Topic 1: The Legal Implications of Acceptance or Refusal of an Assignment

Matter 1: The Authorized Implications of Acceptance or Refusal of an Task After reviewing the ANA place assertion on “Rights of Registered Nurses when Contemplating a Affected person Task,” talk about the authorized and moral implications of accepting assignments. When delegating assignments to unlicensed personnel, what issues must be thought-about? What insurance coverage points come into play? Analyze the authorized precept of Respondeat Superior. Matter 2: Defenses to Malpractice and Threat Administration Take the malpractice case that was assigned and talk about the defenses that could be raised in that case. Focus on how the incident might have been prevented. What danger administration strategies might have been used earlier than and after the hostile affected person prevalence? This case research is about Yolanda Pinellas who's a 21-year-old feminine pupil studying to be a music teacher admitted. She was identified with anal most cancers and was admitted to Caring Memorial Hospital for Mitomycin for chemotherapy. The drug was to be administered by means of the IV with the usage of an infusion machine for supply. The IV was inserted by RN Mary Jones through the day shift. For some motive, the Mitomycin was delivered late to the unit by the pharmacy (Patricia Peters, PharmD) and was hung through the night shift by the assigned RN, Jeffery Chambers. Throughout that day, the unit was very busy with a number of different sick sufferers and was brief employees. RN Jeffery had labored a double shift the day earlier than and needed to work double once more to cowl the under-staff night shift. He managed to have about 6 hours sleep in between shifts. Through the night shift, the infusion pump was heard beeping a number of occasions. Carol Value, LPN ignored the beeps and assumed that somebody was caring for the affected person. One other RN, Diana Smith additionally heard the pump and notified Jeffery about it however didn't go within the room till 45 minutes later. Diana, RN responded to the affected person’s name bell and that the IV had been dislodged from the affected person’s arm. She instantly stopped the Mitomycin infusion, didn't see proof of infiltrating, supplied care to the hand, and notified the doctor. Documentation of the IV indicated there was an infiltration. The infusion pump was eliminated by the Betty DePalma, nurse supervisor from the unit with out noting the pump’s serial quantity. Yolanda developed necrosis of the hand two weeks later and had required a number of surgical procedures, pores and skin grafting, and reconstruction. She developed everlasting lack of operate and deformity in her third, fourth, and fifth fingers. Because of this, Yolanda is claiming that she is unable to pursue her research to turn into a conductor.
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