Assignment 4 Ethics

Assignment 4: Ethics Digital Clinical Experience Score 83.5% Debrief Time: 1535 You have just completed the assignment about ethics. We're going to take some time to debrief you on what you've done so far. To begin ...

Assignment 4: Ethics Digital Clinical Experience Score 83.5% Debrief Time: 1535 You have just completed the assignment about ethics. We're going to take some time to debrief you on what you've done so far. To begin, you'll have the opportunity to identify and discuss thoughts and feelings about the assignment. Next, we will consider how the models and processes you've read about in the Leadership Toolkit apply to the events of the assignment. We'll finish the debrief by working through ways you can integrate what you've learned with future clinical practice. This debriefing activity does not impact your scoring in this assignment, and you can speak freely about your experiences. You can expect this activity to take 30-45 minutes. Understood. Let's get started. Great. For this beginning portion of the debrief, I will ask you about your perceptions and thoughts of the simulation and your performance in it. You can expect to spend 3-5 minutes on each question in this section. In the assignment you just completed, you were required to carefully consider professional ethics to navigate challenging clinical situations, such as a patient's significant other trying to solicit sensitive medical information and a patient's daughter disagreeing with her mother's DNR. How do you feel about your performance in these situations? I have neutral or mixed feelings about my performance. These conversations are difficult, and I understand why you'd feel this way. Please explain what went well and what you wish had gone differently. Answer Preceptor Diana's question here. Well, I constantly second guess myself Thank you. As we previously discussed, Mr. Patel's girlfriend Miranda solicited you for confidential information about Mr. Patel's condition. How did you feel when pressured to violate your professional ethics and privacy laws? She was forceful only because she cared so much, but I know better then to gve out information to protect the patients safety In this assignment, you were unable to contact Dr. Tremblay, one of Mrs. O'Connor's providers, requiring you to speak to Charge Nurse Angela. How did you feel about escalating your concern up the Shadow General chain of command? Answer Preceptor Diana's question here. Charge nurse was helpful and imformative with following policy Now that we've discussed your perception of the simulation and your performance, I'm going to ask you some questions about applying the models and processes you used in the simulation. You can expect to spend 3-5 minutes on each question in this section of the debrief. During this assignment, you were involved in a disagreement between your patient Mrs. O'Connor and her daughter Ava. Review the excerpt from your conversation below. Ava: Mom, stop. You're not signing a DNR, don't be stupid. Debbie: Ava, listen to me. I've been thinking about this for a long time. There's just no point. I'm grateful for everything in my life, and for you, and our home, and everything. I love you. But the way I look at it, if I'm getting sick enough to where I'm freakin' unconscious, what kind of life is that to keep living anyway? Ava: . . . Nurse, she's clearly not in a right frame of mind to be making any big decisions. You don't have to get a form or anything, but thank you, and that's all we need you for. Debbie: Ava, come on . . . Your answer: Only a provider can assess a patient's mental readiness to sign legal documents. Mrs. O'Connor has the last word on whether she is requesting a DNR. As this is her request, I will call in a provider at the end of our discussion. Ava: Hmph. You selected the correct response in this exchange. What are three possible consequences for responding incorrectly and agreeing with Ava by discouraging Mrs. O'Connor from signing a DNR? I understand that it is hard for family members not want to lose their mom or dad, but I have to respect the patients overall wishes in which the doctor is the only one can writer orders for an DNR During the assignment, Mr. Liu requested that you halt his opioid treatment. Review your conversation with him below. Samuel: So, I was fine taking opioids at first because I was in serious pain, but I've had some time to think it over, and I don't want to be on this stuff anymore. I should have said something sooner, but I didn't want to be annoying. Your answer: Please don't think your questions and concerns are annoying. My job is to be here for anything you might need, and I'm glad you brought this to my attention. Why don't we discuss your concerns more in-depth and then I'd be happy to accommodate your wishes. Samuel: Oh, right on. I was worried you were going to keep pushing them on me. The correct response is "Thank you for expressing your concerns about opioids, which is perfectly within your rights. Let’s discuss this further to make sure you are able to make an informed decision about any choices that might impact your health and recovery." Why is this a more effective response than your answer? Answer Preceptor Diana's question here. I wanted the patient to feel safe when talking with me without having any repercussions due to his feelings with his brothers issues. Next, we will work to apply the processes, models, and knowledge covered in the simulation to new scenarios and your future clinical practice. You can expect to spend 3-5 minutes on each question in this section of the debrief. In this assignment, you reviewed many different legal requirements and models of professional ethics. You also had the opportunity to apply them in a variety of situations. In the clinical setting, what process will you use to recognize when you have an ethical or legal obligation? my only ethical and legal obligation is to the patient, not the patients family or friends. What process or model do you most want further instruction on before applying it in the clinical setting? Answer Preceptor Diana's question here. I want instruction on how to overcome a patients frustration without judging the patient an overcoming my own social anxiety Thank you. Next, what are three things you can do to understand this model or process better? How to apporach situations, how to direct family and friends to better resources, and to trust myself with making the right call to protect my patients. Reflect on the situations you've experienced in the Leadership DCE so far. With those in mind, how will you cultivate your identity as an effective and ethical nurse in your future practice? Answer Preceptor Diana's question here. In my future practive I will use others opinons and judgement calls as an interpretation to better my views Thank you for talking through that with me. Do you feel that completing this debrief has helped you to better understand this assignment's learning objectives? Yes, I have face issues like this before, such as saying the wrong. This taught me that those fears I have about my opinions and views can not be felt when providing patient care. Why do you feel that way about the debrief? Answer Preceptor Diana's question here. Better communication between patient and doctors Excellent. We have completed the debrief. Proceed to see the results page for this assignment. Interprofessional Communication Score: 38.5 out of 40 Time: 1515 Hi Ava, hi Debbie. How can I help, Mrs. O'Connor? Debbie: Hey, hon. Well, my daughter doesn't know what this is about, so Ava, just don't freak out, alright? Ava: Uh . . . OK . . . Debbie: So . . . you know I've been working as hard as I can to tough this out. And at a certain point . . . I don't know. I feel like the lines are blurred between, say . . . a life that's . . . you know, OK, I can do this, versus . . . Ava: Mom, literally what are you talking about? Debbie: . . . I want to sign a DNR. How should you respond to Debbie? Thank you for telling me. I know this must have been a hard decision to make, and I'm glad you reached out. Let's talk about the details. You scored 1.0 out of 1 The correct answer is: Thank you for telling me. I know this must have been a hard decision to make, and I'm glad you reached out. Let's talk about the details