BSN-FP4006_Assessment2-1.docx - Running head MORAL DILEMMAS AND ETHICAL DECISIONS Moral Dilemmas and Ethical Decisions Capella University Policy Law

BSN-FP4006_Assessment2-1.docx - Running head MORAL DILEMMAS...

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Running head: MORAL DILEMMAS AND ETHICAL DECISIONS1Moral Dilemmas and Ethical DecisionsCapella UniversityPolicy, Law, Ethics, & RegulationsMoral Dilemmas and Ethical DecisionsMay, 2019
MORAL DILEMMAS AND ETHICAL DECISIONS2Moral Dilemmas and Ethical DecisionsA medical emergency can arise in the blink of an eye. It is essential that all medical emergencies are treated equally with the use of evidence-based policies and procedures. The first-line staff in a medical emergency are the triage nurses. The purpose of triaging is to prioritize the patients, identifying which ones can wait and which ones need to be seen immediately. Therefore, it is essential that all nurses involved in triaging are properly trained. This job requires excellent assessment skills as well as quick clinical judgment. However, the hospital needs to have set policies and procedures to ensure triaging is done effectively and efficiently.Policies That Can Affect Emergency CareThe Emergency Severity Index (ESI) is currently being used by 57% of emergency departments throughout the United States (Gilboy, Tanabe, Travers, & Rosenau, 2012). The ESI is a five-level triage scale as follows: “1 – resuscitation, 2 – emergent, 3 – urgent, 4 – less urgent,and 5 – non-urgent.” (Soontorn, Sitthimongkol, Thosingha, & Viwatwongkasem, 2018, p. 121). These levels are determined by the stability of the patient, if a patient is deemed stable then the scale implements what resources may be needed for the patient to determine their level. Use of the ESI allows for rapid identification of patients, getting those that need immediate attention directly to treatment areas while keeping those who are lower acuity in the waiting area or even sending them to an urgent care clinic. Using a standardized triage tool like the ESI allows the triage nurse to focus on the symptoms, it does not factor in any social factors (Gilboy, Tanabe, Travers, & Rosenau, 2012).The Emergency Medical Treatment and Labor Act (EMTALA) was enacted in 1986 and “is a federal law that requires anyone coming to an emergency department to be stabilized and
MORAL DILEMMAS AND ETHICAL DECISIONS3treated, regardless of their insurance status or ability to pay.” (American College of Emergency

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