On a busy Monday evening, the emergency medicine physician I was working with started to get a history from our 52-year-old male patient who presented asking for a refill on his pain medication. As more information was gathered, it was revealed that the patient had run out of his medication two months earlier and had yet to set up an appointment with his primary care physician. The physician bluntly cut the patient off, informing him that he needed to make an appointment with his primary care physician, as he would not be refilling the prescription due to the department’s policy of not refilling narcotic prescriptions. The patient became very enraged at this news. The physician then promptly left the room as a result. As we exited, the patient began spitting at us, then he quickly left the department while loudly swearing at the doctor. Personally, this patient-provider interaction was one of the first interactions that made me truly start to critically analyze what the term medical professionalism meant and what the responsibilities of a medical professional consisted of.
At first, I started contemplating whether the patient was right to be upset or if my physician was correct with his treatment toward the man. Immediately, my first thought was that obviously the physician was right as this patient was just enraged because he could not have his narcotics. However, as I recalled the event in my head, it just did not sit right with me. Since no one left the situation happy,
A nurse attending stated “during the morning’s second surgery, he actually dozed off. The nurse took him aside and recommended that he take a break, but he refused and returned to the operation.” The nurse here was in fault in more ways than one. This nurse should never allowed the doctor return back to operate on the patient, he should have been removed from the operating room immediately. The nurse should have
The main key issues in case #5 is that the MMG system had not achieved its overall financial performance goals; therefore they experienced a big loss secondly the transition of new leadership became an issue. The difficulties of implementing the MBS business model in the Hospitals and Clinics division also became a very important issue. Having to come up with a strategy to improve the financial side and being able to focus on customers and relationships was not an easy task for them. Hospitals had a different approach of helping customers in
Could you imagine working as a EMT and not knowing what could happen at anytime that you are on the job. As you can tell this job is in very high demand, people are in need of people to run emergency vehicles. Emergency Medical Technicians have been in need since the 1960s, Emergency Medical Technicians have to go through extensive training and meet education requirements to be able to do this job. There are many different things that Emergency Medical Technicians do while on the job, there are also very many levels to being an Emergency Medical Technicians.
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.
The facts of this case are that Dr. Guiles who is self-conscious of his prostate cancer diagnosis is treated horrendously when he finally decides to have surgery ( Buchbinder, Shanks & Buchbinder, 2014). Considering that Dr. Guiles is already sensitive about his condition, his unbearable symptoms are not helping matters (Buchbinder et al, 2014). Upon arrival at the hospital, he is treated subpar. The admitting clerk is rude and unbecoming to a patient who isn’t feeling well and who is embarrassed about his sickness (Buchbinder et al., 2014). To make matters worse, he has to find his own way up to the floor by walking, which causes him to be even later in checking in because of the need to stop frequently to urinate as well as having difficulty in walking (Buchbinder et al., 2014). Once he arrives on the floor, the charge nurse is not welcoming and unprofessional (Buchbinder et al., 2014). After figuring out what to do with the paperwork; and the nurse aide delivers Dr. Guiles to his room, the nurse aide does not offer to help settle him in (Buchbinder et al., 2014). Therefore, Dr. Guiles is faced with battling obnoxious family members who are on his bed and to make matters worse someone is in the bathroom which doesn’t help his need of having to frequently urinate (Buchbinder et al., 2014). When the issues are brought up to the charge nurse, the charge nurse accuses Dr. Guiles of wanting preferential treatment
S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.
The resident physician violated beneficence, because he did not do good by respecting the patient’s autonomy and he was being uncivil.
The case study of Crowe v. Provost, 374 S. W. 2d. 645 (Tenn. 1963), was a highly-anticipated court case for the 1960’s. The following list pertaining to the example of what went wrong and by whom. The first patient appointment opens a file with the patient’s basic information and any allergies including medication(s). This would typically be done with the receptionist. If this was not the doctor’s first time seeing this patient, then the physician should have checked the chart to see if there were any allergies to anything including medication, such as, Penicillin and Cosa-Terrabon. Referring to the Crowe vs. Provost, the child was then rushed back into the doctor’s office with worsening symptoms, the nurse should have listened to the mother. The nurse, could have instructed the mother to take the worsening child to the nearest Emergency Department. The nurse advising the doctor, “That she thought the child was about the same as when the physician saw him earlier in the day” (Flight, M., 2011, page 5-6) was not a good idea. The doctor could have been brought in for an examination of the ailing patient. The receptionist returning from her lunch should not have been a signal for the nurse to leave for any reason with the patient getting worse. Again, the patient and mother should have been instructed to go to the nearest emergency room. The receptionist should not have been left alone with an ailing patient. Mistakenly, the receptionist calling the doctor first and
Emergency room over utilization is one of the leading causes of today’s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ‘Yes’ and ‘No’.
The overall results are presented as a qualitative analysis and it allowed the researchers the opportunity to produce new inputs.
My heart was going to fly out of my chest. To pass my emergency medical technician (EMT) program, I need to complete two clinical’s while filling out patient care reports. I knew my procedures, but would I miss a step? I knew my terminology, but would I mix them up? Would I just be in everyone’s way?
The doctor and his patient portray a troubled encounter that is subject to discussion. This short story reflects real or plausible issues comparable in real life. One example of such an event in Brooklyn when a construction worker filed a lawsuit against a hospital for subjecting him to a rectal exam against his wishes. According to his lawyer, the man begged,”please don’t do that’’ as he was held down, and he punched one of the doctors before being sedated and examined without consent. As a result the man allegedly developed post-traumatic stress disorder as a result of the experience.(Tsai,1) Given to the poor man’s circumstance and how the medical professionals treated him, you can now see how unfit doctors can be to their own patients.
to be at right now? Well, he’d canceled it at 1:45. What about that email that he had
This can be read as a key ethical question to many healthcare case studies because of the errors and situations that occur. One of the explanations for this occurrence may be the overwhelming workload, chaotic environment and lack of individual attention prescribed to each patient. These issues can cause a disruption to the ethical principle of Beneficence. The principle of Beneficence calls to action the act of helping others and having compassion for the patients. This principle can be threatened when a doctor or caretaker is overworked and unable to effectively manage the series of patients and work they are assigned to take on. I believe that the admitting doctor did not initially catch the error of not calling for the specific drug need because he was more focused on getting Mr. Londborg stable and on the medication to treat his initial and present condition before worrying about the preventative medication. In addition, the doctor was so focused on helping everyone all at once that he was blind to the small details and loose ends that needed to be taken care
Historically, medical professionals have held the public’s trust in healing and making them whole again. Even in times when one is not ill, we seek advice from doctors, nurses, and other healthcare entities to guide us in our mental, emotional, and physical health. Unfortunately, medical professionals have not always performed with their patient’s interest at heart. Throughout history and in modern times malpractice and negligence cases have plagued the healthcare industry. They continue to challenge the doctor-patient relationship as well as shape the future of medicine.