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State Regulations and Nursing Standards.docx

State Regulations and Nursing Standards.docx - Nursing...

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Nursing Standards 1 State Regulations and Nursing Standards Elizabeth Paige Walker Western Governors University
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Nursing Standards 2 State Regulations and Nursing Standards As a nurse, one has the responsibility to abide by the nursing practice standards of his or her state. Every nurse has access to these documents by either internet or at his or her place of employment. One particularly important standard that relates to this situation is “disregarding a patient/client’s dignity, right to privacy, or right to confidentiality”[ISB11]. The patient in the scenario has advance directives in case of any medical emergency where he was not able to make an appropriate decision. It is clearly stated in Mr. E’s advance directive that he does not wish to be put on a ventilator or cardiopulmonary resuscitation. Although Mr. E has clearly stated his wishes, the medical staff does not feel it is appropriate to follow his wishes because of his hypoxia and mild developmental delay. This in particular disregards Mr. E’s dignity on many levels. Although Mr. E has a mild developmental delay, at the time that he filled out his advance directive, he had a patient advocate who assisted him in fully understanding what each decision meant. Because the medical staff took it upon themselves to disregard Mr. E’s wishes, potentially there are serious implications with disregarding a patient’s privacy and personal wishes. Implications Disregarding a patient’s rights and wishes is extremely unethical. However, according to one article, in 2005 there were only 10 states left that did not allow medical staff to override a patient’s advance directive given certain circumstances[JDD11]. There can be several repercussions to not following an advance directive in those states that do not allow it. First of
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Nursing Standards 3 all, a lawsuit could develop if the family finds out that the patient’s wishes were not followed. A lawsuit could potentially cost the hospital or attending provider several thousands of dollars. Another implication of not following a patient’s wishes could be the loss of his or her practicing license. Finally, the provider that disregarded the advance directive could potentially face jail or prison time. Code of Ethics The American Nurses Association Provision 3 in the Code of Ethics for Nurses states “the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”.
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