A-One regulation of the Florida board of nursing, Nurse Practice Act. Its Implications in the scenario In the Nursing practice Act of the state of Florida is clearly described under the section of the Disciplinary proceedings that amongst other ones: “- Unprofessional conduct shall include: Acts of negligence either by omission or commission - Failing to meet or departing from minimal standards of acceptable and prevailing nursing practice shall include, but not be limited to, the following: Violating the confidentiality of information or knowledge concerning a patient;’’ (State of Florida.(2007).Florida Board of Nursing. Rules of the Board of Nursing. Chapter 64B.9 Florida Administrative Code. P.73)
In the scenario the nurse failed to mention the advance directive of the patient’s where is stated that he does not want any ventilator or cardiopulmonary resuscitation. Therefore she performed unprofessional conduct by means of negligence due to omission. Ethically, the nurse did not honor the patient’s right and wishes to not be put on a ventilator. Another failure of the nurse in the scenario is not discussing with the doctor and helping to clarify if the patient can be placed on a ventilator or not. She did not act upon nursing standards and did not advocate for the patient. She violated and ignored the knowledge of an existing advance directive concerning the patient by not allowing the safe nursing practice to prevail. Her actions were insufficient and not guided by the principles of the Nursing standards and scope of practice and unethical.
B-ANA Code(s) of Ethics
Provision 3 of the ANA Code of ethics states;” The nurse promotes, advocates for, and strives to protect the health, safety and the rights of the patient” (Nursing World .Code of Ethics. (2010).American Nurses Association. Code of Ethics for Nurses with Interpretive Statements. Provision 3.P.1) In the scenario, the nurse did not advocate for the patient by consulting with the physician in further details or with any of her supervisors, and did not protect patient’s right regard to his decision to not be placed on ventilator or CPR. If followed appropriately this code would have had an impact on the decision and make sure that the proper steps and legal actions were taken before the patient was placed on the ventilator. The fact that it was not followed appropriately would impact the efficiency of the decision and the nurses’ role as a patient’s advocate and a promoter of Nurses standards of practice.
Ethically, the placement of the patient on the ventilator has the following implications: -Respect for human dignity- Nurse did not respect the patient’s dignity and his right to not be placed on the ventilator. -The right to self-determination- Nurse did not act on patient’s benefit by ignoring the existence of the advance directive, by ignoring patient’s right to self-determine what he wants to do and by not giving accurate information to the patient’s family so they can understand the patent’s interest better. -Primacy of the patient’s interest-Nurse failed to address patient’s interest with his family members so they could have been participating in the unique plan of care. -Collaboration-Nurse failed to collaborate with the physician in determining the best goals for the patient considering his rights and wishes. Neither did she consult with her supervisors or address the issue with them by not following the chain of command. -Acting on questionable practices-Nurses duty is to protect and promote health and not harm the patient. In the scenario, the nurse had a dilemma that she failed to address with her supervisor for solution or advice. -Addressing questionable practice-Nurse needs to report the actions of the physician to the supervisory board in case she would have consulted him for questionable practice. -Responsibility for nursing judgment and action-Nurse is specifically accountable for her own actions, decisions and failure to...
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