The triage nurses morals are challenge when facing

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the best quality care and treating all patients equally. The triage nurse’s morals are challenged when facing the hospital policies. Health care disparities and insurance challenge the nurse’s ethics and moral principles of autonomy, beneficence, nonmaleficence and justice [ CITATION Muh14 \l 1033 ].The disparities influence what care will be provided in the emergency department based on protocol and policy. Insurance status again plays an intricate role on the care that will be provided for non-emergent care to emergent care. A study was performed by Delgado and associates to determine if appropriate care was provided for life-threatening emergencies for those with insurance compared to those without insurance. The study showed that insured patients with life threatening injuries are more likely to be maintained in a non-trauma setting and be provided with suboptimal care rather than being transferred to a trauma unit where mortality rates would be improved. An uninsured patient with the same life-threatening injury of the same non-trauma facility would be transferred to a trauma center to have their needs met [ CITATION Del14 \l 1033 ]. The nurse’s morals and ethics are challenged during these times when the nurse must advocate for the best care to families of the patients without violating hospital protocols or policies. Conclusion Nurses have decisions daily based on morals and ethics to provide quality and due care. Unintentional bias, health care laws and hospital policies challenge the nurse’s moral and ethical decisions. Health care disparities or a patient’s ability to pay should not affect how they are treated or impact positive patient outcomes. Triage nurses witness many unfair and prejudice decisions based on hospital policy that challenge their personal morals. An insured patient is

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