- Accept the denial and drop the issue.
- Inform the patient whose record was accessed.
- Report the suspected unauthorized access to patient records to the appropriate hospital authority.
- Warn the colleague that they will be watched.
Category: BS Nursing
- Beneficence
- Non-maleficence
- Justice
- Confidentiality
- Allow the signing to proceed, assuming the physician has assessed capacity.
- Obtain a second signature from a family member.
- Stop the signing process and inform the physician that the patient's capacity for informed consent appears compromised.
- Document that the patient signed the form.
- Attempt to convince the patient to change their mind.
- Respect the patient's autonomy and religious freedom by upholding their decision.
- Seek legal counsel to override the patient's decision.
- Prioritize medical necessity over religious belief.
- Confirm the patient is on the placebo to encourage them to withdraw.
- Suggest the patient discuss their concerns with the principal investigator.
- Tell the patient that they are on the active drug to maintain hope.
- Disclose the blinding status if symptoms worsen further.
- Justice
- Beneficence
- Autonomy
- Fidelity
- Quietly complete the delegated tasks to avoid conflict.
- Inform the nursing assistant of the improper delegation.
- Report the improper delegation and potential patient safety issues to the charge nurse or supervisor.
- Confront the senior nurse directly in front of other staff.
- Avoid interfering to prevent embarrassment.
- Offer to complete the colleague's charting.
- Report the technical incompetence to the charge nurse for appropriate training or intervention.
- Provide one-on-one technical training to the colleague during patient care.
- Use the workaround to be efficient and fit in.
- Report the workaround immediately to management.
- Refuse to use the workaround and follow proper policy, while advocating for a safer, more efficient process if possible.
- Only use the workaround when short on time.
- Administer the medication as ordered, trusting the physician.
- Withhold the medication and report the interaction to the prescribing physician for clarification or modification of the order.
- Administer one of the interacting drugs and hold the other.
- Document the interaction in the chart and wait for the physician to notice.
- Autonomy
- Beneficence
- Non-maleficence
- Justice
- Respect the family's wishes to protect the patient.
- Disclose only part of the information to the patient.
- Uphold the patient's right to full information (veracity) and autonomy.
- Delay disclosure until the family is ready.
- Beneficence
- Professional boundaries
- Veracity
- Justice
- Begin resuscitation as per the physician's order.
- Resuscitate while quickly checking the chart.
- Immediately inform the physician and family of the DNR order and advocate for its adherence.
- Wait for the family to clarify their wishes.
- Remain silent and continue to do their best.
- Publicly criticize the hospital on social media.
- Document all incidents of compromised care and escalate concerns to higher management or regulatory bodies if necessary.
- Refuse to work night shifts.
- Fidelity
- Justice
- Non-maleficence (to the community)
- Beneficence (to the patient)
- Provide general information without specifics
- Inform the former patient that they cannot disclose any patient information due to privacy regulations and ethical codes.
- Verify if the patient has given consent for information sharing.
- Refer the former patient to the hospital's public relations department.
- Advocating for patient safety.
- Maintaining collegial relationships.
- Protecting the colleague's reputation.
- Avoiding confrontation.
- Persuade the patient to accept the transfusion for survival.
- Administer the transfusion as ordered by the physician in an emergency.
- Respect the patient's autonomous decision, even if it conflicts with the nurse's personal values.
- Seek a court order to override the patient's refusal.
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