'Professional Role/Code of Ethic\r'

' decrees of Ethis on the upshot of Mr. E Professional Roles and Values Western regulator University State Regulations and Nursing Standards Nursing, as other medical examination profession, aims at helping and saving the life of other. As much as hold ins and physician wants to intervene to nourish a long-suffering life, it’s distinguished to number long-suffering of’s proclivityes. Ethic in ally, intubating Mr. E without proper watchword and consideration of his wishes is against his living will. It’s a colza of formulation I of ANA Code of Ethics in adoreing tolerant’s haughtiness.The hold in as well overleap to meet the Standards of Competent Performance found on calcium Code of Regulation, Article 4, code 1443. 5, which express â€Å" [ hold backs] acts as the client’s advocate, as dowry require, by initiating action to improve wellness superintend or to change decisions or activities which are against the interests or w ishes of the client […]” (p. 70) Implication. According to code 2. 1 â€Å"Primacy of uncomplaining’s interest” from American Nurses familiarity, it’s the toy with’s commitment to gaze the uniqueness of individually long-suffering, and respect patient’s wishes.Therefore, the blow is trustworthy to seek for a solution if patient’s wishes are conflict with others (p. 5). Based on the higher up codes, the nurse in the scenario must tell Mr. Y about Mr. E’s wish. The nurse similarly adopt to assess Mr. Y understanding of peril and benefit of the procedure, so he would have all the neccesary companionship to make decision. Code of Ethics The Code of Ethics was developed by the American Nurses Association as a frame model for ethical guideline. The work serves as a standard in assisting nurses make ethical decision.According to the ANA Code of Ethics,(2001), provision I give tongue to that nurses must treat pati ent with lenity and respect the patient’s dignity, worth, and uniqueness, regardless of social and stinting status, nature of health problem, and person’s attributes (p. 1). In specific, the interpretive statement 1. 4, in which the focus is on patient’s right to self-determination, is appropriate to fool in this scenario. (p. 4) Impact of Code. Code 1. 4 give tongue to that nurses respect patient’s dignity by honor his or her own wishes. Thus, it’s key to inform Mr.Y of Mr. E’s wish as â€Å"do not resuscitate” (DNR). Although Mr. E is psychogenicly challenge, he has his own feeling and perspective on his health status. Moreover, the patient’s mental particularise when he betokened emanation Directive and provide of attorney is unclear; in that respectfore, ignoring his wishes is a false presumptuousness and an understatement to his decision-making capabality. As a nurse in this scenario, I would inform Mr. Y of hi s brother wish on Advance Directive. Ethics of Putting Patient on Ventilator. Putting Mr. E on ventilator based on the niece’s permission is unethical.The decision didn’t make based on patient’s best interest due to Mr. Y unknowingness of Advance Directive. In addition, the niece made the decision preferably of Mr. Y; therefore, the patient’s military unit of attorney was not followed completely. As the nurse, I would bring up Mr. Y to explain the posture and the decision of his niece. I would to a fault inform him of the patient’s wishes in the Advance Directive. As an advocate for patient, I would also admit up the patient’s wish to the physican’s attention, and talk over the need to inform both Mr. Y and his niece of the Advance Directive.Although Ms. H doesn’t have Power of Attorney, she plays a berth in assisting Mr. Y decision-making since Mr. Y called her for suggestion. Ethics of Authorizing Ventilator. Mr. Y sh ould considers his brother’s wish based on the Advance Directive. Mr. Y should also ask for the risks and benefits of putting his brother on ventilator. As his brother, Mr. Y would want to prolong his brother’s life; however, Mr. Y should take in line of his brother’s desire, quality of life, and the extend of suffering. If Mr. Y doesn’t agree with the Advanced Directives, Mr.Y’s imprimatur is valid since the Advanced Directives is not fully completed. abridgment of Mr. E’s Advanced Directives Because of Mr. E mental health status, his capabality to make decision is unclear when he signed the Advanced Directives. Moreover, according to EmedicineHealth, â€Å"it’s important that the designated power of attorney knows and understands your [the patient] wishes” (Nabili, 2012). However, family member didn’t sign the Advance Directives, and the involvement of family is unclear. Thus, the appointed Power of Attorney may not know and understand the patient’s wish.The patient and family might not discuss patient’s decision. In addition, when the decision of Mr. Y conflicts with the decision of Mr. E in Advance Directives, the speckle becomes very complicated. HIPAA Aside from Mr. E complicated situation, there are major Health Insurance Port big businessman and right Act (HIPAA) violations in the scenario. The physician debauchd patient’s right to privacy shelterion by discuss his medical condition and situation to Ms. H in the waiting room, a public place. The information was disclosed to other patients, to Ms.H’s boyfriend, and other non-related health tutorship staff. Moreover, discussing Mr. E condition to Ms. H should be questioning because Ms. H, although she’s the patient’s niece, is not the appointed power of attorney. One of the nurse role is advocate for paient. By not protecting patient’s privacy, a nurse also violate HIPAA. The nurse, alt hough aware of the physician violation, did not intervene to protect Mr. E’s information. Therefore, she could be hold accountable for violation of HIPAA. In this scenario, a nurse commented on ignoring HIPAA.The nurse is not only violated patient’s privacy legally, but also ethically according to ANA Code of Ethics. Besides physician and nurse, the expertness is also accountable for HIPAA violation, for the facility did not repay the importance of HIPAA with its staff and physician. Professional Conduct As the above paragraphs discuss, the nurse fails to conduct the standard of breast feeding by ignoring patient’s rights for privacy protection. By stating â€Å"forget it…no one pays attention to HIPAA anyway,” the nurse is at risk for violating HIPAA.Beside HIPAA, the cafeteria nurses fail to act as patient’s advocacy by stating â€Å" What end does it makes? The guy’s got diabetes, ir retarded, and is already in a nursing home. à ¢â‚¬Â This nurse violated Provision I in Code of Ethics by ANA in which a nurse cares for patient with compassion and respect regardless of social and economical status, personalized’s attribute, and nature of health problems (p. 1). Futhermore, lack of knowledge of Advance Directives is a misconduct of Provision II in Code of Ethics by not â€Å"primacy patient’s interest” and respect patient’s wishes.Steps. To avoid misconduct of professional standard, the nurse in this scenario should talk to the physician in mysterious about disclosing patient information. The nurse first suggests to call Mr. Y and obtain permission to discuss care with Ms. H; past the nurse must inform Mr. Y the Advance Directives as well as assess Mr. Y understanding of risks and benefits of the procedure. Obtaining informed agree from Mr. Y is also a crucial step. If Mr. Y can’t be reach in a time sensitive manner, the nurse should link the agent that helped Mr.E with t he Advance Directive; she can then obtain information related to Mr. E decision-making ability at the time, and inform doctor and charge nurse for decision-making. However, in this scenario, the nurse should notify charge nurse and higher chain of command about the situation and the violation of HIPAA. Ethical committee should be notified to denote for appropriate actions. Regarding her colleagues, the nurse should inform her supervisor, without naming name, the need to orient staff regarding HIPAA, Advance Directives, and reinforce in Code of Ethics.By taking appropriate interventions, the nurse ensures dignity in patient care and maintain respect in work environment. References American Nurses Association. (2001). Code of ethics. Retrieved from http://nursingworld. org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics. pdf California. (2005). California nursing practice act: With regulations and related satutes. Matthew carouse & Co. , a member of the Lexis Group. Nabili, S. (2012). Advance directives. Retrieved from http://www. emedicinehealth. com/advance_directives/page2_em. htm\r\n'