Scope and purpose of the clinical practice guideline – What are the scope and purpose of this document?
March 29, 2019
Examine the screenshot below of an EHR registration screen. Analyze the parts of the screen and give 3 examples from the screenshot of each of the following: data, a character, and a field. (For example: Show that the Patient Name area is a field.) You can do this as a list, a table, or graphically right on the screenshot (if you know how to do that!). You can be creative with this, and make it easier for someone new to understand the terminology
March 29, 2019

Discuss the legal concepts of consent, assault and battery.You have had six clients come in for care today one of whom is Mrs Jocelyn Davis.She is a regular client at the Respite Centre and has been diagnosed with moderate

Discuss the legal concepts of consent, assault and battery.You have had six clients come in for care today one of whom is Mrs Jocelyn Davis.She is a regular client at the Respite Centre and has been diagnosed with moderate
dementia.

Law and Ethics – Nursing

You are working as an EEN at Sunnyside Day Respite Centre on a morning shift.

You have had six clients come in for care today one of whom is Mrs Jocelyn Davis.
She is a regular client at the Respite Centre and has been diagnosed with moderate
dementia.
At 1030 hours Mrs Davis becomes agitated and begins to wander around the
Respite Centre. The Registered Nurse in charge of the shift, RN Jolie, tells you to
restrain Mrs Davis in her chair with a lap restraint. You are not certain that Mrs Davis
needs to be restrained and you question RN Jolie’s order. RN Jolie becomes
annoyed at your question and tries to restrain Mrs Davis herself.
Mrs Davis verbally objects to being restrained and attempts to undo the restraint. In
the process her chair tips over, she hits her head on the floor and loses
consciousness. While RN Jolie attends to Mrs Davis you call the ambulance.
After Mrs Davis is taken to hospital RN Jolie tells you to say that Mrs Davis was
found after she had falle n and hit her head if anyone asks you about what happened
to her. RN Jolie also tells you not to say anything about restraining Mrs Davis as you
will both get into trouble. You feel uncomfortable about this but she is your
Registered Nurse so you say nothi ng.
Mrs Davis dies in hospital two days later. The Coroner has been notified by the
hospital and her death is to be investigated by the Coroner’s Court.
When you hear about what is to happen following Mrs Davis’ death you are unsure
and become worried about what you should do now.
1. Discuss the following legal and professional issues in relation to this Case
Study:
• Consent, restraint, assault and battery
• Duty of care, negligence and vicarious liability
• Scope of practice (the legal and professional boundaries imposed upon
you as a nurse)
• Advocacy (the nurse’s role as an advocate for the client)
• Documentation
• Open disclosure
• The Coroner
2. Discuss the following ethical and professional issues in relation to this Case
Study:
• How would you respond to RN Jolie when she tells you to lie about
what happened to Mrs Davis
• What are your responsibilities in this situation and what should you do
to stay within the boundaries of professional nursing practice
I n this section, you need to choose an ethical decision -making model and
discuss how you would use it to help you to make a decision about how to
respond to the RNs request to lie, and to outline what your professional
responsibilities would be in this situ ation.
There are a number of different decision -making models (see Topic 7 of your
online resource “Models for Decision Making”), but the DECIDE model is
recommended for novice nurses (and therefore student nurses), according to
Allen, Chapman, Francis and O’Connor (2008). However, all decision-making
models serve the same purpose: to provide a process through which a person
can examine, and reflect on, all the aspects of an ethical dilemma, so that
they can make a decision.


 

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