Unit 6 assignment leg
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School
Purdue Global University *
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Course
135
Subject
Medicine
Date
Jan 9, 2024
Type
docx
Pages
5
Uploaded by AdmiralThunderQuetzal39
Scenarios:
1.
At a meeting of her bridge club, one of the members expresses sympathy for an absent member who, she reports, has recently been hospitalized as a result of acute
appendicitis. Jane, an RHIA, remarks, “Oh, it was not appendicitis at all but, of course, I can’t tell you what it was because that would not be ethical.”
Step 1- Define the problem: When Jane stated the missing member did not have appendicitis, she violated the Registered Health Information Administrator (RHIA) code of ethics regarding patient confidentiality and professional integrity.
Step 2- Seek out relevant assistance, guidance, and support:
Jane should seek out a class on ethics as she seems a little confused as to what the correct codes of ethics are. Step 3- Identify alternatives:
An alternative Jane should have chosen is not to say anything to the group.
Step 4- Evaluate the alternative:
There is no alternative in this situation.
Step 5- Make the decision:
The decision that Jane should have made was not to talk about patients who receive
care in the hospital where she works. Step 6- Implement the decision:
When Jane is out with friends, she should never talk about patients, and she should take an updated ethics class. Step 7- Evaluate the decision:
The decision not to talk about patients is the best solution.
2.
When applying for a fellowship in the American College of Surgeons, Dr. Smith cites the cases of several patients who were actually cared for by a senior surgeon as examples of his own patients and surgical work. The list of cases he has submitted is
sent to the hospital to James, RHIA, for verification. Knowing how eager the young surgeon is to obtain this fellowship and not wanting to make trouble, James verifies by his signature the statements that these were Dr. Smith’s patients.
Step 1- Define the problem:
Dr. Smith has forged his application for the fellowship in the American College of Surgeons by citing work that was not completed by him. Also, James has allowed this application to be verified even though he knows these cases were not Dr. Smith’s.
Step 2- Seek out relevant assistance, guidance, and support:
James should contact his supervisor to see how to remove his approval and to receive updated training in the approval process.
Step 3- Identify Alternatives:
One alternative James could have done is he could have reached out to Dr. Smith and explained that the cases he submitted were shown to be cases of the senior surgeon If permittable James should have had Dr. Smith update his application and resubmit it. Another alternative to this situation is James should not have approved the application.
Step 4- Evaluate the Alternatives:
To be kind I think advising Dr. Smith about the errors on his application, however denying the application would be the most ethical approach. Step 5- Make the decision:
I think the best alternative for James would have been to deny the application as if Dr. Smith is being unethical in the application process, then he may not be the most ethical doctor and may do anything to get ahead.
Step 6- Implement the decision:
When an application has proven falsified information, it should be denied no matter what the situation is. Step 7- Evaluated the decision:
The decision to deny an application with false information should always be denied as it is unethical to lie on an application, they may continue their unethical behavior. 3.
Martha, RHIA, is sent by her hospital to an advanced workshop on HIPAA security regulations in San Francisco. Because she has the speaker handout package and can purchase audiotapes of the sessions for future reference, on two of the days of the workshop, Martha decides to go shopping and sightseeing instead of attending the afternoon sessions.
Step 1- Define the problem:
The problem is Martha is in San Francisco for work, not shopping and sightseeing and it is unethical of her to use this time for those activities.
Step 2- Seek out relevant assistance, guidance, and support:
Martha should review the hospital's policy for business trips out of town.
Step 3- Identify alternatives:
An alternative Martha could have chosen was to go sightseeing and shopping after the class had finished for the day, she could also see if she could extend her trip for a few days.
Step 4- Evaluate alternatives: I believe if Martha went and did her shopping and sightseeing after the class it would
be a good option because she would be attending the entire class however, she may
be out late and not get enough sleep and may be tired for the classes the next day. If
she extends her trip, she might be leaving her co-worker at the hospital with additional work especially if she was planning to work. Also, she may not be able to afford the hotel or the cost of changing her flight.
Step 5- Make the decision:
The decision I feel would be the best for Martha would be to extend the time she is in
San Fransico; I believe this as when you are at seminars it is best to network and stay close to where it is taking place as you may learn from other attending. If she does go after the class in the evening she may stay out late and not get enough sleep causing her not to be as focused the next day. Step 6- Implement the decision:
To implement this decision Martha should make arrangements with her supervisor to
extend her trip using her vacation time, she should also check to make sure she can get her hotel room and flight changed.
Step 7- Evaluate the decision:
I believe this to be the decision as if she tries to get all her sightseeing and shipping done in the evenings, she may not get enough sleep and she may not be as focused
on the class because she is tired or thinking about where she is going to go after the class. 4.
Hearing of a job in a hospital in the next town where the salary is better and the working conditions more pleasant, Erica, RHIA, applies for it. During her interview, she stated that she earned her degree in a well-respected program. In reality, she spent only one year in that program before transferring to another program where she earned her degree. She secures the new position and, because the second hospital is very anxious to have her start work at once, she places a letter of resignation under the door of the vice president to whom she reports to in her current
position, informing the VP that she will not be returning to the facility.
Step 1 – Define the problem:
In this scenario, there are 2 ethical problems. The first one is Erica lied about where she earned her degree, she also did not ethically inform her current employer. Step 2- Seek out relevant assistance, guidance, and support:
Erica should find a class on medical ethics to get a refresher because stating she received her degree at different school is not ethical. She also should review her current employer's policies and procedure manual to see what step should need to take to resign from her current position.
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