Jason Medical Model Case Study

1. When meeting with the neonatologist, the NICU charge nurse, the infant’s primary nurse, the hospital chaplain, and the social worker in the NICU about the situation I would contribute many things to the group’s discussion as the nurse manager. I would do my best to advocate for Baby S. and Mrs. S. and both of their rights. Additionally, I would do my best to remind the group of the legal issues that those involved may face and the possible outcomes of this scenario. Due to the fact that the group has not previously been in a situation like this one I would encourage the group to use previous experiences that are similar so that we could problem

Negligence and malpractice are increasing within nursing fields even though nurses and students who will become nurses are educated about their legal and professional responsibilities and limitations. Negligence is a failure of fulfilling the responsibilities that the nurse has which results in malpractice. A nurse can be sued for malpractice when she fails to take care of the patient; it results in patient’s injury, however we should keep in mind that not every case ends with the injury, but still it is a malpractice. Many nurses are not fully committed to perform the skills they should, and they enter the profession only because of benefits. Malpractice can be increasing because of a severe shortage of trained nurses, and it happened because of a few factors: nurses are required to work longer shifts; they can lead to fatigue and increase the risk for an error; also short Nursing courses providing degrees with no sufficient time to train nurse’s results in malpractice. Nurses who lack the experience and knowledge fail their duty, and when it happen not only them but also the hospital in which they work bear the consequences. Because most nurses are employees of hospitals, hospitals are frequently defendant in nursing malpractice cases. Here is an excellent example of nursing negligence and malpractice cases which effects not only the patient, but also the primary nurse, student nurse, the hospital and the school of nursing.

The incident occurred during an elective caesarean section, for a woman with type one diabetes mellitus. Research has shown that maternal diabetes mellitus incurs an increased risk of neonatal hypoglycaemia (Robson et al., 2014). In response to these findings, a neonatologist is required to be present at the delivery of the fetus (Local Trust, 2015). Upon arrival of the neonatologist, a thorough handover of the client’s information, including past medical history, as well as neonatal risk factors, was performed by the student. Following delivery, the infant was placed on the resuscitaire and the initial neonatal assessment was completed by the neonatologist, as per Local Trust policy (2016). The results of the assessment were satisfactory and no neonatal abnormalities were identified; the neonatologist made the clinical decision to discharge the infant from the neonatologists’ care. Within the subsequent ten minutes the infant’s muscle tone and respiratory rate reduced which prompted the student to transfer the infant back to the resuscitaire and raise the alarm with the midwife, her mentor. The midwife proceeded to instruct the student to request a neonatal emergency crash call broadcast. Once the neonatologist team arrived, they requested a handover and glanced at the student, who at which point became flustered and unable to share the necessary information, provoking the mentoring midwife to resume control of the situation. The midwife was able to share the relevant information and subsequently aided the diagnosis of neonatal hypoglycaemia. This was quickly treated and the infant was intubated and stabilised prior to being transferred for further treatment and observation in the Special Care Baby Unit (SCBU). Subsequently, the student suffered a reduced level of

A family should not be shouldered with the financial burden created by the permanent impairment of a child that was injured as a result of a negligent act by a medical professional. The family should be able to focus their energy and efforts where it matters most,

The four elements that must be present for negligence to be proven are: 1) a duty to care, 2) breach duty, 3) an injury or damages suffered by the plaintiff, and 4) causation/proximate cause.

In this scenario Greg was not following the Practice Standards outlined by CRNBC or College of Registered Nurses of British Columbia. He was violating them in multiple ways. Greg put the safety and health of his other patients over the health of Annie. As such he violated the first practice standard of Communicable Diseases: “Nurses have a professional, ethical and legal duty to provide their clients with safe care, including protecting them from the risk of infection.” He did not provide Annie with safe care. Moreover, he did endeavour to protect his other patients in the paediatric ward from infection but these practice standards are meant to be applied to all peoples. He was following the second standard and was aware

In the given case, nurse Kuyper noticed that Mrs McKay-Hall had altered level of vital signs. However, neither she increased frequency of observations nor initiated a medical emergency response, believing that Dr Ahmed was aware of her condition and had recommenced on antibiotics. Even though, doctor was aware of the patient’s condition, nurse Kuyper has a professional and legal responsibility to critically analyse the patient’s condition to prevent further deterioration. In this situation, nurse Kuyper did not use autonomy of taking care Mrs McKay-Hall appropriately and did not show positive obligation to act for the benefit of Mrs McKay-Hall. Nurse Kuyper even should critically evaluate Mrs McKay-Hall and think about benefits and burdens of conducting observation frequently and initiating a medical emergency response in order to fulfil a duty not to injure her due to avoidable

The health care field is a very complex workplace environment and the terminology like malpractice encompasses the negligence of health care professionals. In the past, there is a division that existed between physicians and nurses. Additionally, nurses had very defined framework, in which nurses are to wait after a patient have been seen by doctors and simply implements the physician’s order. In other words, nurses are not to diagnose, treat symptoms, or prescribe medications. In the

The two nursing ethical values that were questioned in this situation are maintaining commitment and truthfulness. “Maintaining commitments means keeping promises, being honest and meeting implicit or explicit obligations towards their clients, themselves, each other, the nursing profession, other members of the health care team and quality practice setting.”(CNO Ethics, 2009). In this case, the fellow nurse compromised the client’s safety and well being by not maintaining nurses’ primary responsibility to provide safe, effective and ethical care to their patients. Truthfulness means to keep the clients informed about everything with accurate information. But in this situation, it was total opposite because the fellow nurse didn’t disclose his mistake to the patient and other health care professionals involved in the patient’s care. He instead left his friend nurse in a difficult position by telling only her about the incident and telling her not to tell others.

The nurse might be influenced by the higher authority of the medical team and not speak up for the patient. Even though the medical staff is known for being one barrier to patient advocacy, the nurses themselves do not question or challenge unacceptable decisions nor seek to establish alliances with physicians in order to jointly develop strategies to defend patients, despite potential negative implications for patients when they fail to do so (Tomaschewski-Barlem, 2017).

Within ten minutes of the doctor leaving, Lou and I continuously monitored Lucy and her baby, we began to see signs of the woman pushing. I switched from green gloves to my sterile gloves just in time to accouchour the baby who cried instantly as we lifted the baby up to Lucy for immediate skin to skin. The baby received APGARS of 9 and 9 but it was obvious that the baby was small for its gestational age (SGA).

Beneficence means that acting in the patient’s best interest and to do good always (Hendrick, 2000). Beauchamp & Childress (2001) define the beneficence as a moral obligation to act for the benefit of others. According to Nursing and Midwifery Council Code (2002) stated that “the nurse is called to uphold and protect the patient’s interests and well-being, maintain and improve his/her knowledge and competent to serve the interests of society”. Nevertheless both nurses are instead of to uphold and protect the patient well-being, because of their negligence and malpractice Mr Lim has cardiac arrest and develop brain damage.

In spite of the nurse found out the very high pulse and already reached the criteria of medical emergency, however, she did not made a MET call or informed Dr. Ahmad, and even not increase the frequency of observation. This nursing action is the breach of the tort law of negligence. In addition, on the morning of 12 November 2007 Mrs. McKay-Hall’s condition deteriorated rapidly, her heart rate rose to 140 beats, respiratory rate above 40 and low urinary output. Senior nurse Karen Pene who was allocated to patient’s section on that morning. However, she did not reassess patient’s condition and made the nursing summary entry without read the observation chart. The nurse Pene expected that junior nurse would report any concerns to her. This nurse’s action as a professional nurse is inappropriate and results in the damage to the patient. It is important to note that when the nurse breached the duty of care, the third element must

Breach of duty: The action of the defendant in the conditions did not meet set level of standard of care

While the cases involving causation in ordinary negligence cases have departed to the material contribution etc the cases involving causation in non informed cases have taken a different direction. The author will discuss the approaches taken by the Irish, English and Australian courts regarding causation in non informed cases in medical negligence first. He will then proceed to discuss the approach to causation in ordinary negligence. The author will then contrast the tow and give an detail analysis on