Ethical Situation

Identify a situation you have encountered in the workplace that has an ethical component. Integrate the reading material (chapters, Code of Ethics, article) in your response. 

Describe the ethical situation and respond to the following questions:

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Who are the key individuals involved?

If you were the nurse involved . . . what did you do or would you do?

What guidance can be provided by the application of ethical principles/theory and the nursing code of ethics to this specific situation?

Identify resources available to nurses to assist and support them through this type of situation.

Ethical situation information and extension Posted on: Friday, July 31, 2020 8:03:05 AM PDT Hello Students,  I spoke with the MSN coordinator regarding the difficulty with the Ethical assignment. I have examples of ethical situations below you can use or you can present an ethical situation of your own. I know most of you have emailed me with ethical situation ideas. Feel free to use the situations you presented to me or you can change them to one of the examples below.  I would also like to extend the deadline due date to August 15th.  Hope this helps

Case #1 – Pain in a Drug Abuser A middle-aged man was involved in a motorcycle accident and suffered multiple injuries, such as broken ribs, clavicle, scapula, and arm. While in the ER, the patient had a heart attack, which turned him into cardiac intensive care patient, not just a trauma patient. Right before coming to the intensive care unit (ICU), he was sent to the Cardiac Catheterization Lab, where two of his vessels were stented (to keep them open and blood flowing).  He arrived in agonizing pain at the ICU.  The facility is a teaching hospital and there are typically interns making the decisions, with some oversight from the residents and fellows. This is especially true during the night shifts, when the attending physician is not available. The patient had a history of drug abuse, which made him opioid-tolerant. As a result, the interns would question the authenticity of his pain and would downplay it. The nurse had never before given so much pain medication to a patient and not seen any alleviation of symptoms. The patient was screaming and yelling for the entire shift.  But many interns and even staff nurses still questioned whether the patient was really in pain. The nurse understood that there are “drug seekers” out there, but critical thinking skills help to evaluate the pain experience.  A patient who presents with multiple fractures and broken bones should be mediated for pain accordingly, regardless of his current drug abuse history.  Interns or new physicians can be extremely cautious when prescribing pain medication. The patient’s vital signs were good and there were no signs of respiratory depression (a complication of narcotic medications). There were no real contraindications to increasing pain management and the patient was in so much pain that his overall condition was being affected. Usually, nurses can contact the nurse supervisor and even the immediate subordinate of the residents, but this nurse, in order to better advocate for this patient, skipped the hierarchy levels and woke the attending physician at 3 am to request more aggressive pain management.

Case #2 – A Surgical Mishap An attending physician was performing a routine cesarean section delivery in the operating room (OR). During the c-section, the physician nicked the patient’s uterine artery. The physician did not immediately report a problem in the OR. The scrub nurse had been trained to scrub a c-section but was inexperienced so did not know what was going on. The physician repeatedly asked for more and more sutures but did not indicate that additional help was needed. The physician was trying to repair the nicked artery on her own but was ultimately unsuccessful. The circulating nurse asked the physician if she needed help several times since she knew this procedure was taking too long. Eventually, the physician requested that the on-call Gynecology-oncology physician be called to assist with the repair. The assisting doctor was unable to repair the artery and ultimately a hysterectomy was performed. The patient lost a lot of blood and received multiple blood transfusions. The patient was young and this was her first pregnancy.

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