Question

5. Dr. Curious has a habit of wandering around the hospital and looking at the records of friends who are in the hospital. The nurses have tried to stop him, but he has retaliated by making their lives miserable and belittling them in public at every opportunity. Nursing administration has been notified but has done nothing, since it wants to avoid rocking the boat. What are the nurses' ethical obligations after they have done everything mentioned in the text? See chapter 1. Is "not rocking the boat" a sufficient excuse for the administration to do nothing further? 6. Administrators at the Oxcrossing Mental Health Center have decided to cooperate with a project that will centralize all public mental health records for four adjoining states in a central computer for research pur poses. The professional staff objects and refuses to go along unless all identifying information is removed. The administration agrees, but is later caught restoring Social Security numbers. The staff retaliates by listing only vague, harmless diagnoses so that the records now reveal little or nothing. Is the staff ethical in altering the records to protect confidentiality? Note that incomplete or suspect records can endanger third-party reimburse- ment. Is there any possible reason for identifying the subjects for research

Answer 1

5) Administration is one which takes the responsibility of supervising the staff and guiding and supporting them and carrying them in the right path.The nursing administration when finds a Physician for any wrongful act even after request by the nurses.So it has to be taken to the notice of the higher officials to warn the physician because this act is a sort of misusing the power of a physician. Medical records of other physician's patient without approval or reference cannot be seen by non referred physician

6)For the purpose of research the confidential details of the patients can be altered Social security number is a very high confidential nine digit number when this is restored are accessible by the research team means its an illegal act.By doing so the personal information of the patients can be seen and identified individually which is an act of breaching confidentiality of the patients .It always poses great threat when it comes to reimbursement and can make others to access their monetary details and hacking it online.