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MORAL DILEMMAS 1 Harley Johnson Capella University BSN-FP4006 Moral Dilemmas and Ethical Decisions January 2018
MORAL DILEMMAS 2 Introduction Medical emergencies and tragedies can happen anywhere at any given time. Active and effective treatment of the peoples involved is essential in the outcomes. In order to properly treat the patients, the nursing staff must be educated and competent enough to properly triage the patients. Triaging patients requires excellent and quick assessment skills. You must be able to decipher which condition or problem is more life threatening and jump into action. Over the years there have been numerous different policies and procedures implemented in order to ensure triaging within emergency departments is efficient and realistic. Policies that may affect emergency care ESI Policy Gilboy (2015) discussed the “Emergency Severity Index” also known as ESI system policy. This idea was initially put in place in 1998. Emergency physicians Richard Wuerz and David Eitel organized numerous pilot programs for this system and saw great success. The idea behind this policy is that patients are triaged according to the patient “most likely to die from their injuries or issues (Gilboy (2015) pg. 5)”. There are numerous questions in which the nurses can use to determine which patient needs treated first if the answer is not obvious based on clinical signs and symptoms. This policy allows triaging to be solely based on patient symptoms and outcomes as opposed to race, economic standings or even financial standings. It gives each patient the same chance and right at care. This increases patients’ positive outcomes dramatically. It also decreases the ethical issues nurses face when they must triage patients and know much about their
MORAL DILEMMAS 3 history and social status. The ESI is a universal tool in which each step is carried from hospital to hospital alike . This allows the patient experience to be fair. Patients have the best chance at being treated according to the severity of their problem and nothing else.

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