Question

A newly hired nurse is being given orientation and training in the hospital by a senior member of the nursing staff. Assigned to a medical -surgical unit the nurse receives instructions on procedures. The nurse is instructed to "push Heparin IV" through a tube in the person's arm. The nurse when being trained in nursing program was instructed not to do so such a thing as it could have serious consequences. When the newly hired questioned the procedure that nurse was told by the senior nurse: "Look that is how we do it here, missy. We are understaffed and do not have the time to do it intravenously. If you want to work here that is how you will do it too." What should the response of the new nurse be to this situation? Why? How would someone respond to this situation using the ethical principles of: (Respond using the principles of the ethical tradition for your group Your group is assigned according the letter that starts your last name) H-L 1. an egoist M-Q 2. a rule utilitarian R- T 3. a Kantian U-Z 4. a Natural Law theorist A-G 5. a Rawlsian?

Answer 1

New training nurse need to accept the rules already using in the ward by senior staff ,but it is ethical issue to following of wrong procedure that harm to patient. In this situation nurse can respond to senior in smooth way its not correct procedure,can I use some more time to push IV line with heparin, other wise let ask with senior what is the steps of procedure according to Ward rules and learn that to perform procedure.

Some one can respond to this situation by using ethical principles There are two ethical principles.1.Traditional principal. 2. Contemporary principle. 1. Traditional Principle.. There are two fundamental tenants of traditional approach to ethics. * Paternalism.That is role of father -the needs to protect some one from his or her own judgment. *Reparation -The obligation to repair any harm caused to others accidentally or on purpose.

2.Contemporary principle :In this autonomy, varacity (Truth telling), Non maleficence , beneficence ,confidentiality are the main key elements.

In given situation nurse can use contemporary principle of Non maleficence. This denotes to avoid harming patient and actively prevent harm when possible. Here patient had the right not to be harmed by the care providers. If the nursing action have the both a good and harm effect ,does the good effect over weight the bad ,then we can use that. We have to consider intentional good more desirable than avoiding the unintentional bad. And principal of beneficence also we can utilize that is providers actively contribute to the health and well being of the patient.