Emergency Room Doctor Skoniecski

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

Every one of us has relied on a medical professional at least a few times in our lives. When we get seriously ill, or suffer a serious injury, we put our health in the hands of doctors, nurses, and pharmacists, fully expecting to be treated with a certain degree of professionalism and safety. Unfortunately, sometimes the expected care is not given, or not given to the extent which the ailment requires. In these situations, we can feel blindsided, confused, even taken advantage of.

As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.

The facts of this case are that Dr. Guiles who is self-conscious of his prostate cancer diagnosis is treated horrendously when he finally decides to have surgery ( Buchbinder, Shanks & Buchbinder, 2014). Considering that Dr. Guiles is already sensitive about his condition, his unbearable symptoms are not helping matters (Buchbinder et al, 2014). Upon arrival at the hospital, he is treated subpar. The admitting clerk is rude and unbecoming to a patient who isn’t feeling well and who is embarrassed about his sickness (Buchbinder et al., 2014). To make matters worse, he has to find his own way up to the floor by walking, which causes him to be even later in checking in because of the need to stop frequently to urinate as well as having difficulty in walking (Buchbinder et al., 2014). Once he arrives on the floor, the charge nurse is not welcoming and unprofessional (Buchbinder et al., 2014). After figuring out what to do with the paperwork; and the nurse aide delivers Dr. Guiles to his room, the nurse aide does not offer to help settle him in (Buchbinder et al., 2014). Therefore, Dr. Guiles is faced with battling obnoxious family members who are on his bed and to make matters worse someone is in the bathroom which doesn’t help his need of having to frequently urinate (Buchbinder et al., 2014). When the issues are brought up to the charge nurse, the charge nurse accuses Dr. Guiles of wanting preferential treatment

The resident physician violated confidentiality, because when he left the patient’s room and made a comment about “She-male,” everyone in that vicinity may have overheard him. Only the health care professional taking care of him should know about the patient being

Especially since she was just trying to know that her husband would not be hurt by mowing the lawn. Based on what I have learned thus far in the class, I know that no matter how ridiculous the concern may sound I need to respect the patient and allow them to voice their concern. I would have listen to the wife of the patient and would have reassured her that while I know that she is worried about her husband he should be okay to mow the lawn and then I would have ended the conversation by letting the patient’s wife know that if she or her husband have any other worries or questions that they could contact me. The ethical lesson that is to be learned from Dr. McKee’s unethical error is that patients and their family members need to be treated with dignity because they are trusting the physician with their life and that should not be taken for granted.

University Hospital is a well known hospital with a level 1 trauma treatment center for the tri-county area of a northwestern state, the hospital enjoys the fact they are known for their promising reputation among healthcare professionals and the public they serve. Jan Adams is an OR supervisor that has been working there for ten years, as a professional she makes surgeons follow protocol as required and enjoys working with trauma patients. One Friday night, which is the busiest day of the week for the trauma department; the unit was notified that a helicopter was on its way with a 42 year old man who had been in a car accident. Shortly after the patient arrived to the trauma center, the resident and other medical staff noted that he was in very bad physical conditions, needed immediate surgery or otherwise he was going to die. The issue was that the on call surgeon had to be present during the surgery and had not yet arrived, but regardless of the matter and protocol they proceeded with medically treating the patient immediately. The concern is that in doing so they violated medical procedures and put the patients safety at risk, this lead to a long list of ethical issues for example, patient well-being, impaired healthcare professional, adherence to professional codes of ethical conduct, adherence to the organization’s mission statement, ethical standards, and values statements, management’s role and responsibility, failure

Beneficence compounded by nurse-physician communication created ethical problems in this case. Mainly, Joanna’s assessment of Mrs. Kelly being ignored by the resident physician and the nursing supervisor. Joanna worked within the scope and standards of practice, she assessed, evaluated, and monitored her patient’s condition. She then reported her findings to the resident twice, and also sought nursing support from her shift supervisor. After Joanna’s first call to the resident, and her continued concern she needed to advocate in a proactive manner. Continuing her assessment of Mrs. Kelly to include palpation and auscultation could have offered additional clinical information enabling her to articulate the problem to the resident and nursing supervisor.

Mark Skornia filed a complaint against Dr Kenneth Smith alleging mismanagement and misdiagnosis of the complications after his mother Arlene Skornia was admitted to Mercy Hospital in Washington, MO on August 13, 2013. Mr Skornia’s primary concerns are his mother did not receive nourishment for 7 days, Dr Smith lacked the ability to appropriately titrate pain medications, and Mrs Skornia was released from the hospital with no plan in place or consultation with the family.

After choosing to help my co-worker, to ensure that the client was kept clean and comfortable, I felt that this was my main priority in this situation. As an accountable Healthcare worker it sates within my code of conduct. That I have to make sure that I give care to all clients and treat every person as an individual, with dignity and respect at all times. However, I could still see, and understand why that staff nurse had to explain to me why I had to listen and take instruction.

Also, the secretary told me that the Doctor dude decided to move you to a different hospital, not to mention that she was hearing a rumor going around that Doctor Welsh’s assistant nurse believes that he is starting to turn insane and thinks he has anger issues. The assistant nurse as said that he never told you to stay still, therefore, we have the right to sue him since he began to yell at an innocent child,” Daddy said and came to a conclusion.

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

In the health care system, a multitude of errors occurs on a daily basis. Doctors, nurses, orderly’s, etc., everyone in health care settings has responsibilities that warrant careful attention. This was exhibited in the case study titled ‘An Extended Stay’. In this case study, we are introduced to a middle-aged man in his 60s named Mr. Stanley Londborg. He presented with several health conditions, including a seizure disorder, hypertension (also known as high blood pressure), and Chronic Obstructive Pulmonary Disease (COPD). Londborg was no stranger to the hospital and was known fairly well by faculty members. Londborg paid a visit to the Emergency Room at the hospital complaining of wheezing and breathing complications. The physician that examined Mr. Londborg yielded his symptoms as an acute worsening of

Benton was ill, however, our staff should not have to tolerate the type of behavior which was portrayed by this patient. He demanded Sharon, the call center rep, to place him on hold and go get Ms. Marks to answer his questions. Sharon explained to him that she was will to transfer him to the nurse’s voice mail and the nurse would call him back. Again, he demanded to be placed on hold; Sharon explained to him that she had other calls in queue to answer, and she could not place him on hold. He was very aggressive and rude. This patient, in my opinion, is very disrespectful and

When I look back, one incident strikes in my head. It took place when I used to work as an ICU nurse in one of the most reputed government hospitals in Nepal, my home country. It was night shift so only four of us were in the ward. Then, the telephone rang. It was from a medical ward notifying that one case of arrhythmia got critical so immediately needs to be transferred to the intensive care unit. The problem was we had total eight beds in ICU ward, which was all occupied at that moment. The case arriving was more serious therefore we had to vacate one bed. Without any delay I informed the ICU doctor about the situation. But due to some circumstances he could not come and gave the verbal order to shift one stable patient to other ward. On the one hand I did not have the proper authority on the other it was about patient’s life. Then, I went to one patient, told him about the whole situation, consoled him and eventually transferred him to the observation ward and prepared the bed instantly for the new patient. The new patient was brought from the medical ward. After lying him down on the bed, I tried to make him comfortable and also supplied oxygen, as his oxygen saturation was low. I immediately monitored his vitals (BP, temperature, pulse). His temperature was high around 102.2 degrees Fahrenheit and was also sweating continually. So I gave him paracetamol 500 mg and applied cold sponge to reduce fever. I informed the specialist; he was on his way. By