National Bayside Hospital (NBH), a Level I Trauma Center and top-rated surgical hospital in Texas, established the need for an ethics committee early in our quest to become a designated trauma facility. Our ethics committee has been very instrumental in the decision making process as our reputation has grown as a receiving health care system, caring for complex and challenging cases from a five-county area.
NBH’s present ethics committee is made up of a multi-disciplinary team who assist us primarily with end-of-life conflicts and policy, education on clinical ethical issues, assisting in formulating policy surrounding clinical ethical issues, brain death and decisions on complicated cases and subsequent policy changes (Annas, & Grodin, 2016). Our ethics committee can also be called upon for organ transplant conflicts, disagreements between patients, families and clinical teams, especially when the dispute can become harmful to the patient (Annas, & Grodin, 2016).
The members of the ethics committee for NBH have been called together to consult on a difficult case involving two brothers, who were involved in a motor vehicle accident. One brother requires a lung transplant from the other brother who, as a result of the accident, is now a paraplegic. The ethics committee members consulting on this case will be the hospital Chaplain, Joseph Small, an ordained Luthern minister who has been with NBH for the past fifteen years and has sat on the ethics committee five times during
In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that
St. Jude Children’s Research Hospital is a non-profit organization that helps battle pediatric cancers. St. Jude Children’s Research Hospital is not your typical children’s hospital. The services and support they provide to their patients is unique as their founder Danny Thomas. I will explore their founder’s history, mission, and how they are able to continue the work today.
1.) What is the marginal cost estimate of the Phase 4 hospital services, assuming that 60 percent of the designated costs are fixed and the remaining costs are variable?
The ethical committee should intervene to determine the ethical responsibilities of the medical and administrative staff. The people involved should be held accountable and give them the opportunity to communicate the patients about the medical
Ethics Committees are formed to help hospital and medical personnel resolve ethical issues that arise in their facility. The committee members are a mix of hospital personnel, including physicians, nurses, administration, social work, chaplains and others. These professionals work together to assure quality patient care in their facility. To achieve their goal the members must work together with open communication, mutual respect, and shared decision making. I will discuss three points related to the ethics committee, 1) the development, structure, importance and goals of the ethics committee; 2) the importance of intra-professional collaboration, including the role of the nurses; and 3) present the structure, organization and role of an
Pate Memorial Hospital is a 600-bed, independent, not-for-profit, self-supporting hospitals. PHC, an ambulatory health care facility, was opened by PMH. Sherri Worth, a new assistant administrator of Pate Memorial Hospital in charge of the PHC, was told that a firm plan establishes a clinic five blocks north of PHC. It is a big competitor for PHC. On the other hand, financial problems, Short service hours, long waiting time and lacking of gynecological services are all be the problem faced by Worth. Therefore, Sherri was requested to analyze the PHC’s performance and take Medcenter, a possible competitor, into consideration which either did or not opens a clinic in north.
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
In today’s medical field there is a profuse amount of room for ethical questioning concerning any procedure performed by a medical professional. According to the book Law & Ethics for Medical Careers, by Karen Judson and Carlene Harrison, ethics is defined as the standards of behavior, developed as a result of one’s concept of right and wrong (Judson, & Harrison, 2010). With that in mind, organ transplants for inmates has become a subject in which many people are asking questions as to whether it is morally right or wrong.
1. Using the historical data as a guide (Exhibit 6.1), construct a pro forma (forecasted) profit and loss statement for the clinic's average month for all of 2010 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit?
The values of the St. Jude Research Children’s Hospital are based on many ethical principles; however, the most observable are the Utilitarian and deontological ethics; “deontology is patient-centered, whereas utilitarianism is society-centered. Although these
There are unique ethical and legal obligations of the Emergency Room Physician. Commonly faced issues include patient “dumping”, organ donation, and Do-Not Resuscitate orders. These issues have ethical and legal considerations for the Emergency Room Physician in regards to their responsibilities and actions.
Patients with renal impairment should have a life prolonging care. For patients with renal impairment were a matter of life and death and all were willing to pay the amount it does not matter what you get dialysis. Soon, it became a controversial issue when it was realized that the demand exceeds supply and the equitable distribution of the few dialysis machines
The Johns Hopkins Hospital, located in Baltimore, MD, is one of the greatest institutions in modern medicine. Established in 1889 from the donation of philanthropist Johns Hopkins, the hospital and university serve millions of patients annually for emergency, inpatient, and outpatient visits. Patient care is the focus of Johns Hopkins vision. The hospital uses quality care and innovation to enhance patient care. It is the hospital’s goal to have great precision, safety, comfort, coordination, and improved workflow to achieve an outstanding customer experience. An added feature to the customer experience are the design elements that can be found flowing throughout their newest facilities which helps foster healing and stress free environments. From the dramatic art collections that fill the walls and windows of patients rooms, to its 20-year reign as U.S. News and World Report’s “Best Hospital”, Johns Hopkins has made its mark on society. At some point, however, every great dynasty loses its ranks. Unfortunately, Johns Hopkins is no different. With the creation of a federally-mandated patient satisfaction survey for Medicare and Medicaid reimbursement, the stakes for high ratings is of fiscal importance. In an effort to increase its patient satisfaction ratings, the hospital created performance measurements to highlight strengths and areas of improvement with patient outcomes. The implementation of this new initiative, the Patient Toolbox, considers the fundamental reasons
In this case a patient was involved in an automobile accident and was left in a vegetative state. The hospital made the choice to
The ethical review system for organ donor intervention research is in dire need of revision. An eight-year-old boy, Cole, died a victim to this flawed system. He was drowning inside of a washing machine and went into cardiac arrest. Luckily, paramedics were able to get him out of cardiac arrest but that wasn't enough to save his life seeing that his parents were told he would never come out of his coma or regain proper functionality of his brain. The little eight-year-old was placed on a ventilator to keep him breathing. His parents made the agonizing decision to take their son of of life support, even though he was not brain dead, and grant permission for his organs to be collected for donation. However this case has recently been investigated and it is said that Cole was given a dose of fentanyl, a drug used to ease pain after medical procedures. It appears the dose was high enough to kill him and caused investigators to believe that this was done in order to hasten the process and preserve his organs for donation.