Sample Case Study Lunan Warning Signs

As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.

While in the hospital, Cahalan's roommate warned her "The nurses here are bad news" (89). This likely fed the paranoia she was already experiencing, as she was now afraid of the healthcare staff. Cahalan even tried to escape from the hospital, which led Dr. Russo to add "Transfer to psych [ward] if psych team feels this is warranted" on her file (92). Later, a nurse even asked Stephen "' Has she (Cahalan) always been so slow?"' (120). Additionally, NYU medical students would randomly arrive in her room to learn about the disease, which not only invaded her privacy but hurt her as well, "'In about 50 percent of the cases, there is a teratoma in the ovaries. If this is the case, this patient may have her ovaries removed as a precaution.' As spectators nodded their heads, I caught this somehow, and began to cry. [...] His voice bounced around the hospital room. 'Never come back,' [...] Instead of apologizing, he waved his hand, urging the other interns to follow him toward the door, and made his escape." (160). It is never a good sign when patients in the hospital are warning about the hospital staff. I have concluded from this that the hospital definitely had issues in the past. I reviewed the hospital's reviews on google, and my conclusion was confirmed, as the hospital was reviewed with 3.8 stars out of five. Additionally, the fact Dr. Russo was willing to transfer Cahalan to a psych ward infuriated me. It made me feel like the doctor was giving up on the patient, and I do not feel this is every acceptable, not only in healthcare but in life in general. Also, I tried to place myself in Stephen's shoes when the nurse asked Stephen if Susannah had always been slow. I cannot imagine the strength it took of him to hold himself back, as I likely would have lost my mind over such an unprofessional comment such as that. Finally, having a group of medical students randomly enter your

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

Many other problems popped up the healthcare facilities where this individual previously work could be huge trouble because of the poor judgment of this individual. This problems could be results in lawsuits on top of lawsuits for this organization. Years can passed before all the lawsuits settle as a result a huge amount funds would gone to the patients and the lawyers. Because of the poor judgment, it can result in a great cause for the organization, it would be in violation of HIPAA policy and it can be shut permanently or charge of very high finders because of this problem. Also, if the facility doesn’t get shut down, many of the patients can remove themselves from this healthcare facility because of the fear

At that time, I was just a student nurse and had yet to realize the consequences of this unethical practice. However, as a manager equipped with the knowledge of the ethical and legal dilemmas of a slow code, my actions today would be different. Involving the ethics committee in these cases would be encouraged. According to Pozgar (2007), “An ethics committee in the health care setting is a multidisciplinary committee that serves as a hospital resource to patients, families, and staff, offering an objective counsel when facing difficult health care issues and decisions.” As a

As the primary nurse for the patient, I felt it was my responsibility to inform

On august 13, 2016 I was assigned to follow one of the ICU Nurse. It was a very calm day. She had two patient one was more critical than the other. Both patients were on the ventilator because they had to be intubated the night before. The lady is obese and had gastric bypass surgery two years ago and suffering from severe sleep apnea, but the patient is non-compliance to the CPAP treatment. That was her second time being intubated. She was admitted for seizure monitoring because she was constantly having seizures the day before while she was at home. Due to the fact that she did not want to wear her CPAP machine while in the hospital, after pain medication was administered she was found unresponsive, that was the reason for her intubation the night before. Patient was on intermittent suctioning, she has sinus tachycardia . I had the opportunity to observe some of her daily care. The patient was on fentanyl but when the Dr. try to wean her out of the ventilator she stop breathing, therefore, the DR. discontinue the fentanyl temporarily in other to retest her later.

I am a second year nursing student in my third week of the practicum placement on a surgical ward with my co-student and the morning shift registered nurses. We had just finished analysing the patients handover report (Levett-Jones & Bourgeois, 2015) and I had been assigned to work with the registered nurse. I was looking after Mrs. Brown (pseudonym) is 82 years old New Zealander was admitted to surgical ward on the 08/06/16 for multiple SCC removals from L) hand and L) foot with skin grafts.

During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,

Our text states that “healthcare professionals derive power from education” (). I like to consider education to be any growth of knowledge whether that is experience or gathered in a classroom. When you take this concept and apply to case one you can gather that the nurse could have of avoided victimization by taking initiative to educate herself on her patients current status. Instead of doing her own research she trusted the other professional passed on to her. This allowed for them to hold power over her with the use of

Especially since she was just trying to know that her husband would not be hurt by mowing the lawn. Based on what I have learned thus far in the class, I know that no matter how ridiculous the concern may sound I need to respect the patient and allow them to voice their concern. I would have listen to the wife of the patient and would have reassured her that while I know that she is worried about her husband he should be okay to mow the lawn and then I would have ended the conversation by letting the patient’s wife know that if she or her husband have any other worries or questions that they could contact me. The ethical lesson that is to be learned from Dr. McKee’s unethical error is that patients and their family members need to be treated with dignity because they are trusting the physician with their life and that should not be taken for granted.

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

The student should be removed from patient care or the assigned work area by the instructor

Every one of us has relied on a medical professional at least a few times in our lives. When we get seriously ill, or suffer a serious injury, we put our health in the hands of doctors, nurses, and pharmacists, fully expecting to be treated with a certain degree of professionalism and safety. Unfortunately, sometimes the expected care is not given, or not given to the extent which the ailment requires. In these situations, we can feel blindsided, confused, even taken advantage of.

On my first day on the ward it was decided that I should shadow one of the staff nurses to acustomise myself with the ward. During this induction we had to assist an elderly gentleman with sever diarrhoea the gentleman in question was quit large and almost completely immobile. On inspection of the