Physician Impairment : University Hospital

Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was

In Creela Belle Howard’s article “Legal settlements at Veterans Affairs more than tripled since 2011, many due to medical malpractice,” she argues that VA hospitals, known for having a history of scandals and malpractice, should start terminating staff members for malpractice. Howard presents credible evidence, as well as implementing emotion through heartbreaking examples of veterans who passed away at the hands of shiftless staff at VA hospitals throughout the country. The author also presents no bias by stating facts without opinions about her own personal views.

A hospital employee violated several policies mandated in the Health Insurance Portability and Accountability Act. She failed to observe the minimum necessary requirement, did not follow the confidential communications requirements, and disclosed the patient’s treatment plan and medical condition. It also appeared that the hospital’s standard staff training procedures was not sufficiently evaluated.

Approximately a year ago, six surgeons experienced an aviation crash.  Their hospital, previously known as Seattle Grace Mercy West, had received a request to assist with a conjoined twin surgery from Boise Hospital, since they had just successfully completed a case of this type of surgery a month earlier. In response, Mercy West sent six of their surgeons from different specialties onto a plane that afternoon. The plane never arrived at Boise Hospital. In fact, it was not until three days later that a rescue helicopter spotted the wreckage in the middle of the woods. By the time the helicopter had arrived, two of the surgeons had died, and one had endured a serious injury to her right femur.

There are many different TV shows out there about the medical field. Grey’s Anatomy, Night Shift, The Good Doctor, and so many more. There have been at least 56 different shows that have aired on TV since 1951. Although there are so many of them, they all have one thing in common, they are all slightly unrealistic. The episode, “One Day, One Room” of House MD watched in class shows many examples of this. Hospitals have very strict rules in regards to the actions of their medical staff, and termination can be a consequence for violations of these policies. Dr. House violated many standard hospital protocols and if it were in the real world he most likely would’ve received a consequence, possibly termination. Since in the show he is one of the best surgeons, that makes him almost irreplaceable. The purpose of this essay is not to focus on how unrealistic this show is but rather to focus on the ethical issues the show uncovers. I will explore the different actions taken by medical staff and explain why they were morally appropriate or not. Morally acceptable behavior is shaped by what society decides is correct and in this case what is morally acceptable is set by the hospital. Although we like to believe that we don’t have morality behavior problems in our hospitals, that is sadly not the case.

Call received from Ray Logan, patient’s son-in-law upset regarding our treat of him mother-in-law. He reported that she has multiple fractures including seven broken ribs. He stated that his family was promised that the facility would not be too aggressive or rough with therapy before he agreed to transfer her to our facility. He reports that we overworked her and that it left her very fatigued and in great deal of discomfort yesterday (4/12/17). He informed me that his souse was present and request that I speak with her. Monica Bosma, RN Nurse Manager and I went to visit with patient and her daughter Laure Logan. We listened to their concerns and asked Robert Barton to join with us. Therapy discussed and a adjustment made to treatment/therapy

They deprived disabled veteran Timberlake of the right to receive property mail delivery service without the following:

The ethical and legal dilemmas involved in this case are surrounding the competency of hospital physician s and staff. The emergency room physician failed to consult an orthopedic surgeon regarding the initial fractures and again after the patient complained of pain and the cast was split. The nursing staff didn’t question the emergency physician. The nursing staff and physician failed to notice signs of gangrene and decaying tissue.

Individuals visit their physician’s office thinking they will be in safe hands. Most of us will not fathom that our physicians may also have a corrupt background and never question them about anything like that. According to the Associated Press (2016), they specified that there are no states that expect physicians to warn their clients that they have been punished for any sorts of misconduct. If information like this was floating around the hospital, physician’s will lose clients and have clients who will discontinue their care

It wasn’t until the second month of my job that I realized that I needed God more than ever in my life. By that time I had worked with three different supervisors (un-named, of course) that had covertly learned to master the deceptive art of concealing medical malpractices, medication errors, and other incidents that could have been easily been avoided. Although I cannot say with 100% certainty that any of these events ever resulted in a patient’s death or permanent damage; however, I will say that there have been countless times during that brief period that I have sat in my track, alone and scared, not sure what was going to happen. Plagued with overwhelming fear and guilt of knowing these internal secrets, I faced an extreme ethical dilemma, not knowing if I should report these kinds of incidents or not. With tears gently streaming down my face, I prayed to the lord and cried out for the lord to save me and to guide me in the right direction. Although, as an volunteer, I was never the person who was directly involved in any of these unfortunate events, but I still couldn’t help but feel just as guilty just knowing the cold hard truth that was being swept under the rug. I believe in honesty, dignity, and doing what is right, and I firmly believe that the patients and their loved ones have the right to know the truth, even if it makes our hospital appear to be negligent.

On Thursday July 14, 2016 at approximately 2115 hours. Security Officer Ariel Weiland (419) responded to a (53D) Disorderly Patient in Medical Unit at room 2128. Upon arrival SO Weiland spoke with Charge Nurse Marigene Pasadas who stated the patient, William Adams (DOB/FIN: 12/31/1938-85892780) was trying to get out of bed and was not allowed to do so, due to medical issues. Mr. Adams was agitated and being verbally abusive to medical staff. Officer Weiland informed him that in order to get help him he had to work with medical staff and Security. Mr. Adams was also advised to refrain from using profanity and yelling or calling medical staff names. Mr. Adams agreed to cooperate and began explaining to the Officer that he wanted to sit up in

What would you do? For example, a patient may refuse treatment for tuberculosis and the healthcare provider may insist on treatment due to the risk to public health, regardless of the patient’s right to refuse. The conflict of interest in this situation is evident because there is justification to treat due to the harm it would inflict on the public, if we accepted the patient’s declination of treatment. We must treat when the welfare of public safety is threatened, regardless of the patient’s right to autonomy. Protecting the safety of the patient Nurses in all roles and all levels of management have a responsibility to keep all patients in a safe environment that is conducive to healing. Fear of retaliation from healthcare providers and facility administrators should not be tolerated. An article by Zolnierek (2012), discusses a situation where two nurses were criminally indicted for reporting a physician to the Texas Medical Board because of patient-safety concerns. The nurses were criminally indicted by the county prosecutor for reporting the

If our staff do not adhere to the standards that this administration has laid out for them, then there could be major ramifications that result in their compromising on the code of ethics that we have laid out for them. These effects could be in the form of the court system charging our hospital with negligence, failure to uphold our duty to care, or failure to provide a safe environment. Any of these charges could be enforced upon this hospital if our professional staff choose to compromise the boundaries that we have laid out

I never expected to be in an ethical dilemma, but there I was and what do I do? Nursing school never prepared me for this, but somehow I in a situation that I never thought I will be in. Fresh out of school, I took a position at Buffalo General Hospital their step down unit. This unit was occupied with patient that no longer needed intensive care but was not quite ready for the floors. I was working the night shift, around 5 am. a season nurse, ask me to help clean up a patient. The patient was elderly and had dementia. He fought us the entire time we were cleaning him up. Out of nowhere the nurse I was helping smack the patient in the face and told him to behave. I was mortified; I could not believe what I just witness. I ask someone

The director is a man who was calm and willing to help his staff as needed. However, when it came to following the facility’s rules, regulations and protocol he was very strict. The infection control nurse reported with proof how the staff on a particular shift violated the infection control policy by not using appropriate protective devices or disposal methods. This was a major citation costing the facility several thousands of dollars if continued during state inspection which was in a week. The director called in for an emergency meeting to address this critical issue. He showed the pictures taken to all the staff and addressed this as a warning and added that if their act was not fixed in a week he would consider verbal warning based on