- Confront the colleague privately.
- Report the suspected diversion to the immediate supervisor and/or relevant regulatory bodies.
- Cover for the colleague to avoid repercussions.
- Leave the job to avoid involvement.
No category found.
- Force the patient to bathe.
- Ignore the patient's hygiene.
- Educate the patient on the importance of hygiene for health, offer assistance with sensitivity, and respect the patient's autonomy while documenting care.
- Ask the family to bathe the patient.
- Continue charting, hoping the glitch won't occur.
- Bypass the glitch by using paper charting.
- Immediately report the glitch to IT support and consult with a super-user or colleague for guidance on charting safely.
- Try to fix the glitch independently.
- Assume the care plan is up-to-date.
- Update the care plan for the colleague.
- Report the consistent failure to update care plans to the charge nurse or supervisor, as it impacts patient safety and continuity of care.
- Just tell the colleague to update it.
- Beneficence vs. Justice
- Autonomy vs. Non-maleficence
- Veracity vs. Fidelity
- Professional boundaries vs. patient preferences
- Reinforce the dressing quickly.
- Change the dressing only if the patient complains.
- Prioritize changing the dressing using proper sterile technique to prevent infection, even if it requires delegating other tasks.
- Document that the dressing was changed.
- Autonomy
- Beneficence
- Non-maleficence (to the community)
- Justice
- Administer a sedative to reduce anxiety.
- Ignore the patient's anxiety and proceed with preparation.
- Provide clear, factual, and empathetic education about the procedure, addressing misconceptions and offering emotional support.
- Tell the patient to trust the doctors.
- Force the patient to eat the hospital food.
- Provide alternative food options that align with the patient's religious dietary restrictions.
- Document the patient's refusal to eat.
- Tell the patient to bring their own food.
- Provide the information assuming they are family.
- Decline to provide information until identity and relationship are verified and patient consent is confirmed.
- Ask the patient if they want to share information.
- Refer the relative to the physician.
- Initiate the code to placate the family.
- Explain the DNR order and the futility of resuscitation, offering compassionate support to the family in accepting the patient's wishes.
- Ignore the family's request.
- Call the code, then explain the DNR.
- Individual patient preferences
- Detailed documentation
- Ethical frameworks for triage and resource allocation
- Strict adherence to routine protocols
- Veracity
- Beneficence
- Justice
- Autonomy
- Administer the medication orally.
- Delay medication administration and attempt to clear the NG tube, or notify the physician for alternative orders, to ensure the medication is administered safely and correctly.
- Force the flush to clear the clog.
- Document that the NG tube is clogged and medication was not given.
- Beneficence
- Non-maleficence
- Autonomy
- Justice
- Non-maleficence
- Beneficence
- Autonomy
- Justice
- Disregard the non-verbal cues and proceed with the procedure.
- Reconfirm the patient's understanding and willingness to proceed, and address any new concerns before beginning.
- Assume the signed consent is sufficient.
- Inform the family that the patient is anxious.
