Ethical Dilemmas For Nurse Managers

Hurricane Katrina was one of the most deadliest natural disasters in the history of the United States of America. At least 1,245 people in the hurricane and subsequent flooding. In reading the excerpt from Five Days at Memorial: Life and Death in a Storm Ravaged Hospital by Sheri Fink, there are certain ethical and legal issues that arise and ones that holds all those medical and health professionals accountable for their actions. Dr. Ana Pou was one of the head doctors who took a leadership role at Memorial Hospital after the backup generators had failed and the rescue teams were few and far between. A team of medical personnel which included Dr. Pou had categorized the remaining patients into an evacuating category. They felt that the most sick patients would be evacuated last because of available resources and essentially decided who would live and who would die. Dr. Pou denies her actions and states that she did what she felt was the right thing to do? But as Sherri Finks poses the question in her article “where is the line between comfort care and mercy killings”.

After working under these horrendous conditions, including lack of sleep, lack of electricity to keep the newest technology machines working, shut-down elevators and air conditioning, and an unsanitary working environment, the remaining staff members at Memorial did what they could. The reason and quantity of the medications that were found in patients’ bodies were unquestionably incorrect with the justification by Dr. Pou that she was simply trying to reduce their physical suffering and relieve their anxiety. In this case, Dr. Pou’s situation was considered malpractice, because people argued that there were other ways to help these patients. Rodney Scott, one of the last patients to leave the hospital stated, “How can you say euthanasia is better than evacuation?..If they had vital signs, then get ‘em out. Let God make that decision,” (Fink, 28). It is anticipated that nurses will experience challenging working conditions, including an environment of fear, and too much responsibilities or things to focus on. To prevent faster burnout and secondary trauma, nurses will need sufficient rest periods, emotional support especially from the hospital facilities and

Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: “You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother’s reaction to her child” (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action.

This paper is designed to show you the differences between the way conservatives and progressives view the federal role in emergency management. Furthermore, the advantages and disadvantages of each them. Also, we will discuss what you should expect as a practitioner of the profession on how to prepare yourself when you would like to switch from one to the other. Most importantly discuss the criteria of a natural disaster and how human and social perception factors inter play with each other. One question at hand is do we blame the victim? What does “blaming the victim” means? Is there any validity to this or not? Does this concept influence the way our society responds to disaster or any other event that may occur? These are some of

Nurses apply their moral and ethical training in difficult scenarios within the workplace where leadership and guidance are necessary in the nursing profession.

All disasters are either natural or man-made. Majority of the United States’ most costly disasters have been natural disasters (Steinberg, 2006). Ted Steinberg, an environmental historian, uses Acts of God to analyze how American interference with nature intensifies the harmfulness of natural disasters. Steinberg (2006), states “those in power have tended to view these events as purely natural in an effort to justify a set of responses that has proved both environmentally unsound, and socially, if not morally, bankrupt”(p.19). This book selectively exhibits solid facts pertaining to specific natural disasters; namely hurricanes, floods, and earthquakes. In this manner, Steinberg attempts to persuade readers of the idea that natural disasters are not outside of human control or consequence. The idea of an “act of God” was initially from the idea that natural disasters were a result of punishment for sin (Steinberg, 2006). When Americans started to venture from the idea of natural disasters being a result of human actions, the assumption arose that natural disasters were without human culpability.

Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed

Ethics, or also referred to as moral philosophy, helps determine when things are right and when things are wrong. To kill or not to kill? To abuse or not to abuse? To hurt or not to hurt? In the nursing profession, as in all major health professional fields, nurses are bound to a certain Nurse’s Code of Ethics (Kelly, 2010). Obey the code, and a registered nurse can potentially live a long healthy career in the nursing field. Violate the nurse’s code of ethics, and one can seek penalties including but not limited to fines, fees, revocation, license suspension, probation, and even imprisonment. So what exactly happens to a Nurse who disobeys the code of ethics? The case between the State of Florida vs Mr. D.R.O. helps in getting a better understanding of what happens when a registered healthcare professional, in this case a Nurse, challenges the nursing code of ethics. Is the verdict appropriate in the defendant’s case? Were the consequences adequately applicable to the damages the defendant imposed? How can future and active registered nurses avoid situations like this in their career? Although the concept of ethics and the answers to some of these questions can seem common sense to most of us, in some cases, our minds can be clouded or disturbed

Following hurricane Katrina, a hospital that was evacuated because of the storm was revisited. Over a dozen bodies were found inside. The hurricane killed all the power and running water, causing the temperatures inside to rise well above 100 degrees. Still, investigators were baffled at the number of dead bodies in the run down hospital and were stunned when hospital workers claimed that a well-known doctor and two highly respected nurses had induced the deaths of some left behind patients by injecting them with lethal doses of morphine. Paramedics eventually carried out 45 corpses from the hospital! Over a year later, investigators released evidence that arrested the doctor and nurses involved in the deaths of four patients. Anna Pou, the

One ethical consideration is the staff that was called and did not attempt to make it into work according to our nurse manager’s statements. These employees will be counseled and reminded of the disaster relief policy. Another is in refusing to take responsibility for the death of the patient. If there was the proper amount of staff members on shift , the food allergy could have been discovered before improperly administering the wrong medication to the patient. Regardless of being short staffed it is the responsibility of the staff member to provide safety and that all medical questions are answered.  A third is that lack of responsibility for the falls. Staff members are required and ensure the safety of all patients and rounds should have been in full force. I also believe that patients should have been moved a open area so that it is easier to be able to see all patients. Although the patients may be awake and oriented, they may be suffering from effects of illness or medication that increase the likelihood of falls and this should have been addressed with the assessment that staff is required to do on all patients.

While we do not have historical record of all of the natural hazards that have impacted the United States, we do know that for multitudes of years, the United States has been hit by many natural hazards – hurricane, tornado, drought, wildfire, flood and earthquake, to name a few. As each of these natural hazards occur, multiple issues arise – relative to the core components of emergency management: mitigation, preparedness, response and recovery. Yet, even with prior knowledge from years past and the destructive events that have occurred, we as a nation continue to struggle with natural hazards that more often than not become natural disasters. For too long it seems as if we have settled in to a rhythm of responding, attempting to recover, rebuilding and then repeating the cycle as another natural hazard strikes.

Each of the seven primary values encompassed within the code of ethics were involved in this case include, providing safe, compassionate, competent and ethical care, promoting health and well-being, promoting and respecting informed decision-making, preserving dignity, maintaining privacy and confidentiality, promoting justice and being accountable (Canadian Nurses Association, 2008). I am going to thoroughly examine providing safe, compassionate, competent and ethical care, as well as preserving dignity. The code of ethics states under providing safe compassionate, competent and ethical care that nurses’ ethical responsibilities are to follow their practice standards, participate in compassionate care exhibited through actions, behaviours and body language, build trustworthy relationships, be able to fully place oneself in the individuals shoes to fully comprehend their situations, admit to mistakes, and prevent and minimize all forms of harm and violence (Canadian Nurses Association, 2008). This ethical quandary displays how this ethical value was not implemented, the health care aids did not place themselves in their shoes and try to understand their thoughts and feelings or how abandoned and meaningless they felt when they were not even acknowledged. No one

This dilemma often occurs in the Critical Care Unit. Profound ethical questions confront the CCU personnel as they watch and wait helplessly. Bogner, 2004 also adds that apart from the relatives the critical care primary nurse bears the greatest psychological trauma.

Every emergency or disaster, from a small house fire to a hurricane that devastates entire communities, have a distinct cycle. This is

On August 29, 2009, Hurricane Katrina struck the United States Gulf Coast. It was a Category 3 Hurricane, according to the Saffir Simpson Scale. Winds gusted to up to 140 miles per hour, and the hurricane was almost 400 miles wide . The storm itself did a tremendous amount of damage, but the storm’s aftermath was cataclysmic. Many claimed that the federal government was slow to meet the needs of the hundreds of thousands of people affected by the storm. This paper will examine the four elements of disaster management – preparedness, response, recovery, and mitigation – as well as an analysis on the data presented.