ethics module 3

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School

Chamberlain College of Nursing *

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Course

445N

Subject

Nursing

Date

May 24, 2024

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docx

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4

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Journal Reflection #1 Provision 4: “The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care.” Imagine you are the head nurse in a senior living facility. You have 36 residents; normally there are two nurses with four nursing assistants. It is night shift, and the other nurse was in an accident on the way to work. Hence, it is you, 36 residents, and four CNAs. One of the CNAs is due to graduate from nursing school in one month. 30 of the 36 patients have 9 PM medicine due. 1. To get medicine to the patients on time, would you allow the CNA who is close to finishing school to help administer the medicine? Would this be an appropriate delegation of tasks, considering that an RN must complete medication administration? Which is more important: delegation of tasks or timely medication administration for patients? I would say that in this scenario, delegation of tasks is more important than timely medication administration. Even though the CNA is close to gradating nursing school, she is still not legally a RN so she can not give patients medication. This kind of scenario comes down to the legal aspect because if the CNA did administer medication to a patient and it harmed the patient, a huge lawsuit could be filed and the nurse in charge would get the fall. So if I were the nurse in this situation, no I would not allow a CNA who is almost done with nursing school, help administer medication. Journal Reflection #2 Provision 5: “The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.” Imagine you are nurse who is six months pregnant (guys, stretch that imagination). You arrive to the hospital and check your patient assignment. One patient in your assignment is receiving high-dose chemotherapy medication, which, in this case, is contraindicated for pregnant women to administer. You ask the charge nurse to change the assignment, and he refuses based on the acuity of the patient. He notes that other nurses on staff tonight are too new to care for such a sick patient. 2. Who is ethically right: the charge nurse trying to ensure a high- acuity patient has appropriate nursing care or you the nurse? Build an argument for your opinion.
This is a tough one but as provision #5 states, The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.” Ethically, the pregnant nurse is right because nurses who are pregnant are highly recommended to not be around high-dose chemotherapy as it can do damage to their body and the baby’s body. The charge nurse really has no right refuse the pregnant nurses request just because of the sensitivity of the patient. His opinion is that the newer nurses can not handle a super sick patient but that argument is in no way valid. Nursing is a tough profession and you’re almost always working with sick patients so there comes a time where “newer” nurses need to be integrated into working with sicker patients. The argument that the nurses are new and that's why he doesn’t want them to work with this patient is not a valid argument when the pregnant nurse really can not be around chemotherapy. Journal Reflection #3 Provision 6: “The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.” 3. How would a nurse contribute to the values of the nursing profession on an individual basis and through collective action? On an individual basis, a nurse will contribute to the values of the nursing profession by caring for their patients with love and compassion. By treating ALL patients equally and honoring what the patient in a given situation may need. By not bringing in personal beliefs and biases into patient’s rooms. And by being ethically honest with the patients and the other healthcare staff. Through a collective action, nurses can contribute to the values of the nursing profession by collectively working as a team with other nurses and medical staff members. Nursing takes teamwork so being able to collaborate and communicate well with team members will be a huge contribution to the values of the nursing profession. Another contribution can be creating a safe space for everyone which will only enhance personal relationships within the team. Journal Reflection #4 Provision 7: “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.”
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