Question

1. Investigate one of the following topics for your original posting. Reference one peer-reviewed journal article (not your textbook) in APA format to support your submission. Posting must be a minimum of 200 words. a. Victoria's story about her son Tyler - (check online) b. Emily's story - (see the Emily Jerry Foundation online) c. Michael Villeneuve medication error - (check online) d. Josie King - (check online) e. Texas Whistleblower case with registered nurses Anne Mitchell and Vickilyn Galle and Dr. Rolando Arafiles, Jr. in 2009 (check online) f. Dr. Death - Christopher Duntsch (check online) g. "Do not resuscitate' tattoo on unconscious patient (check online) 2. Possible questions to consider are as follows: a. What happened? What is the ethical issue? b. How does the American Nurses Association (ANA) code of ethics apply to the case? (ANA code of ethics is available on the ANA website) c. How were patient rights violated? (The patient's bill of rights is available online) d. What recommendations would you suggest to prevent this situation from occurring again?

Answer 1

Victoria's story about her son tyler :

Tyler was 18-years old when he was admitted to hospital for a pain in his chest.It was a collapsed lung – the second

time he had experienced one that year, and a condition that tall, young, slim males like Tyler can be prone to. To

permanently correct the problem, Tyler underwent a procedure called pleurodesis, a common procedure to

permanently prevent his lung from collapsing again. Upon the successful completion of the surgery, Tyler’s mother,

Victoria Ireland said that she “breathed a sigh of relief”. Her son was going to be OK, all he needed to do was recover.

In order to manage the pain from the operation, Tyler was placed on a patient-controlled analgesia (PCA) pump. A

PCA pump delivers the amount of opioids prescribed by the doctor at intervals triggered by the patient using a

button. The morning after being transferred to the general floor of the hospital for recovery, Tyler was found

unresponsive. Dead in bed. Though the coroner officially ruled Tyler’s death as “sudden adult death syndrome”,

there could be more to this story.Tyler’s dosage of morphine was increased during his stay in hospital despite some

disagreements by nurses on the floor. He was also not placed on continuous electronic monitors – such as pulse

oximetry to measure oxygenation or capnography to measure the adequacy of ventilation – to detect the early signs

of opioid-induced respiratory depression. Instead, nurses on shift made regular spot checks to monitor patients. As

fate would have it, the nurse on shift that night had only completed half of the hospital-mandated one-day training

session for the care of patients using a PCA pump. All of the clinicians responsible for Tyler’s care failed to notice

that, after increasing the young man’s morphine dosage, he was lethargic, disoriented, and would snore very loudly

during sleep: several signs of early-early onset opioid-induced respiratory depression.

ANSWER : ques (a) : Tyler’s dosage of morphine was increased during his stay in hospital despite some disagreements by nurses on the floor. He was also not placed on continuous electronic monitors – such as pulse oximetry to measure oxygenation or capnography to measure the adequacy of ventilation – to detect the early signs of opioid-induced respiratory depression.

All of the clinicians responsible for Tyler’s care failed to notice that, after increasing the young man’s morphine dosage, he was lethargic, disoriented, and would snore very loudly during sleep: several signs of early-early onset opioid-induced respiratory depression.

ques(b): The ANA Center for Ethics and Human Rights helps nurses navigate complex and every day ethical issues, in all practice settings.The American Nurses Association (ANA) Center for Ethics and Human Rights was established to help nurses navigate ethical and value conflicts, and life and death decisions, many of which are common to everyday practice.

The Code, consisting of nine provisions and their accompanying interpretive statements:

1. Provides a succinct statement of the ethical values, obligations, and duties of every individual who enters the nursing profession.

2. Serves as the profession’s nonnegotiable ethical standard; and

3. Expresses nurses' own understanding of our commitment to society.

ques(c) : Patient Bill of Rights and Responsibilities - As a Patient You Have The Right to: Receive care that is respectful of your personal beliefs, cultural and spiritual values. An explanation in terms that you can understand and to have any question answered concerning your symptoms, diagnosis, prognosis, and treatment.this right of patient is voilated.

ques(d) : I'll suggest all the hospital's management staff to look carefully through such kind of happening which is not good for that hospital and also for all the staff.

This kind of happening are created the unsecure and unsafe feeling toward all the hospitals and nurses.So give all the attention to their patient without slacking.