...Ethical and Legal Issues Paper Christel Rockwood NURS/391 March 11, 2014 Renee Martin-Thornton Ethical and Legal Issues Ethics is an integral part to nursing practice. The American Code of Ethics for Nurses (ANA) with interpretive statements acts as a guide for professional conduct by outlining the ethical values of the profession. The Code provides the profession with a statement of responsibility to the public and serves as a basis for individual nursing decisions in clinical situations when ethical dilemmas arise. The code integrates universal, ethical principles which serve as the foundation for ethical actions. Nurses face ethical dilemmas on a daily basis. Our primary goal as nurses is the commitment to protect our patients. Provision 2 of the American Nursing Code of Ethics, describes the nurse’s primary commitment is to the patient. (ANA, 2010). Another important goal is to maintain safety, dignity and accountability. Respect the patient’s confidentiality and autonomy. The Nurse acts as the person who helps and advocates for the patient and their families about health care and end of life decisions. According to the American Nurse Association Code of Ethics, Provision 1:1 states that, “a fundamental principle that underlines all nursing practice is respect for the inherent worth, dignity, and human rights...
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...Personal Statement Outline Becoming a doctor has been an aspiration of mine since I was a little girl. Part of the reason I am so drawn to medicine is because of my mother. Every night she would enthrall me with stories about her different encounters with patients while working as a labor and delivery nurse. Another notable experience was when I visited the operating room and shadowed a surgeon at West Boca Medical Center. This opportunity allowed me to engage in conversation with the surgeons and see what a normal days work would consist of if I ever were to become a surgeon. The very moment I saw my first surgery, I knew that this was a profession I wanted to pursue. Throughout my studies Florida State University, I received a bachelor’s degree in Biology while successfully completing all the premedical requirements. Also, I was able to graduate with a Chemistry, Physics, and Psychology minor. Aside from this, I have learned a lot about what it means to be a doctor through different Florida State organizations. CELLS and Tri-Beta have provided me with various opportunities to talk to doctors and learn about their preparation for medical school. Hearing about their difficulties and aspirations has helped me understand how to properly prepare myself to be a doctor. Two values that I see in myself are values of service and scholarly pursuits. Throughout my undergraduate studies, I was able to volunteer at FOMA, Florida Osteopathic Medical Association. There, I was able...
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...orthopaedic surgeons from Christchurch. Each seperately restructured their businesses so that they traded as a company, with shares being held by their family trusts. The practices were sold to the company and each surgeon then became an employee of the company. To parties outside, the businesses continued to operate as normal. Salaries were declared of $120,000 for Hooper, and $100,000 for Penny, however their companies had income of $567,000 and $832,000 respectively. This had the effect of saving 6 cents per dollar, as the top marginal tax rate was 39 cents, and the company tax rate was 33 cents. The Supreme Court held that the predominant purpose of this arrangement was tax purpose, due to the low fixed salaries. A market salary for a surgeon was much higher than what was paid. Shortly after this landmark case, a Revenue Alert summarised the findings. It was stated that a person who primarily earns the companies income must be appropriately compensated, and if not there must be a valid commercial reason (such as in White v CIR). 2. You work for a local accounting firm and have been asked by your manager to write a brief list of the key facts and findings from the High Court case White v CIR (2010) 24 NZTC 24,600 (HC). This will ultimately form part of a client newsletter. White v CIR is a case that is distinguishable from Penny v Hooper. In this case, an anaesthetist formed a company called Wharfdale Ltd. This company was formed as a means of reducing personal liability...
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...Accreditation Audit Task 2 Sentinel Event Western Governors University Accreditation Audit Task 2 Sentinel Event Nightingale is a well establish Community Hospital, which has been servicing the community by providing excellent, and compassionate healthcare provides for their patients’ needs. There values statement pledge to themselves and the community, is a commitment to four core values the first being Safety with the quote “We put our patients first”. A1 Sentinel Event As defined by the Joint Commission (2014) a sentinel event is an unexpected occurrence involving death, or serious physical, psychological injury, or the risk thereof. With this said Nightingale community Hospital recently experienced a sentinel event involving the possible abduction of a pediatric patient. As per reported, September 29th a three year old patient come to the hospital for a surgical procedures, accompanied by her mother. During the registration portion of the process the mother completed all the registration paperwork that was required. Along with authorization document, the patient was then directed to the pre-op area where the pre-op assessment was completed. It was at this time the mother informed the per-op nurse that she had several errands she needed to run while her daughter was in surgery, but she would be back to pick her up. The mother asked that if she had not return by the time her daughter surgery was completed to please call her mobile phone, and gave the pre-op nurse...
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...work and the emotional implications, the end of a long marriage and loss of a close friend due to the commitment termination, (his wife), the difficult custody battle for his two children, ages 10 and 12, a heavy work schedule that keeps him away from his family two weeks a month, work concerns of possible lay offs in the future, the burden of a new town house in uncertain financial times, and finally, (if that all isn’t enough for one to deal with), unknown physical medical condition as a result of the increasing regularity of the chest pains. How are these stressors affecting Michael’s or Jennifer’s self-concept and self-esteem? In Michael’s case, self esteem has not been directly reflected in the case study, for instance, a statement like; Michael feels like he has made all bad choices in life and that’s why he is in this situation. Or; Michael is starting to feel like maybe all these problems are happening to him because he did not work hard enough in school or in his job and know his laziness is catching up with him; just examples, but they would give a more definitive picture of Michael’s current...
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...like my friends, and fit in. I made no decisions for myself, and eventually ended up in dangerous situations because of it. As a young adult I made the decision to seek the truth and when I discovered God, I discovered my higher purpose and ability to grow as a person and as a leader. SLU’s statement “Higher Purpose. Greater Good.” correlates with my life philosophy and leadership tactic. Although not inherently unique, my most valuable attribute is how I lead. My involvement in...
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...Both texts are concerned with the topic of cosmetic surgery on teenagers; however both writers express rather different opinions on how this issue should be tackled. The first text is called “Plastic surgery for teens”, by Valerie Ulene. The journalist addresses the issue of plastic surgery on teens and the consequences of this. To begin with, this article looks very critical upon the entertainment industry, which has created an image of perfection, which the majority, of teenagers cannot live up to. This is the negative perspective of things in this text. There are also some arguments, in the text, which support cosmetic surgery on teens. A lot of plastic surgeons say that cosmetic changes can help improve the self-esteem of teenagers. Having a cosmetic surgery will, according to the plastic surgeons, influence the way they see themselves and behave. But there isn’t any data which can confirm this. The second text is called “seeking self-esteem through surgery”, by Camilla Sweeney. This text also addresses the issue of cosmetic surgery on teenagers. This text looks very negative upon cosmetic surgery on teenagers. The main point in this text is to let people know, that when you are raised in a culture which is obsessed with celebrities and TV makeover shows, you are only presented with flawless people, who have a perfect appearance towards others, which makes it impossible not wanting to look like them. In conclusion it can be said that, despite their various attitudes towards...
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...1. Problem statement With the increasing demand on Shouldice Hospital, the hospital management is looking to increase the capacity of the hospital to meet the demand without sacrificing the quality of service the hospital offers and has built up over 30 years. 2. Situation analysis Shouldice hospital is a well-known hospital for its specialization in hernia operations. Last year, Shouldice performed operations on 7500 patients. The greatly developed technique that the hospital uses and the excellent customer service that all staff members and doctors work hard to provide give the hospital a great reputation. Thisincreases demand on the hospital as its exceptional reputation increases patients’ desire to have their hernia operations performed at Shouldice hospital. As per the customer service, the patient should arrive one day before the operation and stay one day after for a total of 3 days. The first day gives the patient the opportunity to understand his or her situation by meeting with other patients and sharing their personal experiences. Inaddition, the patient pairs with another who has similar interests and hopes. As a result, the patient forgets their fear and enjoys their time. The journey does not end by leaving the hospital; Shouldice has a yearly event where all patients are invited to mingle, socialize, and see the doctors and staff. Currently the hospital has 90 beds, 12 full time surgeons, 7 part-time assistances, 5 operating rooms, a patient recovery room...
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...The president of the Community Medical Center must adhere to the mission and vision statement of the organization to make a sound decision. “Importantly, organizational decision making should be aligned (decision should be in accordance) with the organization’s mission and vision statements and strategic planning-based goals and objectives” (James, 2009, p. 221). Decision making is an essential leadership skill. The president needs to make his decision in a timely and well considered decision. In the case study, the president needs to utilize the rational and decision-making model that uses the different kinds of methods in order to come up with a better solution. The operating room nurse that has allegedly contracted with HIV/AIDS should be afforded the right and the opportunity to be heard and tell her/his side of the story. There was no confirmation from the operating room nurse that he was indeed having contracted HIV/AIDS. It was just a presumption coming from the majority of the surgeons in the surgical department, and without any evidence being presented during the meeting between the chief of surgery and the medical center president; they want the nurse be removed from his duties in this department. The nurse should be given the due process which is accorded by law to everyone. According to James, “leaders and managers usually are taught to utilize the rational and decision-making model using analytical (quantitative) methods and when necessary, couple with group methods...
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...credit of the hospital and number of patients coming to it has dramatically increased since establishment, thanks to the quality of service it provides and the efficiency of applying information technology to the hospital’s everyday work. The purpose of this report is to analyze how the hospital has benefited from using information technology (IT) in terms of revenue, working efficiency and ensuring patients’ satisfaction. Method Participants Face to face and telephone interviews were conducted with the hospital’s management team members including General Manager, IT Manager, Head of Customer Care Department, Chairman and a laser surgeon. All the interviews were focused on how the hospital has benefited from using IT from different points of views. Materials Annual reports for the years 2009 and 2010 including income statements of the first two months in 2011 provided by the General Manager were used to analyze the growth rate of VRH’s revenue. Statistics based on questionnaires provided by the Customer Care Department were used to analyze how information technology has contributed to reputation of the hospital and satisfying its patients. Results Revenue trend of VRH The revenue of the hospital has increased from nearly 1 billion VND per month since its establishment in February, 2009 to 3.8...
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...Communication In The Surgical Workplace Barbre-Anne Wasdin Lynn University Communication In The Surgical Workplace Introduction and Problem Statement Communication is critical in the workplace. "Communication is how lives are started, money made, wars begun and ended, freedom realized" (DiMaggio, 2014, June 1). There are several different ways to communicate: verbal communication, body language, and electronic communication. The way you speak to someone or the position of your body can dictate how a person construes a conversation. "It's more than the words you use. It's how and when you choose to share information. It's your body language and the tone and quality of your voice" (Morgan, 2014, September 3). In surgery, there are many people you have to communicate with on a daily basis such as patients, their families, surgeons, nurses, scrub techs and ancillary departments. The purpose of proper communication in the workplace is vital as misplaced information could mean the difference between life, death or severe injury. According to Hynes (2015), "Dale Carnegie was one of the first writers to link communication skill with managerial effectiveness" (p. 175). In our O.R., there are several different sub-departments besides the primary surgical department. There are departments such as endoscopy, sterile processing, pre-assessment, outpatient, and recovery. There are approximately seventy-five to eighty employees, and everyone works various...
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...organizations but more importantly affect people differently. Organization Description In Florida there are over 300 hospitals in the state (Florida Hospital Association, 2014) with many of these hospitals being associated with large healthcare systems located within the state. Broward County is located in Southeast Florida, and is the second most populous county in Florida; it is 1200 square miles with 16 acute care hospitals that offer similar services (United States Census Bureau, 2014). The county’s smallest acute care hospital is associated with a world renowned healthcare system from Ohio which is both advantageous and unfavorable in the realm of managing organizational change. The Ohio health system was established in 1921 by three WWI surgeons and has proven itself as one of the primary cardiac care hospitals in the world. The system from Ohio has been responsible for many firsts in health care and continues to do so in the 21st century. To have a niche that separates the 155-bed hospital from the other 15 hospitals in Broward County, the medical and senior administrations from Ohio strategically...
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...Professional Mission Statement A. The function of a regulatory organization like the state board of nursing differs immensely from the role of a professional organization like American Nurses Association (ANA). The ultimate goal of the board of nursing (BON) is to protect the public or patient. The main goal of a professional organization like ANA is to promote the overall growth of the nursing profession, (Nursingworld, 2012). The BON functionally develops policies, rules and regulations that govern the nursing profession. It sets standards for the practice of nursing, and interprets and enforces those standards through the practice act, and takes actions against the licenses of nurses who indulge in unsafe practices, (GBON, 2016). The BON also oversees the administration of nursing exams for licensure and accredits and approves nursing education programs. For example when I chose nursing as a profession, I had to investigate and research and make sure I attend a State approved nursing school so I could take my licensure exams to practice as a nurse after graduation. If one does not do due diligence to ensure they are getting education from a nursing accredited and state approved program then they cannot take licensure exams after graduation and therefore cannot practice as nurse. The BON also investigates any complaints made against nurses in their professional role and if found guilty of violating the law, it brings a disciplinary action against the nurse. So if for...
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...procedures on children just in 2009 (Kitiparnchai & Then, 2011). These elective cosmetic procedures include: rhinoplasty, breast augmentation, otoplasty, liposuction, tummy tucks, and westernizing eye surgery (blepharoplasty) for Asian children (Kitiparnchai & Then, 2011; Ouellette, 2009). Blephroplasty widens the eyes of Asians, and is even performed on newborns (Ouellette, 2009). There is no specific law that blocks the use of plastic surgery on children (Ouellette, 2009). The American Academy of Facial Plastic and Reconstructive Surgery code of ethics states merely that surgical operation should not be performed if it is not calculated to improve or benefit the patient (Ouellette, 2009). The Australian Medical Association position statement on body image and health states that “ patients under 18 years of age should not have procedures to modify or enhance physical appearance, unless it is in their medical and or psychological interest” (Kitiparnchai & Then, 2011, p. 514).There is no explanation by either of these entities on how we should determine if it is in their medical and or psychological interest, or how to quantify calculating improving or benefiting the child. The law supports a parental right to make choices for their children, and presumes that their decision is in the best interest of the child (Ouellette, 2009). Ouellette explains that parents are not owners but trustees of their children. She goes on to explain that owners may destroy their property but...
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...facility that prides itself on being a hospital of choice within its community by being a leader in providing high quality healthcare. The first of Nightingale Community Hospital’s value statements addresses safety. A key aspect in providing safe patient care includes communication among caregivers. A1. Sentinel Event Nightingale Community Hospital recently experienced a sentinel event that involved the possible abduction of a 3 year old patient. As defined by the Joint Commission (2014), a sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. On September 14th a 3 year old patient came to the hospital for an outpatient procedure. She was accompanied by her mother. They first registered for the procedure and completed all required registration documents including authorization forms. The patient then went to the pre-op area to complete all pre-op assessments. At this time the mother informed the pre-op nurse that she had to take care of a personal matter with her son while her daughter, the patient, was in surgery. The mother gave her contact information to the pre-op nurse who then recorded it in her personal notebook. From the pre-op area the patient was then taken to the operating room. Both nurses and surgeons are present during the procedure. After the surgery, the patient was taken to a Post Anesthesia Care Unit (PACU). It is also referred to as the Recovery Room. Upon arrival, the mother...
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