflict between an individual’s right to privacy and the rights of patients and staff to know when a professional standard has been breached. The process by which the administrator determines a course of action is reviewed in the context of workplace realities through an ethical analysis. The growth of information systems and the increased involvement of third parties in decision-making have created new issues regarding confidentiality and the release of sensitive information for health care personnel who are in a position of public trust. The issues facing nursing administrators are complex, and of particular concern are the conflicting demands of providing quality care with limited resources. The authors identify strategies to deal with the workplace issues that give rise to the potential for abuse as well as the strategies to support an impaired colleague who attempts to reenter the workforce (Badzek, Mitchell, Marra, & Bower, 1998). Introduction When asking the general public what health care ethics and health care privacy mean, most will relate that they are about protecting patients. Health care ethics and health care privacy do exist to protect patients and to ensure that care is delivered with moral and ethical standards. Health care ethics not only apply to patients, but to organizations...
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...THE EFFECTS OF OVERCROWDING IN THE EMERGENCY ROOM MICHELLE POWELL MSN –BL 510: NURSING PROBLEM SOLVING SKILLS DEVELOPMENT MAY 20, 2012 PROFESSOR NKECHI ILEKA The Emergency department provides an extraordinary important public service mission by providing emergency care 24 hours a day, 365 days per year without discrimination by social or economic status (Derlet, Richards & Kravitz, 2001). One of the key foundations of EDs is to provide immediate access and stabilization for those patients with medical emergencies (Derlet et al, 2001). The Emergency Department has always been there available to help, unfortunately the basic tenet is now being challenged, and the general public may no longer be able to rely on EDs for quality and timely emergency care, placing the people at risk (Favotich & Hirsch, 2003). According to the Emergency Nurses Association all people are entitled to timely and appropriate access to safe and effective health care. This paper will discuss the problem of overcrowding in the Emergency Room and strategies that the Nurse leader may do to help control overcrowding. Overcrowding in the emergency department (ED) is the most serious issue confronting EDs in the developed world (Favotich & Hirsch, 2003). Overcrowding is a situation “in which the demand for emergency services exceeds the ability of department to provide quality care with acceptable time frames (Joint...
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...RESUME HARLEINE R. JAMISON #2 Whale Street Seaside Subdivision, Matina Aplaya, Davao City 8000 Contact No.: 0942-7226-032 Email Address: vharleine@yahoo.com EXPERIENCES EVER BILENA Dealer 2008 to December 2010 FACEBOOK ACCOUNT Online Seller 2008 to April 2010 U.N.O. NETWORKING Distributor 2009 to 2010 LOADXTREME Retailer January 2010 toPresent EDUCATION College Level Bachelor of Science in Nursing Brokenshire College Madapo Hills, Davao City June 2005- March 2010 Secondary Level Brokenshire Science High School Madapo Hills, Davao City June 2001- March 2005 Primary Level Rojas Elementary School Cotabato City June 1995- March 2001 ACHIEVEMENTS AND AWARDS Awardee Loyalty Award Brokenshire College Venue: CAP Auditorium, F. Inigo Street, Davao City March 27, 2010 Participation Dive the Gulf Festival 2006 Department of Tourism Venue: Costa Marina Resort, Island Garden City of Samal 1st Place Creative Modern Dance PEHM Day Venue: Brokenshire Science High School Madapo Hills, Davao City July 09, 2004 1st Place Vocal Duet PEHM Day Venue: Brokenshire Science High School Madapo Hills, Davao City July 09, 2004 2nd Place Neo- Ethnic Dance DACS Inter- School Competition Venue: UIC Bajada Davao City ...
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...Delta’s native fish populations have been declining for several years which have sparked controversy between policymakers and the management of the Delta. One native fish in particular focus is the delta smelt. The delta smelt, a small iridescent fish is endemic to the upper part of the Sacramento-San Joaquin Delta. The smelt faces many threats such as getting sucked up into big pumps that divert water or threats like getting trapped by predators when the pumps disrupt the river flow. California’s droughts also make freshwater rare and water diversion causing the delta smelts environment to be too salty. The delta smelt was considered an endangered species by the Department of Fish and Game in December 1993 and the U.S. Fish and Wildlife Service in March of 1993 . The delta smelt has been in decline, by...
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...stress in nursing 2 years ago * * Email * Favorite * Favorited × * Download * Embed * * Copy and paste this code into your blog or website Copy Customize Without related content Start from slide number Size (px) 340 x 284 425 x 355 510 x 426 595 x 497 Shortcode for WordPress.com blogs ? Copy Old embed code ? Copy Close * We have emailed the verification/download link to "". Login to your email and click the link to download the file directly. ------------------------------------------------- Top of Form To request the link at a different email address, update it here. Close Validation messages. Success message. Fail message. Bottom of Form Check your bulk/spam folders if you can't find our mail. * Close * ------------------------------------------------- Top of Form Favorited! You could add some tags too Have an opinion? Make a quick comment as well. Cancel Bottom of Form * ------------------------------------------------- Top of Form Edit your favorites Cancel Bottom of Form « ‹ › » /22 × 1 comment Comments 1 - 1 of 1 comment previous next * Al Balushiya at The Government, 1 year ago Yes No nice ------------------------------------------------- Top of Form Embed Video Subscribe to comments Post Comment Bottom of Form ------------------------------------------------- Top of Form Edit your comment Cancel Bottom of Form Speaker Notes on slide 1 ...
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...Michelle viewed the patients as “vulnerable, have the right to safe, skilled care administered by a nurse who is mentally and physically able to perform certain nursing duties” (Sullivan, 1994, p. 21). As discussed further by Sullivan (1998) “the major ethical issue in impaired practice is the conflict between the rights of the nurses for fair and humane treatment and the rights of patients for safe and competent care” (p. 21). “It was evident that “there was a tension between Jackie’s right to confidentiality and Michele’s duty to warn innocent, vulnerable others if she believes there is a serious threat of harm” (Badzek, et al., 1998). In most cases, employers would be advocating for the patients and the state boards of nursing would be protecting the public. However, one question remained, who, then, would be “responsible for assisting impaired nurses” (Sullivan, 1998, p. 21)? Thus, “when nurses’ rights are in opposition to patients’ rights, ethical dilemmas surface. The challenge is to balance these rights so that the needs of both are protected” (Sullivan, 1994, p. 21). However, as Sullivan (1994) aptly cited, “resolution of these dilemmas must be based on thoughtful analysis...
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...There are many issues that arise when the patient privacy is concerned. In August of 1996, the Health Insurance Portability and Accountability Act (HIPPA) were passed into law (Van der Aa, 2000). The law is intended to improve the efficiency and effectiveness of the health care system by standardizing how to exchange data for specific administrative and financial transactions, while protecting the security and confidentiality of that information (Van der Aa, 2000). The areas addressed for HIPPA are: • Concerns that disclosure of patient medical records could result in embarrassment, insurance declination, loss of employment, or failure to be hired in a new job; • Increasing costs of data exchange in an incompatible and often competing standards environment to exchange administrative and financial data; • Implement processes and systems to reduce fraud (Van der Aa, 2000). HIPPA was signed into law, to help create a standard that will protect patient’s medical records and personal health records. This act is to help the health care employees have more control of a patient’s information and its privacy. This act also gives the patient the right to control their own information. Apart from the right to inspect, amend and correct their confidential health information, patients now have the right to control what information can be released and to whom (Van der Aa, 2000). The following case study is an opportunity to review ethical issues relative to confidentiality. This case...
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...Running head: NURSING SENSITIVE INDICATORS 1 Nursing Sensitive Indicators Organizational Systems and Quality Leadership RTT 1 Task 1 August 29, 2014 NURSING SENSITIVE INDICATORS Nursing Sensitive Indicators To analyze the given scenario one must first have a foundational understanding of what nursing sensitive indicators are and how they could have been used to significantly improve patient care. Next the analysis will determine how the hospital will use these indicators to improve overall patient care. The analysis will conclude by identifying specific resources that could be used to resolve the ethical issue in this scenario. It wasn’t until 1996 that the term Nursing Sensitive Indicators was used. Nursing sensitive indicators are by definition,” elements of patient care that are directly affected by 2 nursing practice.”(American Sentinel University - Healthcare, 2011, para. 1) These elements can be further broken down into: Structure - This includes staffing levels, staffing mix, staff education level and the staff experience level. Processes – This includes methods of assessment, methods of care, and types of interventions. Outcomes – these are directly related to quality and quantity of nursing care. With the given scenario, many nursing specific indicators could have been observed to significantly improve Mr. J’s hospital experience. Restraint prevalence is the first issue that could be addressed. If the nurse was more aware of this he or she would...
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...Summary Paper Teresa Nabors Southern Nazarene University Nursing Attributes, Leadership and Critical Thinking As many have found over the years, nursing is not a profession cut out for just anyone. The average person cannot juggle twenty things at once, expertly handle emergencies that would send anyone else in a panic frenzy, and all the while remain calm and composed, as an experienced nurse does on a daily basis. What many do not know is that this smooth performance is driven by the nursing attributes, skills, and concepts that are necessary components integrated in the nursing profession of great nurses today. I believe the values of critical thinking, flexibility, strong communication skills, emotional stability, interpersonal communication and advocacy are the hallmark ingredients that distinguish the great nurses from the rest. Nursing is about going beyond the task given and a successful nurse encompasses a degree of these core attributes, as well as understanding the essential knowledge of the necessary concepts of leadership and critical thinking. This paper will discuss the attributes and concepts that I think are necessary in setting nursing apart from just any profession and will reflect on the values and practices that I believe makes me the nurse that I am today . Being a nurse can be tremendously rewarding to the soul, but it also demands much of those who pursue it. Nursing is a highly honored, trusted profession that has been steeped in rich values...
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...Mortality of Radical Cystectomy During a 13-Year Follow-up: A Comparative Propensity-score Matched Analysis of Complications Between Neobladder and Ileal Conduit", Japanese Journal of Clinical Oncology, 2014. Calene Roseman NUR / 544 Nursing Research Utilization Project August 18, 2014 Dr. Margarret Colucceillo 2 Nursing Research Utilization Project Proposal Clinical issue: The improvement of morbidity and improved recovery for patients with bladder cancer. Undergoing radical cystectomy with ileal conduit (Castle. & Pruthi,2013) The problem that I identified and needs a solution is the improvement of post-operative outcomes and morbidity for bladder cancer patients undergoing radical cystectomy with ileal conduit (Kim.Yu.Jung.Lee.& Lee.2013)With the aim to discharge patients using fast track and clinical pathways and improve quality of life and morbidity. Radical cystectomy is a serious and extensive surgery not without risk and complications, hence the fact that complications occurs frequently. (Kulkarni. 2011) the standard care for bladder cancer is cystectomy. (Kulkarni.2011) During this major surgery the bladder is removed along with seminal vesicles, the prostate and lymph nodes (Ohio State University, department of surgery,) The diversion or ileal conduit is shaped by removing a small part of the...
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...The patient also had a Zassi tube in place; this was my first encounter with a fecal diversion device. Later in the shift, I discovered an opening in the indwelling urinary catheter line. I discontinued the catheter to prevent further urinary leakage and the transmission of bacteria. My other patient was admitted for a COPD exacerbation. This patient was stable all shift. I provided teaching to both the patient and her family, and call the family to update them on which room she would be transferring to. I gave the patient report to the floor nurse over the phone and helped transport the patient. I feel that I did well educating and communicating with the patients and their families. I also feel that I did better giving report. I could still improve on my time management skills....
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...treatment(s) and pre/post nursing care:pg.1702 Therapy for the client with bladder cancer usually begins with surgical removal of the tumors for diagnosis and staging of the disease. For tumors extending beyond the mucosa, surgery is followed by intravesical chemotherapy or immunotherapy. High-grade or recurrent tumors are treated with more radical surgery plus intravesical chemotherapy, radiotherapy, or both. Systemic chemotherapy is reserved for clients with distant metastases. Nonsurgical management: Prophylactic immunotherapy with intravesical instillation of bacille Calmette-Guerin (BCG), a compound used to vaccinate against tuberculosis in some countries, is used to prevent tumor recurrence of superficial cancers. This procedure is more effective than single-agent chemotherapy. Mutliagent chemotherapy and radiation therapy are also useful in prolonging life. Surgical Management: The type of surgery for bladder cancer depends on the type and stage of the cancer and the client's general health. Complete bladder removal (cystectomy) with additional removal of surrounding muscle and tissue offers the best chance of a cure for large, invasive bladder cancers. Four alternatives are used after cystectomy: ileal conduit, continent pouch, bladder reconstruction also known as neobladder, and uretersigmoidostomy. Preoperative Care: Coordinate education before the surgery with surgeon and enterostomal therapist. Discuss the type of planned urinary diversion and the selection of a site...
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... Long wait time contributes to patients leaving prior to a medical screening examination. Patients who leave without been screened is dangerous and sometimes deadly, thereby creating a liability for the hospital. Baptist Memorial Hospital has outgrown its current capacity creating overcrowding and delays. Hospital capacity is an organizational barrier faced by Baptist Memorial Hospital. Patient presentations over the past several years have increased substantially as well as an increase in hospital diversion and a decrease in overall patient satisfaction. The current ED operates out of 11 beds with one around the clock physician and a mid-level provider during peak times. Nurse to patient ratios are 4:1 with a dedicated charge nurse. The department also has a dedicated triage nurse, and one secretary during peak hours. The ED does not have a patient care technician or a dedicated housekeeper. So, bed turnover, equipment cleaning, and patient transport are nursing responsibilities. Over the past three years, patient monthly volumes have increased from an average of 1300 to 2200 patients. The hospital is licensed for 100 inpatient beds and...
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...The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The Practice Act is located in the California Business and Professions Code starting with Section 2700. Regulations that specify the implementation of the law appear in the California Code of Regulations ("Board Of Nursing", n.d.). What is the NPA? How does it affect nurses? What are the requirements for getting a nursing license from the Board of Nursing? All of these are important questions for someone to ponder when considering joining the nursing profession. Let us explore the ins and outs of becoming and being and registered nurse in California. Nurse Practice Act Samantha Kelly NSG/320 November 21, 2011 Jen Millar University of Phoenix Nurse Practice Act The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The Practice Act is located in the California Business and Professions Code starting with Section 2700. Regulations that specify the implementation of the law appear in the California Code of Regulations ("Board Of Nursing", n.d.). What is the NPA? How does it affect nurses? What are the requirements for getting a nursing license from the Board of Nursing? All of these are important questions for someone to ponder when considering joining the nursing profession...
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