Medscape Case

This was troubling to me because the rule is exists because research has proven it decreases infections in hospitals and the CNA was actively ignoring the risk he was bringing to his patients. I felt uncomfortable as the new student and the way he said it so nonchalantly made me feel like I simply did not understand how things really happened in hospitals yet.

The nurse practitioner in the case potentially violated fidelity to evidence-based practice. The most obvious dilemma was that she neglected her commitment to an evidence-based approach to managing a sore throat and potentially inappropriately prescribed an antibiotic despite a negative office rapid-strep test. This decision goes against the Code of Ethic for Nursing (provision eight) as it relates to a professional obligation to promote community health needs (American Nurses Association, 2015). Prescribing antibiotics inappropriately can contribute to resistant organisms in the community. In work by Hand (2013), "exposure to antibiotics in primary care is consistently associated with a subsequent twofold risk of antibiotic resistance" (p. 500).

Nurses play many roles in the healthcare field, can have many duties to fulfill under their licensure. It is important for a nurse of any degree, or licenses to know all of the duties that can be performed under their scope of practice. Olin (2012) states, “Scopes of practice are the same for every nurse at a basic level and very different by specialty.” Therefore, it is important to understand the scope of practice, that the nurse is licensed for. A nurse has many roles under the scope of practice that the nurse is licensed under. There are times when a nurse is asked to perform a task that isn’t under the nurse’s scope of practice and guidelines, and it is very important not to fulfill the task at hand if it

The purpose of this post is to discuss the nurse’s scope of practice. The American Nurses Association (ANA) has established guidelines to provide nurses a safe parameter to work within, while also protecting the patient. These laws are based on the competency, knowledge, judgment, and skills required by nurses in order to provide safe care for the public (National Council of State Boards of Nursing, 2015). It is imperative that nurses know their scope of practice within their state to avoid being charged with a violation of the Nurse Practice Act (Wilkinson & Treas, 2011). I will be discussing my states scope of practice in this posting.

I also find myself frustrated with those who do not follow the polies and procedures of my hospital. As I stated before, I am a rule follower and get very uncomfortable if I am asked to perform a task that does not follow policy or see others not following policy. I find that the staff are the largest offenders of this were trained at other institutions or travel nurses. Travelers get very limited orientation and may have been trained elsewhere in a way that does not follow my institution’s policies, and I see some not looking up the policies of the hospital they are currently working at prior to performing tasks. I do not agree with this practice at all. I feel that policies and procedures are in place to protect the institution, its staff, the patients, and

There are a few ethical issues that in the provided scenario which need addressing from the nursing shift supervisor. The first occurs when the Certified Nursing Assistant (CNA) fails to appropriately address the possibility of a developing pressure ulcer. A wound care team can be consulted about developing an educational program about pressure ulcers for hospital staff. Also, there is the issue of restraints. The ordering physician should be contacted about the necessity of restraint use. Along with the wound care team, data could be collected about the use of restraints and the subsequent development of

From early on, nurses learn to use their better judgment when providing care. Thinking critically can aid nurses greatly. Considering this, standard precautions are viewed as a systematic approach at preserving the well being of themselves and others. But if all of this is true, then what prevents nurses from implementing standards of precautions in their daily practice with each patient they care for? The purpose of this paper is to explore what factors may influence nurses to become noncompliant. For varying reasons, data shows that nurses have the lowest reports of compliance. Therefore, it is especially necessary to analyze these factors and educate nurses on the importance of adherence. Factors such as lack of knowledge, time pressure, and poor practice and/or qualifications contribute greatly to nurses not adhering to their standards of precautions when proving patient

Nurses are undoubtedly one of the most trusted professionals worldwide. Patients, family members, and doctors entrust nurses to provide the utmost quality care to sick individuals. Top priorities of all nurses are advocacy for their patients: including advocating for their physical health, holistic welfare, and utmost importantly, their safety. Patient safety will always be the top priority when providing patient care. The nurse’s responsibility during every patient encounter is to ensure that each patient under her care, receives no harm. As a direct result of the previous statement, it is crucial that every nurse knows their rights to refuse unsafe patient assignments, the process to refuse unsafe patient assignments, and the legal or ethical ramifications that could present themselves if proper judgement is not used. By understanding these rules, nurses not only achieve the responsibility of advocating for patient safety but also safeguard their careers and license.

Spearheading from the last question, the regulatory categories pertain to this as well. The provider is responsible for putting the patient’s welfare above anything else, and system-wide rules should

According to the scenario given in example 2, the new nurse on the unit is facing an ethical dilemma by being asked to violate the code of ethics. This scenario regarding the preceptor telling the nurse to violate policy and chart that blood draws were done correctly is violating provision 3. Specifically, if the nurse interjects and decides to not draw the blood cultures too close together and from the same site, it upholds provision 3.5 Protection of patient health and safety by acting on questionable practice. The American Nurses Association code of ethics (2015) states, “Nurses must be alert to and must take appropriate action in all instances of incompetent, unethical, illegal, or impaired practice or actions

2. Verbal Order / Read Back elements: Goal is 100%. • This is so important to minimize any wrong information or orders misunderstanding, or even misinterpretation. The lack of full compliance increase the risk of wrong treatments, medications and the consequences could be major. Our institution compliance varied between departments, and was noticed that surgical and in specific orthopedic department was the least compliant with verbal order policy. The compliance in this department was 62%. Reasons for this non compliance include: a. Lack of pathways for specific medical problems, where standard orders are the acceptable route to minimize inappropriate orders. b. Timing of the verbal orders, specifically during the night, where most of non-compliance documented. c. Surgical and specifically orthopedic department have a significant trust between surgeon and staff, which lead to non-compliance. These elements should be addressed aggressively to avoid harm.

According to the ANA (American Nurses Association), it is the duty of nurse to protect the patient’s rights, safety, health and advocate for the patient. By treating the patient in an open area, invades their privacy, can cause embarrassment and most of all jeopardize trust between the patient and care giver. This negligent care could also lead to legal ramifications in the future against the hospital. By breaking this trust, the patient may also omit valuable information that could affect their treatment ultimately causing them harm. Some patients may become noncompliant with their prescribed treatment. It is essential that effective communication between patient and care provider occurs at all times. . Healthcare providers are obligated to give safe and effective care.

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The Ohio Nurse Practice Act seems to have outlined particular instances where the nurse must advocate for the safe care of their patients. In particular, a section specifically deals with an occurrence when executing an order that may potentially be harmful to the patient. According to the Ohio Board of Nursing (2013), the nurse must clarify the order with the prescriber if there is any question about its safety.

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.