Healthcare Assignment

reply1

While taking the survey I did get stuck on more than half of them and wasn’t able to make too many “strongly agree/disagree” choices and ended up doing more that were moderate answers.  I did feel conflicted about several of the questions and the first one that made me stop and almost cringe was the question about the CRNA who had been suspected of abusing fentanyl.  The reason for this is because at my job there was an LVN that was caught forging the doctor’s signature who did not end up being reprimanded.  Thankfully it didn’t end up harming the patient in any way but I did feel like what that nurse did was unethical and unfair that she wasn’t reprimanded in any way by management.  It led to me feeling like that job had rules in place but it seemed like they were only in effect when it was convenient for everyone.  I still wonder to this day if I should’ve notified the nursing board because I never did anything about it.

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  The question regarding the embezzlement led to me having to do critical thinking and I had to place myself in the hypothetical shoes of my co-workers to determine my answer.  In the end this was one of the few where I chose “strongly agree”.  I did rely on legal parameters for a couple of the questions, especially the ones regarding the pediatric patient that required the life-saving blood transfusion.  While I believe my choices may conflict with few, I still would not feel comfortable having my choices made public and I would choose to remain anonymous.  I can’t really say I know how a moral inventory like this one would impact my current clinical site because I haven’t been there very long, but I do believe that the job I discussed earlier regarding the nurse that forged the signature would actually benefit from having their ethics and morals evaluated and scrutinized.

reply 2

During this survey, I found it difficult to choose strongly agree or strongly disagree for that reason of it not being black and white. I mostly chose moderate responses.  The subject area talking about the nurse practitioner and the opioid addicted patient having a miscarriage after abruptly stopping her pain medications triggers some personal emotions. It triggered some emotions, because as a nurse practitioner student, I placed myself in that situation. One can give advice to the patient, but it is truly what the patient does outside of the clinic that impacts that person’s health in the long run. Whether it has dire consequences or not. I was able to remain objective in a way, because I also thought of physicians and other healthcare workers that might be in a similar situation. Many of the decisions were difficult to make. Especially the Jehovah’s witness child that needed a lifesaving blood transfusion.  I did employ critical thinking or resolution strategies to determine a response. When it came to physician assisted suicide. I offered a resolution of trying out a few treatments to see if it works or not, because sometimes not all physicians are correct. And patients do live longer than the allotted time given to them.  I did rely on policy and legal parameters to make decisions, because it is very important to stick to the policy. For example, during that scenario with the transgender child taking hormones. Though there might be conflicting views, it is very important to stick to the policy and aid in this child’s care. And treat the child like everyone else.  I do not think I would feel comfortable making my answers public. I would rather remain anonymous.

 Working in the ER, I have dealt with similar situations. Such as knowing when to keep going during a code or stop due to the patient’s quality of life after the fact. Or the durable power of attorney/ family member would like the patient to be full code and other family members know that the patient would like to be a no code.  I think a moral inventory would impact my clinical practice by making me more aware of ethical issues at hand. And being prepared to deal with them should they arise. Sometimes it is so easy to get caught up with day to day work that we forget that there might be ethical issues that need to be discussed. 

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