Ethics
What is Autonomy?
People have the right to self-determination and to make legally acceptable decisions.
Nurse Cindy is on shift in the ER when she notices her neighbour sitting in the waiting room. Cindy is busy with another patient and is unable to speak to her neighbour why she presented in the ER today. Cindy really wants to be supportive of her neighbour and decides to open her neighbours chart so that she can obtain her neighbours family contact information and read the admitting doctors note in order to give an update to them. What Practice Standard was violated?
Privacy and Confidentiality
What are the 4 BCCNM Professional Standards for LPN's?
1. Professional Responsibility and Accountability
2.Knowledge based practice
3. Client focused provision of services
4. Ethical Practice
Who is considered the first nurse-researcher and used statistical data to document the need for hand washing in preventing infection?
Florence Nightingale
What is Non-Maleficence?
“Do no harm”
Nurse Luke is on shift in an acute care unit where he finds that one of his patients for the day is an attractive woman similar in age to him. As the shift goes on, they develop romantic chemistry in their interactions and Luke's patients offers Luke her phone number. Which Practice Standard is being violated in this scenario?
Boundaries in the nurse client relationship
It is always the duty of the nurse(not the patient) to establish and maintain boundaries in the nurse-client relationship
What are 3 clinical practice indicators related to the Ethical Practice Professional Standard?
Before BCCNM amalgamated all nursing professions into 1 licensing body, what was the licensing body for LPN's called?
CLPNBC
What is Justice?
Treat all people fairly, and give what is due or owed.
Nurse Raj has a patient who is extremely ill and needs emergency surgery. Raj and the surgeon attempt to speak with the patients family about the patients condition in order to obtain consent. The patients family does not speak English well and are having difficulty understanding the situation. What should Raj and the surgeon do?
Raj and the Surgeon should proceed with the surgery as it is an emergency after they have tried their best to communicate and obtain consent from the family. Some ways nurses can assist clients in communicating and understanding consent include:
Giving verbal explanations
Using visual aids and handouts
Asking clients for feedback about what they understand
Asking clients if they have any questions
Engaging any family or friends who are supporting the client to help the client understand
Helping the client obtain information from the most appropriate health professional
Using plain language, consistent terms, and age-appropriate terminology
Using the services of a qualified interpreter if a language barrier exists
Providing information through an alternate mode (e.g., using sign language)
What are 3 education practice indicators related to the Ethical Practice Professional Standard?
What are 3 contributions of Florence Nightingale?
Gathering of statistical evidence promotion of healthy environment, cleanliness, fresh air, adequate nutrition, started a nursing school, reduced mortality rate amongst wounded soliders in Crimea war from 42% to 2%, advocated for public health policy to the queen, advocated for wounded soliders financial benefits
What is Fidelity?
Keep promises, and don’t make promises you can’t keep As a nurse you must differentiate between your feelings and choices regarding an issue and the feelings and wishes of the patient
Nurse Emily is working at a womens clinic where a patient has come in seeking a medical abortion. Emily is a devout Catholic and does not agree with the practice of abortion. What Practice Standard applies to this scenario and what should Emily do next?
Duty to Provide Care
When faced with a situation that affects your ability to provide care, examine risks and ethical/moral dilemmas and determine the most appropriate course of action using a decision-making process that includes:
determining the facts and identifying the issue or concern;
clarifying the issue or concern;
identifying your options and developing a plan;
implementing the plan, evaluating the outcomes of your decision, and amending it if necessary;
where appropriate, making your concerns known to your employer, your union, or BCCNM.
Nurse Janna is faced with an ethical dilemma while at work. Keeping in mind the Professional Standard of Ethical Practice, Janna knows she needs to follow the correct sequence in solving ethical problems. What is that sequence?
1.Ask if this is an ethical dilemma
2.Gather all relevant information
3. Clarify values
4.Verbalize the problem
5.Identify possible courses of action
6.Negotiate a plan
7.Evaluate the plan
When was the profession of practical nursing first recognized?
Late 1930's
What is Beneficence?
Aim to benefit others and avoid harm. To “do good” with your nursing actions.
Nurse Omar is a recently graduated LPN who is working on an acute medical floor at Burnaby Hospital. Omar's family is very proud of all that he has accomplished but his extended family keeps asking Omar's parents if he is a "real nurse". Omar has started to internalize some shame over his title and decides that it wont harm anyone if he uses the title RN instead of LPN. Which Practice Standard applies to this scenario?
Use of Title
Nursing titles are connected to your registration; you cannot use a different nursing designation when you are working in a role designated for another nurse, or think the qualification better describes your role. For example, as an RN you should not call yourself an LPN because the role you are working in is normally fulfilled by one. Similarly, as an RN you should not say you are an RPN or a psychiatric nurse because you work in a mental health setting. You are allowed to use only the reserved titles for which you are registered for through BCCNM. If you have dual registration, you should use the designation best associated with your role.
What are 3 clinical practice indicators of the Client-focused Provision of Service Professional Standard?
In what province was the first Canadian practical nursing education program founded?
Manitoba