- Ignore it, as it's the colleague's personal problem.
- Report the colleague's fatigue and potential impairment to the charge nurse or supervisor for intervention and support.
- Tell the colleague to drink more coffee.
- Cover for the colleague during their errors.
No category found.
- Beneficence
- Non-maleficence
- Autonomy
- Justice
- Assume the physician has reviewed the full history.
- Administer the drug as ordered and monitor for reaction.
- Add the information to the patient's allergy/warning section and inform the prescribing physician to prevent future harm.
- Document the oversight but do nothing else.
- Confidentiality
- Veracity
- Professional boundaries
- Justice
- Follow the outdated protocol to avoid changing routines.
- Disinfect instruments using their own improvised methods.
- Report the outdated protocol to infection control, and advocate for updating and strict adherence to current guidelines to protect patient safety.
- Tell patients about the outdated protocol.
- Ignore the request and proceed with care.
- Refuse to provide care due to the request.
- Graciously accommodate the request for a different gender nurse if feasible, respecting patient preference and dignity.
- Tell the patient their request is discriminatory.
- Beneficence
- Non-maleficence
- Confidentiality
- Justice
- Isolate the patient who is making sounds.
- Ask the patient to stop making sounds.
- Provide compassionate care to the patient, educate other patients about the condition, and explore options for a single room if feasible.
- Tell other patients to tolerate it.
- Confront the colleague privately.
- Report the suspected diversion to the immediate supervisor and/or relevant regulatory bodies.
- Cover for the colleague to avoid repercussions.
- Leave the job to avoid involvement.
- Force the patient to bathe.
- Ignore the patient's hygiene.
- Educate the patient on the importance of hygiene for health, offer assistance with sensitivity, and respect the patient's autonomy while documenting care.
- Ask the family to bathe the patient.
- Continue charting, hoping the glitch won't occur.
- Bypass the glitch by using paper charting.
- Immediately report the glitch to IT support and consult with a super-user or colleague for guidance on charting safely.
- Try to fix the glitch independently.
- Assume the care plan is up-to-date.
- Update the care plan for the colleague.
- Report the consistent failure to update care plans to the charge nurse or supervisor, as it impacts patient safety and continuity of care.
- Just tell the colleague to update it.
- Beneficence vs. Justice
- Autonomy vs. Non-maleficence
- Veracity vs. Fidelity
- Professional boundaries vs. patient preferences
- Reinforce the dressing quickly.
- Change the dressing only if the patient complains.
- Prioritize changing the dressing using proper sterile technique to prevent infection, even if it requires delegating other tasks.
- Document that the dressing was changed.
- Autonomy
- Beneficence
- Non-maleficence (to the community)
- Justice
- Administer a sedative to reduce anxiety.
- Ignore the patient's anxiety and proceed with preparation.
- Provide clear, factual, and empathetic education about the procedure, addressing misconceptions and offering emotional support.
- Tell the patient to trust the doctors.
- Force the patient to eat the hospital food.
- Provide alternative food options that align with the patient's religious dietary restrictions.
- Document the patient's refusal to eat.
- Tell the patient to bring their own food.
- Provide the information assuming they are family.
- Decline to provide information until identity and relationship are verified and patient consent is confirmed.
- Ask the patient if they want to share information.
- Refer the relative to the physician.
