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Running head: MORAL DILEMMAS1Moral Dilemmas and Ethical DecisionsMartha FoguCapella UniversityBSN-FP4006 – Policy, Law, Ethics, and RegulationsMoral Dilemmas and Ethical DecisionsOctober, 2018
MORAL DILEMMAS2Moral Dilemmas and Ethical DecisionsWelcome to this brief presentation about dealing with moral dilemmas and ethical decisions we are faced with when working in the organized chaos of the emergency room. I wanted to meet with you in light of the situation which happened in an ED in town. Questions were asked about the appropriateness of care two individuals were given with very different backgrounds. It was an industrial accident and both men presented with breathing complicationsof similar acuity. One was young, married, a dad of two young children, homeowner, a lifelong member of the community with great insurance. The other man being older, homeless, a criminal, a frequent flier to the ED and uninsured. Being an emergency room nurse we are faced with not only caring for the critically ill and injured in a physical way but also making sure the care is given to the patients in a timely matter and adhering to the highest standards to nursing ethics which means doing good for our patients with respect to their autonomy. As we know there are healthcare policies in place which help us make those decisions a little clearer and thereare strategies which we must make ourselves familiar with which should be used during triage. As always there are challenges the ER nurse faces which deal with morals and ethics which we will address and discuss. First let’s talk about the healthcare policies and protocols that are in place. All of the nurses need to be familiar with them however the triage nurse needs to be able to recite them backwards and forwards because they are like the bible when wearing the triage nurse hat. EMTALA is the act implemented by Congress in 1986 and it assures that all patients regardless of their ability to pay for services need to be evaluated and treated initially in the ER and then if need be admitted to the hospital or transferred to a facility which is best suited to give them care for their diagnosis. This means regardless of their socioeconomic status, wealthy or poor,
MORAL DILEMMAS3insured or uninsured they are guaranteed medical attention when entering through the doors of our facility. This also includes MSE’s which are medical screening examination. This is the screening the triage nurse does to determine whether an emergency medical condition exists.

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