1. Is there an ethical violation, dilemma or concern and, if so, what is it? By Madeline receiving a subpoena duces tecum, she is expected to personally appear at a deposition or in court with documents in hand. Though, the fact that the patient’s authorization to release his/her information is missing the date will make the subpoena duces tecum invalid. The ethical dilemma is created when Madeline calls the attorney’s office and informs the attorney’s legal assistant of the missing element on the authorization and she receives the same document with a date written within five minutes. This make Madeline suspects that the legal assistant was the one who wrote the date on the authorization and not the patient. Is it ethical to Madeline …show more content…
According to the AHIMA Code of Ethics Tenets: II. Put service and the health and welfare of persons before self-interest and conduct themselves in the practice of the profession so as to bring honor to themselves, their peers, and to the health information management profession. IV. Refuse to participate in or conceal unethical practices or procedures. o Madeline should go to the hospital ethics committee and ask for advice on how to address the ethical problem. Identify alternatives o Provide the records and appear at the deposition or the court and pretend that the date was not falsely written by the legal assistant. o Summit a motion to squash, which is a written objection to the subpoena, explaining that the subpoena duces tecum she received was not valid because the authorization from the patient was not dated. Call the legal assistant and let her know that she believes that she was the one that wrote the date and that she will not accept the document as valid since it was filled out properly by the patient Evaluate the
D-Met with the patient to address a fax from DCF request of the patient records. The patient immediately said, " Don't send this shit. I cannot stand that worker.....I was in court the other day and I am tired of this and this worker always in my business." The writer explained to the patient that should he continue to refuse to sign an ROI, it may hurt his reunification with his son as the patient detailed to this writer about how DCF got involved in his life ( According to the patient, he was intoxicated when visiting his son and a case was called against him and the child's mother). The patient made it clear to the writer that he has no desires to signed an ROI for DCF and for the clinic to ignore DCF request.
Dr. Holt was using Dr. Willis Stone’s rubber signature stamp to submit his own medical entries. Dr. Stone did not know that this was happing and did not countersign any of the entries. Dr. Holt is not a certified doctor, yet and is therefore not allowed to submit them without a countersign, according to the CMS Interpretive Guidelines for Hospitals (482.24(c)(1)(I)). Dr. Holt was also committing forgery in the first degree.
D-According to the patients she has a surgery on 04/22/2016 for stems in both legs. The patient signed an ROI for Dr. Vandisht for this writer to contact the doctor to obtain a letter stating that the patient can inf fact dose on the day of her surgery. The patient showed this writer with some improvement of her hand with a condition she is unfamiliar that her dermatologist gave her an ointment that cleared her skin. The patient is scheduled to see her dermatologist on 04/29/2016. The patient spent the session discussing an issue with her Fern Manor and its staff members. The patient then signed a ROI for her Pulmonary Doctor. There's still no communication with her older daughter, but the patient still reaches out to her daughter.
Mrs. Smith arrived early on July 14 for her imaging test. On her arrival to the imaging center, a medical assistant told Mrs. Smith, “I am sorry, but we cannot perform your test. Your doctor faxed us an unsigned and undated order sheet. It is confusing to
Running a business in multicultural Ireland requires a company to address the issues that diversity and multiculturalism can bring. A company like Highfield Healthcare would have to look closely at best practices in the area of cultural diversity and multiculturalism. Highfield would have to look at how employee’s best work with persons of different cultural and ethnic background. A person’s culture affects decisions concerning end of life care, diet, treatment and recreational activities. These issues will change how Highfield Healthcare runs their business. Below are some examples.
In health and social care, four key Ethical Principles that are taken into account during these settings. Which are:
In this essay I will be elucidating and explaining the legal and ethical issues relate to health and social care. Legal and ethical issues are usually involved individuals having to abide, practise of law. Though, in most cases there will be a consequence for not abiding by the law. Within the health care setting, professionals practice, there are many regulating, jurisprudence and criterion of practice. Performing an abortion is legal, may not be considered ethical by other health care professionals or member of employers.
The patient reports DCF was called against her by an anomoymous caller, who reports that the patient had drugs in the car in the present of her child. The patient was emotional and blames her boyfriend mother, who the patient reports has an vendetta against her. When asked by this writer for more details and the patient reponse was, " I do not know. She's mad that her son is not talking to her......His family does not treat him good." The patient signed a ROI in the event that DCF was to call. The patient does not want her UDS results to be revealed only her pressence in treatment and dose history.
D-The patient arrived on time for her session as she is scheduled for a counseling session. The patient reports about seeing her PCP recently and now, the patient has to conduct blood work to check on her overall health. No appointment is scheduled as the patient can do a walk-in. When asked when she is planning to do the blood work and her response was tomorrow as long as the clinic is not too busy. Reports stable on her dose and deny the need of taper off on her methadone when offered by this writer as she reports she is not ready. According to the patient she given birth to three children, but one passes away without discussing the detail. The patient's two oldest daughter drives school buses, but one of her daughter also works as an LPN.
Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice
Jessica is the director of Health Information and Technology Services at General Hospital. At this facility, patient records are hybrid. The hospital was named as a defendant in a medical malpractice lawsuit by a former patient (i.e., plaintiff). The trial is scheduled during the next week. During the discovery process, the plaintiff’s health records and an incident report relative to the plaintiff’s hospital stay were obtained by the plaintiff’s attorney. The plaintiff’s attorney has made it clear that she intends to have the health records and the incident report admitted into evidence and, further, that metadata associated with the electronic portions of the plaintiff’s records will be sought.
Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.
For Lucy to demonstrate the best caring practice she must provide presence by being attentive to Mrs. Miller by sitting down and making eye contact. Mrs. Miller is alone and crying, offering a reassuring presence is a patient’s perspective of caring. “Patients value the affective dimension of nursing care.” (Potter, Perry, Stockert, & Hall, 2013, p. 83) Providing presence for Mrs. Miller is physical, but also includes communication and understanding. Lucy is “being there” for Mrs. Miller and may not even say a word to her, but is helping to calm her down.
`Ethics' is defined as ."..the basis on which people...decide that certain actions are right or wrong and whether one ought to do something or has a right to something"(Rumbold, 1986). In relating `ethics' to nursing care, "Nursing decisions affect people... nurses have the power to good or harm to their patients" (Bandman et al, 2002). In this essay, the author will also identify the most important ethical principles and concepts of Evan's case, will outline the different stages of one's approach to ethical decision-making by utilising the "DECIDE Model for Ethical Decision-Making" founded by Thompson et al (2000) and will make a decision on the best course of action to take as a nurse in this
Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.