what would you do in this situation? Integrate leadership principles in the context of ethical behaviour/principles as well as consider the ethical, legal, professional, and clinical aspects of the case
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You have been working at a GP Clinic for five months as a new graduate nurse.
You are working an afternoon shift and the clinic closes at 2100 hours. Today has been very busy but the last patient was seen at 2015 hours, so you are enjoying a quiet moment to file some documents on.
Your colleague Rita (Registered Nurse) has been at the GP clinic for 20 years through its evolution from regular GP practice to super clinic and is on one of the computers. She is respected for her extensive knowledge base and is highly regarded by the medical staff.
As you walk behind her, you know that she has a patient’s blood results open. Rita says to you, ‘I saw my ex’s new partner at pathology last week, and I want to know what’s wrong with her’.
what would you do in this situation? Integrate leadership principles in the context of ethical behaviour/principles as well as consider the ethical, legal, professional, and clinical aspects of the case.
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- You are a graduate registered nurse working at Broken River Aged Care Facility. The facility is a modern 60-bed facility run by a not-for-profit organisation. The facility has three wings – Tamar, Derwent, and Gordon. After seven months of fulltime work, you feel comfortable with the routines and culture of the facility. Today you are working the afternoon shift (1500-2300 hours). Your shift team includes:Claire – Facility ManagerRegistered Nurse (RN) and Nurse Practitioner (NP)Claire is the manager of the facility. Claire is an experienced manager and clinician. She finishes at 1730 hours.Rory – Clinical Coordinator (CC)Registered Nurse (RN)Rory is the Clinical Coordinator. He has worked in the aged care sector for the past ten years in a variety of roles. He has a passion for wound care and assessment. Rory’s rostered shift finishes at 1600 hours. Binsa – Enrolled Nurse (EN) Binsa is an Enrolled Nurse; she has worked at Broken River for the past 6 years. Today Binsa is working 1600 –…As a nurse manager one of your job is to make an audit about your staffs work performance. You noticed that one of your staff was always late if not late he was absent. Charting was not completed, doctors’ order was not properly carried out, if carried out but not on time, complaints a lot and most of his co-workers has complain against him, you also observed that he was isolating himself. How are you going to address the situation?You are a nursing student attending clinical at a large, urban university hospital where you engage in direct patient care with clinical instructor supervision. At the nurses’ station, you overhear various nurses addressing patient care needs, including an RN requesting consults with a physical therapist, a respiratory therapist, a dietitian, and a social worker. Another nurse discusses the potential need for palliative or hospice care consults for a patient. You observe a physician assistant approach the nurse with a list of written orders. (Learning Objectives 5 and 6) a. Outline the roles of the various licensed health care workers mentioned in this scenario. b. Compare and contrast palliative and hospice care. What is the major difference between the two? c. As a nurse, what is your responsibility regarding physician assistant (PA) orders?
- You are a graduate registered nurse working at Broken River Aged Care Facility. The facility is a modern 60-bed facility run by a not-for-profit organisation. The facility has three wings – Tamar, Derwent, and Gordon. After seven months of fulltime work, you feel comfortable with the routines and culture of the facility. Today you are working the afternoon shift (1500-2300 hours). Your shift team includes:Claire – Facility ManagerRegistered Nurse (RN) and Nurse Practitioner (NP)Claire is the manager of the facility. Claire is an experienced manager and clinician. She finishes at 1730 hours.Rory – Clinical Coordinator (CC)Registered Nurse (RN)Rory is the Clinical Coordinator. He has worked in the aged care sector for the past ten years in a variety of roles. He has a passion for wound care and assessment. Rory’s rostered shift finishes at 1600 hours. Binsa – Enrolled Nurse (EN) Binsa is an Enrolled Nurse; she has worked at Broken River for the past 6 years. Today Binsa is working 1600 –…You are an administrator in the Intensive Care Unit (ICU). The Physician approaches you for assistance with her patient Mr. Jones and Mr. Jones’ family. The Physician explains that Mr. Jones no longer requires the level of care that is provided in the ICU and wants to transfer Mr. Jones to an acute medical unit. Jones is ‘incapable’ so his daughter is making treatment decisions on his behalf. Jones’ does not have a Power of Attorney for Personal Care, his spouse passed away many years ago, and is daughter ranks next on the substitute decision-maker hierarchy. The issue that the Physician is facing is that Mr. Jones’ daughter does not want her father transferred out of the ICU and is telling the Physician and the staff that she does not give her consent for him to be transferred. Question: Using your critical thinking skills and what you’ve learned about the Health Care Consent Act, what advice do you give the Physician in this case? Explain your…You are a nurse on a busy medical-surgical unit and know you must use your time management skills to complete all of your tasks for the shift. What other nursing assessments and interventions can you complete while helping your patient with their ADLs?
- You are a graduate registered nurse (RN) working at The Sonivale Hospital. Your current rotation is a 28-bed acute rehabilitation ward. The ward uses a team nursing approach, two teams – Bullwinkel Wing and Abbot Wing. After almost 11 months of full-time work, you feel comfortable with the routines and culture of the facility. Today you are working the afternoon shift(1330-2200 hours). Pritika is the ANUM (Associate Nurse Unit Manager) in charge of this shift. Pritika does not take a patient load. You are allocated to Abbot Wing (14 patients). The team includes: It is 1800 hours, and the evening meal has concluded. Zhihan has stated she is heading off to her tea break. You must plan and delegate the following: Mr Barry Hinkley, 82-year- old. Barry underwent a laparoscopic abdominoperineal (AP) resection 3 weeks ago.He was transferred to the ward for further rehabilitation following postoperative atelectasis. Barry has type 2 diabetes, obesity, diabetic…Legally, a physician A B C D May not refuse treatment in an emergency situation May refuse to provide follow-up care after initial treatment Must provide a diagnosis to a patient's employer if requested May refuse to accept a patient if he or she choosesYou have recently started a position as a department director with five managers reporting to you. Earlier today, one of your managers reports that a client expired on her unit. She suspects that a factor that may have contributed to the client’s demise may be related to the actions of a nurse on her unit. This nurse has several notes in her personnel file that reflect potential client abuse. You and the nurse manager both have concerns that this sentinel event must be investigated. Later in the day, the Chief Nursing Officer asks you to speak to new nurse managers to share attributes of leadership with the plan of enhancing their leadership skills. You see an opportunity to combine the situation of the client with a bad outcome, due to the alleged influence of one of the nurses, while building information to share this real-life situation with new nurse leaders. Describe how transformational leadership style may influence the process of investigating this professional nurse colleague…
- “When I started as an ICU nurse,my focus was on technology aspect but as days go by,I came to realize that I am taking a person and not equipment.I am Catholic but not exercising my faith.One time a minister came and prayed all patients and everybody else in the unit.I felt relieved thag day and all people in the unit were less anxious.I have been busy on things but forgot what matters most.Most of the patients in the ICU are in distress and no one among the nurses talked to them about their spirituality.There is no need to impose my faith to them or on essential funcyion of a nurse is to look into this spirituality.There is no need to impose my faith to them or on what I believed to the family or to the patient.Death is common in our unit and most of the time I cannot find the right words to console them but I think just being seated with them is part of caring.There are many clients and families in the hospital and in the community who are probably suffering of spiritual distress.In…Mr Jones, a registered nurse (RN) with a previous working history of 25 years with an unblemished record, had been dealing with a patient’s family in the Emergency Department after a motor vehicle accident and multi-trauma. Jones was on an evening shift in charge of a busy Emergency Department with 4 ambulances ramped and a department full of patients. The resuscitation bays were also both full. He agreed to look after the patients of another nurse (Ms Oaklands – an enrolled nurse who had 10 years’ experience), as she left for a meal break.After a brief handover as Oaklands was getting her meal out of her locker, Jones was informed by her that a patient was to be administered Fentanyl IV 100mcg/2mls. The patient, referred to as Patient BZ, was in Bed 8. The drug was handed to Jones by Oaklands in a kidney dish, prior to going on a tea break. Jones was busy organising other staff for breaks as he made his way to Cubicle 8 (not Bed 8) alone and began to administer the fentanyl to the…A nurse manager is attempting to update a physician’s officefrom paper to electronic health records (EHR) by using theeight-step process for planned change. Place the followingactions in the order in which they should be initiated:a. The nurse devises a plan to switch to electronic healthrecords.b. The nurse records the time spent on written records vs.electronic health records.c. The nurse seeks approval from management for newcomputersd. The nurse analyzes all options for converting to electronichealth records. e. The nurse installs new computers and provides an in-service for the staff. f. The nurse explores possible barriers to changing to elec-tronic health records. g. The nurse follows up with the staff to check compliancewith the new system.h. The nurse evaluates the effects of changing to electronichealth records.
