NUR222 - Health Professionals have Legal and Ethical Responsibilities and Accountabilities in Practice - Medical Science Students Case Study - Nursing Assignment

Assignment Task

This is for students enrolled in the following tutorial groups:
TOF1-3, TOA1-9, TOB1-4, TOG1-2, TOM1-7, TOP1-3, TOR1

Goal:
Health professionals have legal and ethical responsibilities and accountabilities in practice. The goal of this assessment is to apply your understanding of ethical and legal principles and requirements to the roles and responsibilities of health professionals.
Product:
Written assignment – short answers to a total of 2000 words.
Format:
You will be required to develop short answer responses to set case studies. Your responses will draw on theory, legislation, professional codes and practice standards. You will also provide a reflection based on your experience. Please note that nursing students, midwifery students, and medical science students are to use case studies for your program listed in the following pages. Please answer these using appropriate discipline specific references.
Criteria:
• Knowledge of key legislation professional codes, standards and guidelines relevant to practice
• Knowledge of ethical principles and professional codes, standards and guidelines relevant to
practice
• Evidence of reflection from experience
• Use and citation of sources using Harvard style referencing
• Structure/clarity of written expression

Task:
In this task you are asked to respond to the three scenarios presented below. Within your response to each case you must consider:
1. The legal requirements for student nurses and student midwives, registered nurses and registered midwives.
2. The implications for the health facility and/or education provider if required for each of the cases.
3. Your reflection of life experiences (you do not have to have experienced any of these specific incidents). Think about difficult situations you have encountered in the  past, your ethical stance and how this will inform your discussion on how easy or difficult it will be to meet the requirements for each of the cases.

Case studies for Nursing Students

Case 1

You are on placement and are walking your patient back to their bed. On the way you pass another student nurse who is talking with another patient. You can hear some heated exchange between them and look over to hear the patient shout an expletive at the student who then slaps the patient and walks off. You and your patient (who also heard and saw the incident) are quite shaken by what you have seen and once your patient is back in their bed you go to find your fellow student. The student is crying and quite upset but asks you not to say anything. You are concerned about what you witnessed, and you are also concerned how this might affect the other student.

Case 2

You are sharing a flat with another newly registered nurse and have noticed some changes in behaviour over the past month following a relationship break up. Your flatmate works on the same ward and has been regularly drinking heavily since the breakup and was charged (over the “high limit”) with drink driving 2 days ago. You had to pick them up from the police station in the early hours. You discussed with them about reporting this to your NUM, but your flatmate does not want to report stating ‘It’s none of their business, I didn’t hurt anyone.’ You are both leaving for an early shift and your flatmate is catching a lift with you into work. They had been out late last night and smell strongly of alcohol and still appear affected by alcohol and when you discuss this with them, they ask you not to say anything.

Case 3

You are an RN and are responsible for facilitating students on clinical placement in a rural facility for several education providers. You have been working with a student on an early shift and have been admitting a female patient who needs to go to theatre. You take off her necklace and watch and put this in the top drawer, telling her that once she is admitted and prepared for theatre you will put her valuables in a marked envelope in the locked drawer. Once the patient is admitted you ask the student to finish tidying up. You go off to get an envelope to put the valuables in and label with the patient’s name and when you get back to the bed the watch is in the drawer, but the necklace is missing. You ask the student where the necklace is, and they own up to taking this and hand it back to you.

Case studies for Midwifery Students

Case 1

You are on placement with another student in a midwifery ward at a large acute hospital. One day the other student appears to be struggling with some tasks and you ask them if they are ok. They reply that they have had a back problem for a while and it usually doesn’t cause a problem, but were playing sport the night before and hurt their leg and back. Currently they are unable to undertake many physical aspects of care and are slow to move around the ward and are getting behind on their work which is impacting on the care of patients. The next day they attend placement again and they are clearly worse physically and appear not as mentally sharp as usual. You again ask them if they are ok, they state they are worse and have had to take narcotic analgesia to settle their pain. You suggest that they should not be there, but they reply that they must get through this placement as they cannot afford to repeat the placement later and will fail the course and drop out of uni. They ask you to help cover for them when they cannot complete tasks. You are concerned that they may do further harm to themselves and that their situation may impact on your placement.

Case 2

You are the flatmate of a fellow newly registered midwife and have been living together for the last 18 months. You both work on the same unit and as you live together, socialise after work together a lot as well. Over the last few months, you have noticed a change in their behaviour, they have become more erratic, unable to pay bills/rent on time and selling items to have money at hand. One night you get a phone call from your flatmate asking you to come and pick them up from the police station. They confide to you that they have been arrested for possession of methylenedioxymethamphetamine (MDMA) and has also been charged with an attempt to traffic to this. They have been bailed and expect a court appearance in the next few months. They ask you not to tell anyone as they are going to straighten their life out and need their job to be able to do this.

Case 3

You are a senior registered midwife at a rural health facility. You are responsible for facilitating the clinical placement of midwifery students at the facility for a number of education providers. You rarely see staff from these facilities as most communication is done via telephone or email. You are told by a community member that a student appears to be drinking alcohol quite heavily each night and that they have been posting pictures of themselves in uniform at the local pub intoxicated on Facebook. You had noticed them becoming more withdrawn during the placement. It appears now that they are attending shifts apparently still under the influence of alcohol. You decide to confront them as their behaviour is putting your patients and staff at risk. They state that they have been struggling with the death of a close friend a month ago and that without the support of family they are needing to drink to help sleep as it quietens their thoughts. They don’t want you tell anyone as they need to get through this placement as they cannot afford to repeat the placement or course and would have to withdraw from their degree.

Case studies for Medical Science Students

Case 1

You have just started as an observer in the operating theatre at Sunshine Coast University Hospital (SCUH) and have been buddied with a registered nurse (RN) to get a feel for the surgical environment as a 1st year medical student. This is an important start to your medical career as you start to network with the surgical team. The list is covering gynaecology procedures. You have just consented your first patient with another RN, as your buddy was needed somewhere else. This patient refused to consent to having a student observe or assist for the procedure. However, when your buddy came back, they demand you to come into the theatre as they are responsible for your learning and safety. You state that you are not allowed to go into theatre as the patient does not want students to be present whilst they are under anaesthetic. You are now feeling stressed as the expectation is that you go into theatre to observe.

Case 2

You are a 1st year intern working at a regional hospital. You are working with another intern sharing duties for patients allocated to your service. You notice that your colleague is not washing their hands between patients and you are concerned about cross contamination and that infection prevention procedures are not being followed. Last month several patients developed urinary tract infections and wound care infections. You are aware that these infections are often linked to poor infection control procedures in hospitals.

Case 3

You are a Senior Registrar in a rural hospital in North Queensland. You have a 1st year intern who has come into work exhibiting some unusual behaviour. They are unable to concentrate and are fidgeting constantly. They appear to be unable to follow instructions. You take them aside and ask them about this behaviour. They admitted that they had some illicit drugs the night before and that they are still feeling the effects. They said that they had taken the drugs to cope with the recent death of a family member and the inability to get time off work to grieve and spend time with their family who live in Toowoomba. Their application for leave is being denied due to the hospital not being able to obtain relief staff.

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