100%(8)8 out of 8 people found this document helpful
This preview shows page 1 - 5 out of 10 pages.
Running head: MORAL DILEMMAS AND ETHICAL DECISIONS1Moral Dilemmas and Ethical DecisionsCapella UniversityPolicy, Law, Ethics, and RegulationsMoral Dilemmas and Ethical DecisionsNovember, 2018
MORAL DILEMMAS AND ETHICAL DECISIONS2Table of ContentsReferences......................................................................................................................................10
MORAL DILEMMAS AND ETHICAL DECISIONS3Moral Dilemmas and Ethical DecisionsEthical dilemmas can arise anywhere within a hospital setting but triaging patients in the emergency department and in an emergency situation give more leverage for an ethical situation to arise. A lot of craziness and chaos comes with emergency situations and nursed have to be prepared for these situations in any event, so they need to be up to date on all protocols. Nurses need to be knowledgeable with ethical principles and concepts to help guide them in decision making. I will outline all current protocols and policies though out this presentation, and how in an emergency situation these protocols and policies should be performed in direct triage care. Wewill also discuss how treatment decisions are impacted by health disparities and the policies in place for uninsured patients in direct care. This presentation will leave you in clear mind of how ethical challenges and morals nurses may face when following hospital protocols. I’ll use an evidence-based approach to support the policies and protocols that will be applied to the care of indigent and uninsured population. Health Care Policies and ProtocolsEmergency departments follow a specific system in triage to help prevent over-crowding and chaos. This system allows the department to use patient-centered care, by prioritizing each patient due to their complaints and clinical urgency. In order for the process to be successful, an individual who is competent and knowledgeable of the units policy and procedures needs to intervene and manage the needs of emergent care. This person needs to be a registered nurse whois up to date with competencies such as basic life support, pediatric advance life support, and advanced cardiac life support. Common guidelines that are implemented in emergency departments are: The Australasian Triage Scale, Emergency Severity Index, The Canadian Triage
MORAL DILEMMAS AND ETHICAL DECISIONS4and Acuity Scale, and The Manchester Triage Score. There are other national and institutional guidelines that are used in the emergency department (Aacharya, Gastmans, & Denier, 2011).The Emergency Severity Index (ESI) is a five-level emergency department triage algorithm that was developed in nineteen ninety-nine. ESI is a tool based off the level of anticipated care a patient should receive judged of the acuity of the patient’s health problems. ESI separates itself from other standardized triage algorithms that require safe time frames to be evaluated by the staff or physicians. The ESI has five determining factors that are level accordingto the highest urgency: (Resuscitation ) is immediate attention needed like massive bleeding,