Ethics and the Scope of Practice

Ethicsand the Scope of Practice

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Ethicsand the Scope of Practice

Inher collectionof casestudiesof healthinformationmanagement,Grebner relatesthesecondcaseto a releasetechnicianworkingforAnytown General Hospital as a recordsprofession.Nadia, theformernursingstudent,developedan earlyinterestin pharmacology andpathophysiology, andhereadwidelyabout them in theonanda halfyearshewasin nursingschool.However,hedidnot endup beinga nurse(Gerald,Schneider, Cindy &amp Callanan, 2014).

Dueto his extensiveknowledge,severalnursesandclinicians courtedhis assistancein reportreadingandexplanations.Nadia feltat easewith anygiventaskdue to his eagernessto help,andhebecameapopularsourceof helpwhenever a clinician founditdifficultto interpretthephysician’sreport.Acouplecameto theclinicto follow up thedoctor’sreporton theconditionof themanwhowassufferingfrom deepvenous thrombosis neededan explanation.Theclinician on dutywould not comfortablyexecutethetaskdue to his oblivionof variousterminologiesin thereport.Themedicalprofessionalcontractedthehelpof Nadia, whowasat his serviceas usual(Gerald et al., 2014). Althoughhewasnot fullyfamiliar&nbspwiththeBilateral Dropper process,hedidnot confessto his limitedknowledge.Heendedup interpretingthereportwronglyandconsequently thepatientwasallowedto continuewith his routinerunning.After coveringseveralmeters,hecollapsedandwaspronounceddeadon arrivalat thehospital(Grebner et al., 2014).

Nadia’sirresponsibleactioncan haveseveralimplicationson thehospital.First,hespoiledforbrawlforall themedicalprofessionalsworkingin theinstitution.Through themalpracticeof one member,thewholeteamof staffsuffersthesamereputation.Itis veryunfortunatebearingI mindthatthere are qualifiedanddedicated membersamong thestaff.Theperceptionof peoplewhocameinto contactwith thedetailsof thecasewill be in a suspiciousregardforthemedicsin thehospital.Thoseseekingservicesin thehospitalwill be prejudicialof thetreatmenttheyreceivefrom them. Secondly,patientswill developa tendencyof seekingtheservicesof thehospitalas an orderof lastresort.Forthisreason,thenumberof patientsattendedin thehospitalwill be on thevergeof declining.Ifthere is mistrustof thepeoplewhoattendto them, theywould ratherseektheservicesof anotherhospital.

Thepartieswith an interestin thevictimcan alsosuethehospitalformalpractice.Theideaof usinga recordstechnicianto interpretmedicalinformationmakesthehospitalwhollyto blameforthedeathof thepatient.Thesituation’sgravityincreaseswith theknowledgethatNadia hadbeendoingsoforquitesometime(Grebner, 2010).With allfactorsbeingheldconstant,supervising medicalprofessionalsmust havesomewindof thepopularrecordstechnicianwhohelpsnurseswhentheyare stuck.Alegalproceedingagainst theinstitutionwill tarnishits reputationin thecommunity,andifitpullsitself out f theallegationitwill be verydifficultto winback thetrustof thecommunity.

Thereis a predictablecourseof eventslikelyto followNadia’s actionsas an individual.First, sheis likelyto facechargesof takingthelifeof thepatientby masqueradingas a qualifiedclinician yet hehas noformaltrainingto doso.His lackof intellectualhonestyandhumilitydrovehim to performtheroleof a nursealthoughhedidnot completehis nursingcourse(Grebner et al., 2014).Itis verylikelythathewill losehis jobin thehospital.Themanagementof thehospitalwill likelyusethisas thefirsteffortto saveits face.Theregulatingbodymay alsobarhim from practicingin a hospitalfora stipulated period.

However,thepitthatthehospitalhas falleninto wastotallypreventable from thestart.Whenitcontractedhis servicesof Nadia, hewasnot takenon boardas a multi-practice staffbutas a recordstechnician.There would havebeena policyrequiringallstaffmembersto stickto their lineof operationunless officiallysummonedto assistin an extratask.Theformalallocation of dutieswould haveensuredthatonlyqualifiedpersonnelundertakevariousactivities.Evenifthedeathhappenedin such a scenario,professionaladvicewould havebeenoffered,andthehospitalwould not havebeenheldresponsibleforthedeathof thepatient.Besides this,Nadia missesan ethicalpointof professionalhonestywhenhevolunteersto assistnursesin an areahehas not undertakenanyformaltraining(Grebner et al., 2014). Ifhehadstuckwith theinitialdutythehospitalrecruitedhim for,themisfortunessurroundinghim would not be present.

Bothinternalandexternalforcesare pertinentin thiscase.Theinternaldriversof thesituationincludethepoorlyorientednurseswhocannot readmedicalreportsinstigatingthem to lookforhelpfrom themostinappropriateperson.Theunavailability of a supervising clinician during thepatient’svisittranslatesthatthejuniorpractitioners usedto practiceon their own.ThepraisethatNadia gotfrom theclinicians may havedrivenhim to tacklean unfamiliarreportto avoidappearingunderinformed (Grebner et al., 2014).Theexternalforcesthat will manifestthemselves includethelawenforcementinstitutionsthat will demandthecauseof malpractice.Themedicalregulatingbodywill mostlikelygivepressureto theinstitutionto takeactionon theresponsiblemembersof staff.

Severallegalissuesare surroundingthiscase.First,thehospitalhadcontinuallyalloweda nonqualified personto recordmedicalreportswith fullawareness.Secondly,thedeathof thepatientis to greaterextentblamedon thehospitalsmalpractice.Theclinicians on dutycould not readthereportbecausetheywerenot comfortablewith thejargon.Thehospitalis answerableas to whythere wasnosupervising clinician (Gerald et al., 2014).

Inthelineof duty,wemight experiencesituationsthat callforour assistancebothofficialandnon-formal. Itis ethicalto restrictour helpto onlytheareaswehavean unquestionablequalification.Professionalhonestyshould be a priorityall thetime,in an institution,membersof staffshould carryout thestipulated dutieswithout interferingwith theoperationsof otherdepartments.Someissuesare verysensitivein themedicalfieldsince thelivesof patientscan be in jeopardythrough a minormalpractice.In suchsituations,professionalsshould leavetheresponsibilitiesto thequalifiedpersonnel(Geraldet al., 2014).

Inconclusion,casenumbertwo is a perfectexampleof howmattercan turngraveby thefailureto upholdethicsin a workplace. In anyundertaking,honestyandhumilityare necessary.Employeesshould not yearnforpraisesfortheir inexhaustibleknowledgesince everyone has his limits.Itis betterto perfectskillsin theformalresponsibilitygiventhan to becomea jack-of-all-tradesin an organization.Thecaseindirectlyassertsthatassistanceshould onlybe soughtfrom qualifiedandascertainedpeopleespeciallypatientslives are at risk

Reference

Gerald,C., Schneider M.C., Cindy C., Callanan, P. (2014). Issues and ethicsin the helping professions. Clifton Park, NY: Cengage Learning.

(Geraldet al., 2014)