Practice : Ethics And Resource Utilization

When evaluating practice with individuals, families, groups, organizations, and communities, it is necessary that Competency 2: Ethical Practice and Competency 3: Critical Thinking are taken into consideration. Competency 2 requires that social workers are able to recognize and manage personal values in a way that allows professional values to guide practice. Competency 3 requires social workers to demonstrate effective oral and written communication in working with individuals, families, groups, communities, organizations, and colleagues. By following these competency skills, a social worker is able to evaluate their experience with these different populations without being bias, and can display diversity within the profession of social work.

In Normative Ethics there are three distinct schools of thought, and each differentiate through moral intentions. Consequentialism relies on the consequences of an action in order to distinguish whether or not something is morally acceptable. Deontology considers the morality of an action by one’s reason for doing a certain deed. Lastly, virtue ethics bases morality off of virtuous character, and how a virtuous person would act given a certain predicament. Ultimately, consequentialism provides the most practical explanation for morality due to the notion of providing the best possible result. Contrarily, deontology and virtue ethics do not always provide an individual with the most sensible course of action, and therefore prove to be

Ms. Conlon applies the nursing process to systems or processes at the unit/team/work group level to improve care. Deirdre has been the primary nurse for 6 hemodialysis patients. She has involved patients and families in monthly interdisciplinary meetings to promote self-efficacy and quality of life. With the help of the interdisciplinary team Deirdre has worked collaboratively to address and reinforce nutritional needs, social/family issues, barriers to care, and safety concerns. All of her primary care patients have maintained a goal of 100% for dialysis adequacy (benchmark is 85%) and a vascular access rate of 100% and dictated by KDOQI standards.

Ms. Cetiner has been an RN in the hemodialysis unit for the past 6 years. She provides excellent care to our Veterans, and consistently functions in a professional manner with staff, patients and families. She was part of a unit I CARE award presented by Dr. Mayo-Smith for quality and commitment to our Veterans. She demonstrates competency in the utilization of the nursing process as evidenced by the accurate assessment, plan, implementation, and evaluation of patient care in her daily practice. She developed a unit diabetic foot

DaVita Dialysis is no different in 2005 the organization fell prey to the nursing shortage and had to

A few service models are generally accepted as an outpatient dialysis service line. Healthcare organizations have to decide which mode of dialysis they deem most effective in serving their patients: 1) Outsourcing their dialysis service line to a specialized service provider such as Fresenius or Davita, 2) instituting a home dialysis service 3) Implementing a hospital stand alone outpatient dialysis center 4) Free standing dialysis clinic. In addition, organizations need to establish protocols on the two-dialysis treatments, hemodialysis or peritoneal dialysis, and reach a consensus which to provide.

Patient confidentiality is one thing that cannot be breached nor as a patient that you would want to be breached. In this day and age as healthcare professionals it is a very fine line of what breaching confidentiality is. We all want to know that when we are sick and in the hospital, the one thing that we can keep personal is our privacy which would include our health information. It is hard to imagine that in a state of vulnerability that some things must be disclosed to certain departments regardless of your desire to keep it private

Performed charge nurse duties for the daily operations of a seven adult station hemodialysis unit.

The American Nephrology Nurses’ Association (ANNA) is the professional association that represents nurses who work in all areas of nephrology. The ANNA was established in 1969, as a nonprofit organization. The organization promotes excellence in and appreciation of nephrology nursing so a positive impact can be made on the lives of people living with kidney disease. Members of the organization practice in areas such as hemodialysis, chronic kidney disease, peritoneal dialysis, acute care, and transplantation. ANNA believes that the demand for quality nephrology patient care will continue to grow in the future, particularly with the variety of changes occurring within health care. The American Nephrology Nurses’ Association acts consistently on their own core beliefs, including the responsibility of nephrology nurses to enhance the quality of care delivered to people with kidney disease. As an organization, the responsibility to provide the educational programs necessary to create, preserve, and augment competence in practice is their purpose. In addition to their values and purpose, the organization has outlined their desired outcomes. These include: more interaction and commitment of members to ANNA; more diversity in age, race, and gender, as well as professional levels and subspecialties. The ANNA believes that nephrology nurses are in a unique position to enhance the quality of care delivered to individuals living with kidney disease. The organization offers continuing education, with a focus on nephrology, in hopes of creating a larger impact on the care of these individuals. The ANNA believes that continuing education is essential to the development, maintenance, and augmentation of competence in practice. As well as, a team-based approach and inter-professional collaboration as the basis of

The usual way was to log onto a computer (if not in use); look for the patient and quickly skim the patient’s history, resulting in wasted time. The result was a flow sheet that was easily accessible, located in front of the patient's bedside chart. The flow sheet included pertinent information from the patient’s last two hemodialysis treatments. We received positive feedback from the staff, and the flow sheet was adopted in the unit. After one year, the project was reviewed and continued to receive positive

In October 2015 the number of Veterans being fee-based to outside healthcare facilities was rising. In order to decrease the fee-based costs and return our Veterans back to the Veterans Administration (VA) a peritoneal dialysis program needed to be created. The Nephrologist and Nurse Manager (NM) worked diligently to make sure the components of the program could be managed within the organization. A big obstacle found was getting buy-in from the nurses. Change has always been stressful for staff and this was going to be a big undertaking. When approaching the nurses the NM discussed how the program would benefit the patients and open up doors for other Veterans receiving hemodialysis. All Veteran care would now be at one facility which would

As a dialysis nurse I am tasked with providing pre and post treatment assessments for each patient and through these assessments I identify if there are any patient problems that must be managed. These problems can include access issues, such as clotting or infection, fluid related problems and many others. If a patient is short of breath or complains of chest pain prior to

Ethical behavior is virtuous and beneficial for business in any type of organization. In healthcare, the outcomes are improved patient care, dedicated staff and healthcare providers, and amplified market share. It obliges leaders, managers, directors, and supervisors to have a comprehensive interpretation of the role of ethical decision making (Winkler, 2005). Ethical health care organizations have incorporated and combined ethical practices and values, continuing education on ethics for everyone involved, successful ethics substructure, and morally spirited and dauntless leaders (Winkler, 2005). These organizations have a vision and statements that directs behavior and decision making.

When looking at the IMA Statement of Ethical Professional Practice, there were some steps that Betty Vinson could have taken to avoid any of the punishments that were given to her. Before following any of the IMA’s recommended actions of recourse, Vinson should have referred to WorldCom’s recognized policies on ethical behavior and follow the actions that they have written and approved to take. If WorldCom’s executives still were demanding her to falsify the journal entries after following her company’s policy, then the IMA would state that she should have discussed the issue with your immediate supervisor or the next level of management if her supervisor was involved in the unethical activity. One important thing to note with this, however, is that “Contact with levels above the immediate superior should be initiated only with your superior’s knowledge, assuming he or she is not involved (Institute of Management Accountants, 2005).

When thinking of the justice system ethical and professional practices are greatly enforced. There is a code of conduct that criminal justice practitioners are expected to adhere to.