Reflecting on Sally Richard’s case in the introduction, although fictitious, truly represents the process of what a sexual assault, rape, domestic abuse, trauma, etc. patient endures for SANE nurses to collect the evidence needed to support the victim’s case. For forensic nurses, they must ensure that medico-legal examinations prioritize medical care over corporeal evidence collection, with prosecutors emphasizing this on direct observation to ward off accusations of biased witness. Even though history and documented injuries collected by SANEs could be of use for prosecution of the accused, the record should be medically fixated, with careful planning to specialty treatment. For a reliable Medico-legal record, there are certain components …show more content…
However, prosecutors can use forensic nurses’ expertise in several ways to support their cases, including: common patient presentations, mechanisms of injuries and wounds, absence of injury and other clinical prowess. Having multiple encounters with sexual assault victims, forensic nurses can identify and address issues such as delayed reporting and trauma reactions. They can possibly be able to testify about the cycle of violence, control issues and fatality indicators. Evaluating and documenting injuries are important knowledge for forensic nurses. As a witness, the SANE can advise the jury of the patient’s injury patterns and continuity of wounds on the assault victim’s record. With the absence of injuries, forensic nurses can explain on why this occurs and discusses other signs of injury that is not usually photographed (pain with palpitation). Lastly, besides being examiners, multiple SANEs have experience in trauma, gynecology, mental health, obstetrics, etc. Prosecutors should be willing to check the background of the nurses to determine if the jury can be
On December 1, 2015, 65 year-old Loretta Macpherson arrived at the emergency room of St. Charles Health System, located in Bend, Oregon. Ms. Macpherson arrived to the emergency room complaining of anxiety. When interviewed about her medication history, Ms. Macpherson was unable to identify the medications which she had been prescribed after her recent hospitalization at St. Charles for brain surgery. After examination, the emergency room physician ordered fosphenytoin, an anti-seizure medication, to be administered via intravenous infusion to Ms. Macpherson. In error she received rocuronium, a paralytic drug, causing her to stop breathing and suffer a cardiopulmonary arrest. Ms. Macpherson suffered irreversible brain damage and was placed
On January 19th, 2009, Ian Andrews was given a seven-month suspension from the nursing profession. A year prior, Andrews was working as a full-time practical nurse at a mental health and addictions hospital located in Ontario. The client affected by Andrews ' actions was an elderly individual, who was diagnosed with autism and presented occasional periods of rage and fury. The client’s care plan involved managing periods of aggressiveness through staff support and the use of restraints, as necessary. On the day of the incident, staff nurses noticed that upon the client’s grunt, Andrews punched the client in the face several times, as the client tried to cover his face. Andrews then took the client into the bathroom where thudding noises were heard. Upon arrival, the nurses noticed Andrews standing over the client uninjured, with the wall covered with traces of blood and a broken faucet resting in the sink. Later in the evening, Andrews ' left a progress note within the client 's chart which described that the client had injured himself due to a period of restlessness. Upon patient assessment, a wound was noted on the client’s bottom lip along with minor lacerations present at the back of the client’s head.
Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.
An unidentified female is rushed to the hospital with a stab wound to her abdomen. The trauma team has already been informed of her arrival. While each person plays a role in the immediate care of the victim, the forensic nurse cuts off her clothes, careful to avoid the bloody hole where the knife pierced her shirt. The nurse puts each article of clothing in a separate container, places brown bags over the patient’s hands, and combs her pockets for anything that could identify the young woman. Stabbing, gunshot wounds, rape make up just a small amount of cases that forensic nurses face every day. Forensic nurses administer medical care to those with traumatic injuries and those who have been involved in tragic accidents, as well as provide assessment and care to both victims and offenders of crime and their families. Even though forensic nursing is an extremely rewarding career, the path there is slightly unsteady at best. They face challenges such as lack of support from fellow nurses and doctors to total disregard by law enforcement at times. They have to be physically and emotionally strong to deal with all of the encounters they face. Although there are a vast number of nurses in the world, only a fraction of them are forensic nurses. Forensic nursing is a nursing field with subspecialties that focus on nursing practices that care for victims of violent crimes, for example, sexual assault or aggravated assault, at the clinical and legal level. Forensic nurses bring
Forensic nursing is a sub-specialty nurse practice that requires practice elements to be consistent and evidenced based. For a forensic nurse a patient is not just a patient, but also a crime scene to be assessed, processed for evidence collection, and documented in a way that is defendable in a court of law. The documentation and evidence collected must present a complete and accurate picture of the presentation of the patient (victim) at the time the exam was completed. Forensic nurses and more specifically sexual assault forensic examiner (SAFE) nurses must use best practice and evidence based practice in order to provide rational for their forensic exams during cross-examination in court. If there is inconsistency
Sherry is a 39yo, G1 P0 female, who is now 37 weeks 3 days, who is admitted with preeclampsia and vaginal bleeding.
Kate Rubin and her crew have returned from the international space station after succeeding their mission. The crew with her was "Anatoly Ivanishin of the Russian space agency Roscosmos and Takuya Onishi of the Japan Aerospace Exploration Agency, also kate Rubin is the first person to sequence DNA in outer space". The team has landed in a remote town called Dzhezkazgan in Kazakhstan they landed at 11:58 p.m. on the Soyuz MS-01. Kate Rubin was sequence DNA for a reason they wanted to fine illness in the space station just to make sure or identify if anything growing on the space station is dangerous to any of the crew members. The crew has been is space for 115 days while they were up in space they had contribute to little or more than a hundred
Before considering which theories can relate to Sally’s case and evaluating what action Sally’s family have to take, the most important thing we need to know is that what ethical issues of Sally’s case. John and Maria decided to buy an above-ground pool from the manufacturer Swimco with paying an extra cost about $2,000 for the mid-level model. Also, they needed to sign a vague sales contract a well. After that their granddaughter Sally slipped and fell into the pool. Without oxygen, it affected directly to her speech and memory abilities. So, Sally’s family want to sue the pool manufacturer Swimco. Even though the pool had two warning labels to warn users to not let children use the pool alone, Sally’s family still think that the pool's design
A search of several databases with patient assault literature using the date range from January 2010 to February 2017 was performed. The databases searched were CINAHL, ProQuest, and Medline using the terms patient assault, patient safety, patient-to-patient, psychiatric, geriatric, staff education, and nursing knowledge of assault. Initially, it generated 33 articles and results were narrowed down to 11 peer reviewed and research articles published from 2012 to 2017 that focused on patient assaults in inpatient facilities. Research shows that utilizing multiple search strategies for evidence-based practices reduces bias in evidence searches and provides a vast pool of resources for review (Atchan, Davis, & Foureur, 2016).
The justice principle has a strong argument for forsaking the duty of confidentiality. Decisions that are ethical are not always regarded as legal. In order to act in accordance with the principle of autonomy, the nurses should ensure that the possible diagnosis is not disclosed to the parents. In this situation, child protection would supersede patient confidentiality (Popat et al., 2011). It may be inappropriate for the nurses to discuss their suspicions before reporting to the authority as the perpetrator may respond by silencing Mary-Jane (Hope et al., 2008).
add weight to the evidence being presented to the nurse who is likely to deny impairment.
Cases of Sexual assault: to determine the patient condition on admission or during attendance at a hospital and to establish the history of the assault.
• For sex offense cases, the victim should always be examined by a physician. A Sexual Assault Evidence
As a nurse, there continues to become a concern with lawsuits held against the healthcare professional. With the increase number of responsibilities for nurses and the idea of being faced with nursing staff shortages, the risk of liability increases. Nurses “has a duty to do or promote good, to prevent harm, and to remove evil or harm” (Burkhardt and Nathaniel, 2007, pg. 159). The three nurses at the Centura St. Anthony Hospital were accused of criminally negligent homicide in the death of newborn by a grand jury in Colorado. This essay will first discuss the emotions felt by the Colorado Board of Nursing in the case held against the three nurses. Second, this essay will whether or not the nurses were trying to avoid causing pain to the baby and as a result the medication error occurred. Third, there will be a discussion on other occupations in which consequences of unintentional errors can have a legal impaction on the organization. Fourth, there will be a discussion on how the nursing profession should respond to the frighten legal threat presented in this case. Fifth there will be a discussion on how this case violates the Colorado Nurse Practice Act. The purpose of this essay is to discuss the legal issues presented in the case against the three nurses accused of criminally negligent homicide in the death of a newborn.
There are many different variations of healthcare professionals that assist people in regaining and maintaining a healthy lifestyle. The career field of licensed nursing is often considered to be one of the most vital professions within the medical community. Registered nurses work to prevent and heal various different types of injuries, diseases, and illnesses. They are also responsible for administering a variety of patient services, consisting of individual patient care, analyzing and monitoring patient medical reports, and also possessing the ability to operate technical medical equipment. As well as, be able provide comfort and emotional support for both physically, and mentally ill patients. All Registered Nurses are responsible for providing patients with quality health care, in compliance with professional standards set forth by the American Nurses Association. As the field continues to rapidly evolve, an increase in responsibility is placed upon registered nurses to maintain a professional standard of care. With the increase in responsibility, the role of registered nurses consistently changes to accommodate individual patient needs. As a result, the rise in responsibility placed on registered nurses correlates to a higher probability of malpractice and negligence occurring within the community. The consequences of malpractice and negligence can