Alleged Improper Admission Orders Case Essay

A nurse attending stated “during the morning’s second surgery, he actually dozed off. The nurse took him aside and recommended that he take a break, but he refused and returned to the operation.” The nurse here was in fault in more ways than one. This nurse should never allowed the doctor return back to operate on the patient, he should have been removed from the operating room immediately. The nurse should have

An experienced nurse Julie Thao was taking care of 16-yeas old Jasmine Gant who was about t give a birth. Thao is accused of making a mistake that had terrible and tragic result on the life of a pregnant teenage, unborn child, Gant’s family, health care, and Thao’s life. Thao mistakenly gave Gant an epidural anesthetic intravenously instead of an IV antibiotic for a strep infection. Within minutes of receiving the epidural IV, Gant suffered seizures and died. Her child, a boy, was delivered by emergency Caesarean section and survived. So what caused this tragedy to happen? According to investigation, Thao improperly removed the epidural bag from a locked storage system without authorization, she did not scan the bar code, which would have told

The plaintiff in Ard v. East Jefferson General Hospital, stated on 20 May, she had rang the nurses station to inform the nursing staff that her husband was experiencing symptoms of nausea, pain, and shortness of breathe. After ringing the call button for several times her spouse received his medication. Mrs. Ard noticed that her husband continued to have difficulty breathing and ringing from side to side, the patient spouse rang the nursing station for approximately an hour and twenty-five minutes until the defendant (Ms. Florscheim) enter the room and initiated a code blue, which Mr. Ard didn’t recover. The expert witness testified that the defendant failed to provide the standard of care concerning the decease and should have read the physician’s progress notes stating patient is high risk upon assessment and observation. The defendant testified she checked on the patient but no documentation was noted. The defendant expert witness disagrees with breech of duty, which upon cross-examination the expert witness agrees with the breech of duty. The district judge, upon judgment, the defendant failed to provide the standard of care (Pozgar, 2012, p. 215-216) and award the plaintiff for damages from $50,000 to $150,000 (Pozgar, 2012, p. 242).

This report reviews the case R v Dean and discusses some key elements. The offender, a Mr Roger Dean, a registered nurse working in Quakers Hill Nursing Home was charged and convicted of a crime with three charges; larceny, murder and grievous bodily harm. The offender admits to primarily stealing painkillers at the nursing home and in order to distract management of the ongoing investigation, he lit fire in the nursing home on the 18/11/2011 causing eleven counted deaths and eight people injured due to burns or smoke inhalation.

I returned to the recovery ward, my patient was still hypertensive and tachycardic and I felt by assessing her non-verbal signals of communication that she was still in great discomfort. After 15 minutes of no improvement I returned to theatre to see the anaesthetist, I explained that I was not happy with the patient’s level of pain and requested that he come to the recovery ward to assess the patient. He reluctantly came to the recovery ward and after spending a few minutes assessing the patient agreed that she was in an unacceptable level of pain and prescribed a further 5mg of morphine which I duly gave to the patient in 2.5mg increments. After this the patients heart rate and blood pressure decreased to pre operative levels, she seemed to be more relaxed and eventually fell asleep. After a further period of time spent continually reassessing the patient and when I was satisfied she was comfortable and haemodynamically stable I discharged the patient back to the ward.

The decision made by the Virginia Board of Nursing concluded with an indefinite suspension of her license until a monitoring rehabilitation program has been completed. The Health Care Practitioners Program will be customized for the specific criteria that the defendant needs. If the defendant does not complete all parts of the program, she will have to come before the board to discuss the issue. The defendant stated during the hearing that she “does not trust herself around narcotics and needles.” Therefore, the board decided that she will not be able to work in a setting where she has access to either of those. The rest of the details of her implications are to be determined as a later time.

The definition of malpractice according to Merriam-Webster dictionary is dereliction of professional duty or a failure to exercise an ordinary degree of professional skill or learning by one rendering professional services which results in injury, loss, or damage. The nurse did have a professional duty which including following her medication rights, administering the drug correctly after consent had been obtained, and documenting the events clearly and precisely. There could have possibly been a breach in professional duty regarding the choice of injection site. This is dependent on the time period of which the medication was administered and the evidence and practices at that current

One year ago an unethical incident happened at the facility I was employed at. As a Certified Nursing Assistant we were permitted to distribute medications to patients/residents under the supervision of an RN and with the required training. The unethical decision was made by my coworker, who made the choice to steal an extensive amount of Vicodin and other painkillers from a residents supply.

The prosecutor, in this case, must prosecute according to law if probable cause is there and he must follow the Model Code of Professional Responsibility with the American Bar Association (Pollack, 2017, p. 239). The prosecutor also can show that the doctor has violated his code of ethics by not using only legal and ethical means to care for his patient (American Board of Physician Specialties, 2017). He did this by giving the patient a lethal dose of morphine.

Physicians swear by the code primum non nocere, Latin words for, “first do no harm” (Pozar, 2014). In the video, the resident physician clearly did not follow protocol when she administered the drugs. The intent was good, however, the risk involved with administering a drug without the patient’s medication history and possibly causing death it too great. This is especially true knowing the patient already had severe reactions to other narcotics (morphine) during a previous hospitalization. Furthermore, the doctor was a resident physician, thus still in training, not the attending physician, so the resident physician lacked the experience needed to make the appropriate calls during that critical situation. The actions taken by the resident physician were unethical, of poor judgment, and violates the Hippocratic Oath.

A drug addict, who was homeless and drunk, was brought in by the police during a midnight shift, and had to stay in the ER until she sobered up. The drug addict was belligerent and causing problems, but doctor told the charge nurse, who is the head nurse of the ER, not to send her out until she sobers up. Since the patient was causing problems and a frequent patient at the ER, the charge nurse was annoyed and did not want to deal with this patient anymore. She did not want to listen to the doctor’s orders because she felt she knew how to handle the situation better since she was directly dealing with the patient. Because the paperwork was ready to go and the patient could be discharged, the

In the case scenario, the nurse did not apply her knowledge to check the correct adult dosage of methadone. Methadone is a narcotic pain reliever, similar to morphine (Hodgson, 2011). When administering narcotics, it is required to have someone co-sign the MAR sheet to double-check with you (by using the five rights). The nurse was not able to use her critical thinking when she administered methadone. If she was a trained nurse, she would have realized it right away that there is something wrong with the dosage amount. There is a big difference between milliliter and milligram.

When I was helping to sort through an occurrence report, I was faced with the devastating effect on a nurse who was directly involved in the delivery of the wrong medication to a patient. The event occurred while she was attending a rapid critical care response. The patient was ordered a high risk medication after she completed her nursing assessment, she received a physician’s order for an IV push medication. The nurse prepared it from the emergency medication supply, verbally checked the high risk medication with another nurse and proceeded to deliver it to the patient. Initially the nurse did not realize anything was wrong, but recognized the wrong vial was selected upon returning another vial to the unused medications return bin. As soon as she noted the error, she reported it to the team and the appropriate actions were taken to assess and support the patient, who was thankfully unharmed by the error.

Then the district attorney stepped in and submitted the case to a grand jury, which indicted all three nurses for criminally negligent homicide. Under Colorado state law, criminal negligence occurs "when there is a gross deviation from the standard of care that a reasonable person would exercise and when that person fails to perceive a substantial and unjustifiable risk that a result will occur or that a circumstance exists." Recently, the nurse practitioner and staff nurse accepted a plea arrangement that keeps their records clear of negligent homicide charges if they stay out of legal trouble for two years, and the jury acquitted the primary nurse.

The nurse’s action of giving both doses at 1700, since she missed to give it at 0800, and recorded it that they were given at prescribed times is an act of professional misconduct. In fact, according to the College of Nurses of Ontario that “Inaccurate documentation or failure to document may put the client’s health in jeopardy” (College of Nurses of Ontario, pp 9). The nurse has the responsibility to report any missed medications. Also, it is the nurse’s responsibility to assure that every information that is recorder on patient’s file is truthful and accurate. Therefore, the nurse may undergo investigations and could potentially loss or suspend her or his licence to practice once proven of his professional misconduct. At any circumstances,