Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them?

Complaint and Conflict Management for the Healthcare Provider

Need Help Writing an Essay?

Tell us about your assignment and we will find the best writer for your paper.

Write My Essay For Me

Order Description

answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the
legal requirements for action in the case.

Case One

Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from
the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing
home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the
matter to the Department of Welfare Bureau of Inspection.

The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was
overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances
of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained.

Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor. Despite
fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to
follow the reporting provisions of the law on abuse in nursing homes.

Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves?
Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare
ethics?

Case Two

On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two
nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr.
Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis.

Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have
this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses?

TEXTBOOK INFORMATION
Title: Legal and Ethical Issues for Health Professions
Edition: 3rd (2014)
Author: McTeigue
Publisher: Elsevier Science
Book ISBN: 1-4557-3366-0

Title: Health Care Ethics
Edition: 6th (2012)
Author: Baillie, Harold M.
Publisher: Pearson
Book ISBN: 978-0-205-25711-9

PLACE THIS ORDER OR A SIMILAR ORDER AND GET HELP FROM A REGISTERED NURSE:)

Click the button below to order this paper AND ENJOY OUR DISCOUNT.

The post Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? appeared first on Premium Nursing Papers.