Leo Dunn presented the committee charter (Attachment II). Mr. Dunn discussed the purpose of the committee and the responsibilities charged to the members. He particularly noted two issues for consideration: the omission of the associate safety in the charter and the appointment of a member of the committee from Providence Health Network. Dr. Carol Wratten mentioned Dr. Marc Barrett, Senior Vice President of Medical Affairs, as the counterpart to the committee from Providence Health Network.…
HCR ManorCare is a leading healthcare provider in the United States that specializes in skilled nursing care. Along with providing the best care for our patients, HCR ManorCare, as stated in the “Standards of Business Conduct” expects nothing less than the best from its employees. This document covers everything they expect ethically and professionally from its employees while providing the information they need to ensure they are informed of the repercussions if the policies are not followed. KEY POINTS HCR ManorCare lists four key points that ensure that their employees maintain and ethical and honest work environment, which will lead to an ethical and honest company. First is “you should not ever knowingly falsify any documents or give…
According to Ed 's physician, if he is not placed on a ventilator, he will die within a few days from pneumonia and lung congestion causing low levels of oxygen. These situations are ethically tough to evaluate, as their is never a right or wrong answer, but more so using one 's best clinical judgement if the patient still holds the capacity to make sound decisions. If the physician believed as if Ed 's symptoms are effecting his decision making ability, then I believe Dr. Goldstein 's act of calling Bert was ethically sound. "It is a patient 's written directive to continue or to withhold treatment or to administer painkilling drugs if the person has incurable disease, illness, or condition via which the patient has become incompetent and…
A professional is an expert in their field. While observing the nurse student for her three week evaluation, their appeared to be some complaints and concerns regarding her professionalism on the job. She arrives late, scrubs are wrinkled and have odor of tobacco smoke, and staff says she's not a team player. These issues are very concerning when working with the health field. Being late to work shows lack of commitment to the job, and laziness.…
Alabama ISSUES AND TRENDS 2 Roles, Ethical Considerations, and Effectiveness of the Adult Gerontological Acute Care Nurse Practitioner In all healthcare fields the providers are bound by a moral code of ethics that are defined within the ethical principles and serve to guide the care of all individuals. According to Hamric, Hanson, Tracy, and O’Grady (2014) ethical principles are a set of core values that are fundamental obligations that healthcare professionals use to guide all care provided in the medical field. Ethical Principles The Adult Gerontological Acute Care Nurse Practitioner (AGACNP) is guided by a set of ethical principles that help provide the kind of care every individual deserves.…
Hi Tammy, I enjoyed reading your discussion post on the ethical dilemma in ambulatory care. Living wills and advance directives can be great tools when used. Your resources and citations were very relevant to the topic. Many years ago I was fortunate to work in a skilled nursing facility with a full-time chaplain. As a result, I wondered if a faith-based representative would be another resource for this patient’s daughter.…
Unfortunately, I have encountered a situation where there was suspicion of sexual abuse of a child. An employee of mine reported a situation they felt was inappropriate. The employee was working with a young man who received our services who had an accident while in the community. The employee returned the young man to the home to change clothing and found the grandfather of the child laying in bed with the younger 5 year old sister. The employee reported he could not verify any wrong-doing was occurring, however, neither the grandfather nor the girl stepped out from underneath the covers.…
In addition to ethical issues faced in healthcare organizations, are legal issues. According to Pozgar (2016), laws are enacted to regulate human behavior for the benefit of society. Laws are a basis for conduct in our society and if breached can lead to serious implications. Public policy is the principle of law that holds that no one can do that which tends to be injurious to the public or against the public good (Pozgar, 2016, p. 240). Though not directly involved with patient care, a health services administrator should enhance the overall quality of life and well being of individuals under their organizations care.…
The annual reappointment of committees is going well as expected. Looking at the requirement of the hospital we need a total of nineteen committees to be staffed correctly. The plan is to utilize physicians from all parts of the hospital. Last year we were not staff appropriately, hopefully, this will not be the case this year.…
These ethical considerations regarding developmental capacity to give assent and consent suggest that intensive treatments should focus on older children and adolescents and that all decision-makers (parent, child, and physician) need to reach a consensus before beginning intensive treatment. Additionally there is concern over insurance coverage that is often unavailable or inadequate for obesity services, even if recommended by professional and governmental organizations. This issue raises questions of distributive justice, since barriers preventing payment may intensify existing socio-demographic disparities in obesity (Cuttler et al.,…
“The delegating physician, the practice, and the medical assistant can be sued for negligence if the medical assistant does not perform a duty up to the standard of care of a reasonably competent medical assistant,”(Balasa, JD, NBA, 2015 (UPDATED)). This quote sets the tone of law and ethics in the medical field. Some aspects of our minds we control ; that we are aware of. However, some aspects of it are ticking in normality and we don’t even have to think about them, these are mechanisms of the medulla oblongata, the control center of basic motor functions. All our decisions of right and wrong, our conscious decisions are our ethics, in the medical field we make a promise to ourselves and others to do what's right.…
Importance of Ethics and Integrity in the Healthcare field as a Healthcare Provider Ethics can be defined as a collective system of moral principles and values. This system is used by humans as a guideline to make appropriate decisions during their everyday life. It helps improve the morality and quality of a society. From its Greek origin “ethos” (Merriam-Webster’s online dictionary, n.d), it can be translated to mean a certain custom, habit, or character that is used to govern a good life by upholding the moral value of human behaviour. Ethics serves as a vital tool for rational thinking about moral issues.…
For example, nurses are great at patient care; however, they have very little say in their unit’s and/or hospital’s operations. Yet, they are the ones that know the patient best, and better understands the patient’s and family’s needs. They see first-hand the struggles and frustrations in making crucial health care decisions. Their moral and personal ethics conflicting with the patient’s or organization’s set of ethics. Our hierarchy doesn’t realize, despite their best intentions, how they may unconsciously encourage unethical behavior.…
As kids, we were thought to always tell the truth, a situation that seemed to be black and white. As we grow older, the reality of things becomes more complex. We are challenged in situations where telling the truth is not as easy and we have to consider how the recipient will interpret the information. We learn to outweigh the positive and negative outcomes if we tell the truth. Recipients, such as the patients, have many rights.…
In a properly functioning management system, the staff should be able to approach upper management and create a healthier internal environment. The regional manager was even afraid to approach the practicing physicians. The CMO is considered the leader of the organization and should have absolutely refocused the policy on cancellations and reprimand both responsible parties. Unit coordination is also a weakness within this team. Tanya was recruited by the CMO to essentially spy on the other staff.…