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Read the case study presented at the end of Chapter 11 (Guido, p. 222) Did the facility have sufficient evidence to suspend the nurse? How should the testimony of the other nurses in the unit affect the outcome of this case? What additional questions should the institution address before the court rules in this case? How would you have ruled in this case? Read the case study presented at the end of Chapter 12 (Guido, p. 238) Did the ANP have a duty to consult with the child's physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker? What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury? Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined? How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants? Read the case study presented at the end of Chapter 16 (Guido, p. 329) Did the nurse manager have a responsibility to supervise the care of the patient? Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient's care more appropriately? If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case? How do the principles associated with delegation and supervision figure into this case? How would you decide this case? e your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling. Assignment: Professional Development Exercises : Read the case study presented at the end of Chapter 11 (Guido, p. 222) A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per 222 Part 4 • Impact of the Law on the Professional Practice of Nursing nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. D id the facil.
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Chapter 11 YOU BE THE JUDGE A nurse had been working in a cri.docx
Chapter 11: YOU BE THE JUDGE A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per- sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). Discrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. At trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. Did the facility have sufficient evidence to suspend the nurse from their employee? 2. How should the testimony of the other nurses in the unit affect the outcome of this case? 3. What additional questions should the institution address before the court rules in this case? 4. How would you have ruled in this case?
Chapter 12:
YOU BE THE JUDGE A preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been ca.
Chapter 11 YOU BE THE JUDGE A nurse had been working in a cri.docx
Chapter 11: YOU BE THE JUDGE A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per- sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). Discrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. At trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. Did the facility have sufficient evidence to suspend the nurse from their employee? 2. How should the testimony of the other nurses in the unit affect the outcome of this case? 3. What additional questions should the institution address before the court rules in this case? 4. How would you have ruled in this case?
Chapter 12:
YOU BE THE JUDGE A preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been ca ...
Case Study #2 Alleged improper admission orders resulting in mor.docx
Case Study #2: Alleged improper admission orders resulting in morphine overdose and death
There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.
The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.
The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.
During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.
Resolution
Defense experts found the nurse practitioner’s actions to be within the standard of care.
Defense experts stated that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.
A motion for partial summary judgment for the defenda ...
READ BELOW!Case Study #2 Alleged improper admission orders r.docx
READ BELOW!
Case Study #2:
Alleged improper admission orders resulting in morphine overdose and death
There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.
The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.
The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.
During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.
Resolution
Defense experts
presented testimony that
the nurse practitioner’s actions to be within the standard of care.
Defense experts
testimony was
that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.
Plaintiff.
Updated June 2014 MN506 - Unit 9 Page 1 of 5 SCHOOL .docx
Updated: June 2014 MN506 - Unit 9 Page 1 of 5
SCHOOL OF NURSING
MN506: Unit 9 Assignment
Group Project: Legal Malpractice Case
Description
You will construct a group contract in Unit 3. In the contract, you will determine how your group
will communicate and share documents. Roles of the group will be delineated. You will work
from Unit 3 until Unit 9 on a malpractice case.
There are two malpractice cases. Your instructor will assign your either Case Study 1:
Malpractice Action brought by Yolanda Pinnelas or Case Study 2: Wrongful Death by Howard
Carpenter on Behalf of Wilma Carpenter, Deceased. The group will construct a 10–15 page
paper about the legal constructs involved in ONE of the cases.
Directions:
The group will write a 10–15 page APA formatted paper. (Title page and references list do NOT
count towards the 1–15 pages). Support the paper with peer reviewed articles and case law
where applicable. You may have an appendix that has samples of documents that support your
positions or expands on the facts of the case.
You will post a draft of the group paper in the Discussion area of Unit 8. This will give you
an opportunity to get peer feedback and to learn from others.
You may use Goggle Hangouts™, SKYPE®, or other conferencing tools. Additionally you may
want to use a document-sharing tool such as Google Drive®. The paper should discuss the
following issues:
Liability issues
Parties involved and who should be sued
Defenses of the parties
Documents that the Plaintiff’s side will ask for and how they will be used
Standards of care
Duty, breach, damages, and proximate cause
Insurance issues
Risk management issues before and after the incident
Documentation and mandatory reporting
Who should write the incident report and what should it say?
The doctrine of Respondeat Superior and how it would apply
The issues surrounding informed consent
Updated: June 2014 MN506- Unit 9 Page 2 of 5
Preparation for court of the parties
Due: Day 7 by 11:59 p.m. (ET)
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section
of the Course Home.
Case Study 1: Malpractice Action Brought by Yolanda
Pinnelas
People Involved in Case:
Yolanda Pinnelas-patient
Betty DePalma, RN, MS-nursing supervisor
Elizabeth Adelman, RN, recovery room nurse
William Brady, M.D., plastic surgeon
Mary Jones, RN-IV insertion
Carol Price, LPN
Jeffery Chambers, RN-staff nurse
Patricia Peters, PharmD-pharmacy
Diana Smith, RN
Susan Post, JD-Risk Manager
Amy Green-Quality Assurance
Michael Parks, RN, MS, CNS-Education coordinator
SAFE-INFUSE-pump
Brand X infusion pump
Caring Memorial Hospital
Facts:
The patient, Yolanda Pinellas is a 21-year-old female admitted to Caring Memorial Hospital for
chemotherapy. Caring Memorial is a hospital in Upstate New York. Yolanda was a student at
Ithaca College and studying to be a music conductor ...
Recommended
Chapter 11 YOU BE THE JUDGE A nurse had been working in a cri.docx
Chapter 11: YOU BE THE JUDGE A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per- sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). Discrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. At trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. Did the facility have sufficient evidence to suspend the nurse from their employee? 2. How should the testimony of the other nurses in the unit affect the outcome of this case? 3. What additional questions should the institution address before the court rules in this case? 4. How would you have ruled in this case?
Chapter 12:
YOU BE THE JUDGE A preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been ca.
Chapter 11 YOU BE THE JUDGE A nurse had been working in a cri.docx
Chapter 11: YOU BE THE JUDGE A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per- sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). Discrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. At trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. Did the facility have sufficient evidence to suspend the nurse from their employee? 2. How should the testimony of the other nurses in the unit affect the outcome of this case? 3. What additional questions should the institution address before the court rules in this case? 4. How would you have ruled in this case?
Chapter 12:
YOU BE THE JUDGE A preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been ca ...
Case Study #2 Alleged improper admission orders resulting in mor.docx
Case Study #2: Alleged improper admission orders resulting in morphine overdose and death
There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.
The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.
The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.
During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.
Resolution
Defense experts found the nurse practitioner’s actions to be within the standard of care.
Defense experts stated that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.
A motion for partial summary judgment for the defenda ...
READ BELOW!Case Study #2 Alleged improper admission orders r.docx
READ BELOW!
Case Study #2:
Alleged improper admission orders resulting in morphine overdose and death
There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.
The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.
The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.
During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.
Resolution
Defense experts
presented testimony that
the nurse practitioner’s actions to be within the standard of care.
Defense experts
testimony was
that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.
Plaintiff.
Updated June 2014 MN506 - Unit 9 Page 1 of 5 SCHOOL .docx
Updated: June 2014 MN506 - Unit 9 Page 1 of 5
SCHOOL OF NURSING
MN506: Unit 9 Assignment
Group Project: Legal Malpractice Case
Description
You will construct a group contract in Unit 3. In the contract, you will determine how your group
will communicate and share documents. Roles of the group will be delineated. You will work
from Unit 3 until Unit 9 on a malpractice case.
There are two malpractice cases. Your instructor will assign your either Case Study 1:
Malpractice Action brought by Yolanda Pinnelas or Case Study 2: Wrongful Death by Howard
Carpenter on Behalf of Wilma Carpenter, Deceased. The group will construct a 10–15 page
paper about the legal constructs involved in ONE of the cases.
Directions:
The group will write a 10–15 page APA formatted paper. (Title page and references list do NOT
count towards the 1–15 pages). Support the paper with peer reviewed articles and case law
where applicable. You may have an appendix that has samples of documents that support your
positions or expands on the facts of the case.
You will post a draft of the group paper in the Discussion area of Unit 8. This will give you
an opportunity to get peer feedback and to learn from others.
You may use Goggle Hangouts™, SKYPE®, or other conferencing tools. Additionally you may
want to use a document-sharing tool such as Google Drive®. The paper should discuss the
following issues:
Liability issues
Parties involved and who should be sued
Defenses of the parties
Documents that the Plaintiff’s side will ask for and how they will be used
Standards of care
Duty, breach, damages, and proximate cause
Insurance issues
Risk management issues before and after the incident
Documentation and mandatory reporting
Who should write the incident report and what should it say?
The doctrine of Respondeat Superior and how it would apply
The issues surrounding informed consent
Updated: June 2014 MN506- Unit 9 Page 2 of 5
Preparation for court of the parties
Due: Day 7 by 11:59 p.m. (ET)
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section
of the Course Home.
Case Study 1: Malpractice Action Brought by Yolanda
Pinnelas
People Involved in Case:
Yolanda Pinnelas-patient
Betty DePalma, RN, MS-nursing supervisor
Elizabeth Adelman, RN, recovery room nurse
William Brady, M.D., plastic surgeon
Mary Jones, RN-IV insertion
Carol Price, LPN
Jeffery Chambers, RN-staff nurse
Patricia Peters, PharmD-pharmacy
Diana Smith, RN
Susan Post, JD-Risk Manager
Amy Green-Quality Assurance
Michael Parks, RN, MS, CNS-Education coordinator
SAFE-INFUSE-pump
Brand X infusion pump
Caring Memorial Hospital
Facts:
The patient, Yolanda Pinellas is a 21-year-old female admitted to Caring Memorial Hospital for
chemotherapy. Caring Memorial is a hospital in Upstate New York. Yolanda was a student at
Ithaca College and studying to be a music conductor ...
Case Study #2Alleged improper admission orders resulting in mor.docx
Case Study #2:
Alleged improper admission orders resulting in morphine overdose and death
There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.
The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.
The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.
During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.
Resolution
Defense experts
presented testimony that
the nurse practitioner’s actions to be within the standard of care.
Defense experts
testimony was
that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.
Plaintiffs did not pres.
1. What was the reasoning for enacting the EMTALA2. Should medi.docx
1. What was the reasoning for enacting the EMTALA?
2. Should medical advice be dispensed on the telephone? Explain your opinion.
3. Discuss why you think the prescribing, control, administration, and monitoring of medications has become a major area of legal concern for health care professionals.
4. Describe the difference between the certification and licensing of a health care professional.
1. Describe the organization, responsibilities, duties, and legal risks of a governing body.
2. List some of the major provisions of SOX
3. Describe the meaning of the legal doctrine respondeat superior.
4. Describe the term corporate negligence.
5. Why is the Darling case described as a benchmark case?
6. Does the legal doctrine respondeat superior apply to an independent contractor? Explain your answer.
Chapter 11
Hospital Departments & Allied Health Professionals
LEARNING OBJECTIVESDescribe a variety of negligent errors by allied health professionals.Discuss the purpose of certification, licensure, and reasons for revocation of licenses.Describe helpful advice for caregivers.
PROFESSIONAL ETHICS Standards or codes of conduct by specific profession. Created in response to actual or anticipated ethical conflicts.ExamplesFalsifying recordsSexual improprietiesSharing confidential patient information
ChiropractorStandard of care requireddegree of care, judgment, & skill exercised by other reasonable chiropractors under like or similar circumstances.
Emergency DepartmentObjectives of Emergency Caretreatment must begin as rapidly as possiblefunction is to be maintained or restoredscarring & deformity are to be minimizedtreatment regardless of ability to pay.
Jury Returns Largest Medical Malpractice Verdict A man arrived at the ER with severe neck pain and numbness in his arms and legs. A doctor diagnosed his condition as neck strain and released the man from the hospital. A few hours later, the man became completely paralyzed from the chest down… The jury awarded the plaintiff $15 million; $10 million of which was for non-economic damages. −Mark Bello, The Legal Examiner, December 30, 2012
No Duty to Patient
Who Left ED UntreatedIn a wrongful death medical malpractice action alleging negligence, the trial court properly granted summary judgment because under Ohio law, an emergency room nurse had no duty to interfere with an individual who left the ED without telling anyone and who refused treatment.
−Griffith v. University Hospitals of Cleveland
Failure to AdmitPhysician was found negligent in failing to hospitalize the patient or failing to inform her of the serious nature of her illness. The trial court found that had the patient been hospitalized on her first visit, her chances of survival would have been increased.
−Roy v. Gupta
Documentation Sparse & ContradictoryED physician failed to evaluate the patient & to initiate care within first few minutes of patient's entry into the emergency facility. The e ...
Midlevel Operations: Exploring New Expsoures with Allied Health Providers
Jayme T. Vaccaro, J.D.
Director, Professional Liability Claims
Sedgwick Claims Management Services, Inc.
Jayme.Vaccaro@sedgwickcms.com
www.sedgwick.com
MN506 Unit 7 Assignment Description You will constr.docx
MN506 Unit 7 Assignment
Description:
You will construct a group contract in Unit 2. In the contract, you will determine how your group will
communicate and share documents. Roles of the group will be delineated. You will work from Unit 3 to Unit 7
on a malpractice case.
There are two malpractice cases. Your instructor will assign your group either Case Study 1: Malpractice Action
brought by Yolanda Pinnelas or Case Study 2: Wrongful Death by Howard Carpenter on Behalf of Wilma
Carpenter, Deceased. The group will construct a 10–15-page paper about the legal constructs involved in one
of the cases.
Directions:
The group will write a10–15-page APA formatted paper (title page and references list do not count towards
the 10–15 pages). Support the paper with peer reviewed articles and case law where applicable. You must
have minimum of eight references. You may have an appendix that has samples of documents that support
your positions or expands on the facts of the case.
You will post a draft of the group paper in the Discussion Board of Unit 7. This will give you an opportunity to
get peer feedback and to learn from others.
You may use Goggle Hangouts™, SKYPE®, or other conferencing tools. Additionally, you may want to use a
document-sharing tool such as Google Drive®. The paper should discuss the following issues:
• Liability issues
• Parties involved and who should be sued
• Defenses of the parties
• Documents that the plaintiff’s side will ask for and how they will be used
• Standards of care
• Duty, breach, damages, and proximate cause
• Insurance issues
• Risk management issues before and after the incident
• Documentation and mandatory reporting
• Who should write the incident report and what should it say?
• The doctrine of Respondeat Superior and how it would apply the issues surrounding informed consent
Preparation for court of the parties.
Due: Day 7 by 11:59 p.m. (ET)
Case Study 1: Malpractice Action Brought by Yolanda Pinnelas
People involved in case:
Yolanda Pinnelas — patient
Betty DePalma, RN, MS — nursing supervisor
Elizabeth Adelman, RN — recovery room nurse
William Brady, M.D. — plastic surgeon
Mary Jones, RN — IV insertion
Carol Price, LPN
Jeffery Chambers, RN — staff nurse
Patricia Peters, PharmD — pharmacy
Diana Smith, RN
Susan Post, JD — risk manager
Amy Green — quality assurance
Michael Parks, RN, MS, CNS — education coordinator
SAFE-INFUSE — pump
Brand X infusion — pump
Caring Memorial Hospital
Facts:
The patient, Yolanda Pinellas, is a 21-year-old female admitted to Caring Memorial Hospital for chemotherapy.
Caring Memorial is a hospital in upstate New York. Yolanda was a student at Ithaca College and studying to be
a music conductor.
Yolanda was diagnosed with anal cancer and was to receive Mitomycin for her chemotherapy. Mary Jones, RN,
inserted the IV on the day shift around 1300, and the p ...
Failure to insist on EMS transport
This is an actual TMLT medical malpractice case. It involves a family physician treating a patient with chest pain. This presentation illustrates how action or inaction on the part of the physician led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician's defensibility. The case has been modified to protect the privacy of the physician and the patient.
Test bank for critical care nursing a holistic approach 11th edition morton f...
Test bank for critical care nursing a holistic approach 11th edition morton fontaine.pdf
Test bank for critical care nursing a holistic approach 11th edition morton fontaine.pdf
T he fifteen year-old patient was scheduled for surgery on t.docx
T he fifteen year-old patient was
scheduled for surgery on the right
side of his brain to remove a right tem-
poral lobe lesion that was believed to be
causing his epileptic seizures.
The surgery began with the sur-
geon making an incision on the left
side, opening the skull, penetrating the
dura and removing significant portions
of the left amygdala, hippocampus and
other left-side brain tissue before it was
discovered that they were working on
the wrong side.
The left-side wound was closed,
the right side was opened and the pro-
cedure went ahead on the right, correct
side.
The error in the O.R. was revealed
to the parents shortly after the surgery,
but only as if it was a minor and incon-
sequential gaffe.
The patient recuperated, left the
hospital, returned to his regular activi-
ties and graduated from high school
before his parents could no longer deny
he was not all right. After a thorough
neurological assessment he had to be
placed in an assisted living facility for
brain damaged individuals.
When the full magnitude of the
consequences came to light a lawsuit
was filed which resulted in a $11 mil-
lion judgment which was affirmed by
the Supreme Court of Arkansas.
A circulating nurse has a le-
gal duty to see that surgery
does not take place on the
wrong side of the body.
The preoperative documents
failed to identify on which side
the surgery was to be done.
It was below the standard of
care for the circulating nurse
not to notice that fact and not
to seek out the correct infor-
mation.
SUPREME COURT OF ARKANSAS
December 13, 2012
Operating Room: Surgical Error Blamed, In
Part, On Circulating Nurse’s Negligence.
Surgical Error Blamed, In Part, On
Circulating Nurse’s Negligence
The Court accepted the testimony
of the family’s nursing expert that a
circulating nurse has a fundamental
responsibility as a member of the surgi-
cal team to make sure that surgery is
done on the correct anatomical site,
especially when it is brain surgery.
The circulating nurse is supposed
to understand imposing terms like se-
lective amygdala hippocampectomy
and know the basics of how it is sup-
posed to be done.
Hospital policy called for the sur-
geon, the anesthesiologist, the circulat-
ing nurse and the scrub nurse or tech to
take a “timeout” prior to starting a sur-
gical case for final verification of the
correct anatomical site.
The circulating nurse should have
available three essential documents, the
surgical consent form, the preoperative
history and the O.R. schedule.
The full extent of the error, that is,
a full list of the parts of the brain that
were removed from the healthy side,
should have been documented by the
circulating nurse, and failure to do so
was a factor that adversely affected the
patient’s later medical course, the pa-
tient’s nursing expert said. Proassur-
ance v. Metheny, __ S.W. 3d __, 2012 WL
6204231 (Ark.
Should Nurses Blow the Whistle or Just Keep QuietCarolyn Bupper.docx
Should Nurses Blow the Whistle or Just Keep Quiet?
Carolyn Buppert, MSN, JD
June 24, 2014
Confused? I'm Not Surprised
Apparently, a lot goes on in healthcare that makes nurses uncomfortable, because I am asked this question, in some form, frequently. The answer is complicated. People may differ in their opinions of what falls into the realm of incompetent, unethical, or unsafe practice, and the laws of every state are different. And even though I read law every day, I had trouble figuring out what to advise, given the current law governing nurses. No wonder nurses aren't sure what to do.
Nurses are told that they have a duty to protect patient safety. They learn this from language such as this, in one state's (Maryland) nursing regulations. Under "Ethical Responsibilities," it says: "A nurse shall...Act to safeguard a client and the public if health care and safety are affected by the incompetent, unethical, or illegal practice of any person."[1]
The implication is that when a nurse becomes aware of a patient safety threat, the nurse is supposed to do something.
Maryland is not alone in making such pronouncements. Here is language from the Texas Board of Nursing Website:
Situations involving potential risk of harm to patients or the public are referred to as "violating the nurse's duty to the patient" because all nurses have a duty under Rule 217.11(1)B to maintain a safe environment for patients/clients and others for whom the nurse is responsible.[2]
It makes sense to tell nurses that they are expected to safeguard patient safety. It would be even better if nurses who try to do something were better rewarded for their efforts. However, according to nurses I hear from, when a nurse reports a patient safety problem, the nurse often is surprised to find that he or she is considered the "bad guy." A nurse who raises quality issues that require a change of policy, practice, or staffing can be seen as a disruptor rather than someone who is making constructive criticism. Some nurses who have identified problems have found themselves out of a job.
This is bothersome. It's perfectly legal for a hospital to terminate a nurse, for any reason or for no reason. The only job protections are those granted by contract between the nurse and the hospital (whether it is an individual contract or a contract offered through a labor union) and those granted by the US Constitution and civil rights laws. The latter include the right to be free of discrimination on the basis of age, sex, national origin, race, sexual orientation, and religious preference. If the hospital isn't firing the nurse because of age, sex, national origin, race, sexual orientation, or religious preference, in general the firing is legal. A possible exception is a whistleblower law, which may, in some situations, provide protection for nurses who report patient safety problems. We will get to that shortly.
Although it is legal to fire a nurse for raising a patient safety issue (with a poss.
What Is An Lnc
If you would like to know more about what a Legal Nurse Consultant can do in the legal arena, please take a moment to view the power point presentation.
Following the Case Study 1 Malpractice Action brought by Yolanda Pi.docx
Following the Case Study 1: Malpractice Action brought by Yolanda Pinnelas
Construct a paper about •Documents that the plaintiff’s side will ask for and how they will be used , and •The doctrine of Respondeat Superior and how it would apply
Support the paper with peer reviewed articles and case law where applicable not more than3-5 years old
You may have an appendix that has samples of documents that support your positions or expands on the facts of the case
Case Study 1: Malpractice Action Brought by Yolanda Pinnelas People involved in case:
Yolanda Pinnelas — patient
Betty DePalma, RN, MS — nursing supervisor
Elizabeth Adelman, RN — recovery room nurse
William Brady, M.D. — plastic surgeon
Mary Jones, RN — IV insertion
Carol Price, LPN Jeffery Chambers, RN — staff nurse
Patricia Peters, PharmD — pharmacy
Diana Smith, RN Susan Post, JD — risk manage
r Amy Green — quality assurance
Michael Parks, RN, MS, CNS — education coordinator
SAFE-INFUSE — pump
Brand X infusion — pump
Caring Memorial Hospital Facts:
The patient, Yolanda Pinellas, is a 21-year-old female admitted to Caring Memorial Hospital for chemotherapy. Caring Memorial is a hospital in upstate New York. Yolanda was a student at Ithaca College and studying to be a music conductor. Yolanda was diagnosed with anal cancer and was to receive Mitomycin for her chemotherapy. Mary Jones, RN, inserted the IV on the day shift around 1300, and the patient, Yolanda, was to have Mitomycin administered through the IV. An infusion machine was used for the delivery. The Mitomycin was hung by Jeffery Chambers, RN, and he was assigned to Yolanda. The unit had several very sick patients and was short staffed. Jeffery had worked a double shift the day before and had to double back to cover the evening shift. He was able to go home between shifts and had about 6 hours of sleep before returning. The pharmacy was late in delivering the drug so it was not hung until the evening shift. Patricia Peters, PharmD, brought the chemotherapy to the unit. On the evening shift, Carol Price, LPN, heard the infusion pump beep several times. She had ignored it as she thought someone else was caring for the patient. Diana Smith, RN, was also working the shift and had heard the pump beep several times. She mentioned it to Jeffery. She did not go into the room until about 45 minutes later. The patient testified that a nurse came in and pressed some buttons and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. Diana Smith responded to the patient’s call bell and found the IV had been dislodged from the patient's vein. There was no evidence that the Mitomycin had gone into the patient's tissue. Diana immediately stopped the IV, notified the physician, and provided care to the hand. The documentation in the medical record indicates that there was an infiltration to the IV. The hospital was testing a new IV infusion pump called SAFE-INFUSE. The supervisory nurse was Betty DePalma, RN. .
Read the China Wind Power case I uploaded and answer the following 3.docx
Read the China Wind Power case I uploaded and answer the following 3 questions:
1)
The case identifies the reasons why the Chinese Government supported Wind Energy; please describe briefly the various reasons.
2)
Describe briefly the violations alleged by the USW; and which one (s) did the Chinese government back down on?
3
) Some critics claim that China (and others) are engaging unfairly in trading with other countries. Identify at least three (3) areas where
it is claimed that this is occuring to the detriment of the other countries.
Requirments:
1-2 pages per question, no more than 2 pages per question!!!!
–
OUTLINE Format !!!!!!!!
–
BULLET POINT, DOUBLE-SPACED !!!!!!!!
–
Comprehensible
–
Long-winded/ fuzzy answers will be marked down
•
ANSWER THE QUESTIONS (read carefully!!!!!!!! Repeat the question and then answer)
–
The case is the reality
Grading
•
Completeness
–
Answer the question(s)
–
Cover major points
•
Clarity
–
Ease of understanding
–
NOT fuzzy thinking
•
Brevity
–
Precise, to the point
–
NOT wordy, verbose
•
Underlying considerations
–
Logical thinking
–
Insights
Brilliance
.
Read the chapters that I attached. Once done present a 800 words e.docx
Read the chapters that I attached. Once done present a
800 words essay
discussing the Haitian and Iranian Heritages. The essay must contained the following;
-Geographical localization and topography
-Politic and economy
-Health care beliefs and the relationship with their religious beliefs
-How they view the health, illness and death concepts. You must used at least two evidence-based references (excluding) the class textbook.
.
More Related Content
Similar to Read the case study presented at the end of Chapter 11 (Guido, p. .docx
Case Study #2Alleged improper admission orders resulting in mor.docx
Case Study #2:
Alleged improper admission orders resulting in morphine overdose and death
There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.
The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.
The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.
During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.
Resolution
Defense experts
presented testimony that
the nurse practitioner’s actions to be within the standard of care.
Defense experts
testimony was
that the patient’s final morphine blood levels, even considering her renal disease, could not have resulted from the amount of morphine ordered, administered and recorded in the patient’s health information record. The elevated morphine and alcohol levels led experts to the opinion that the patient may have ingested morphine and alcohol from a source other than the nursing facility.
Plaintiffs did not pres.
1. What was the reasoning for enacting the EMTALA2. Should medi.docx
1. What was the reasoning for enacting the EMTALA?
2. Should medical advice be dispensed on the telephone? Explain your opinion.
3. Discuss why you think the prescribing, control, administration, and monitoring of medications has become a major area of legal concern for health care professionals.
4. Describe the difference between the certification and licensing of a health care professional.
1. Describe the organization, responsibilities, duties, and legal risks of a governing body.
2. List some of the major provisions of SOX
3. Describe the meaning of the legal doctrine respondeat superior.
4. Describe the term corporate negligence.
5. Why is the Darling case described as a benchmark case?
6. Does the legal doctrine respondeat superior apply to an independent contractor? Explain your answer.
Chapter 11
Hospital Departments & Allied Health Professionals
LEARNING OBJECTIVESDescribe a variety of negligent errors by allied health professionals.Discuss the purpose of certification, licensure, and reasons for revocation of licenses.Describe helpful advice for caregivers.
PROFESSIONAL ETHICS Standards or codes of conduct by specific profession. Created in response to actual or anticipated ethical conflicts.ExamplesFalsifying recordsSexual improprietiesSharing confidential patient information
ChiropractorStandard of care requireddegree of care, judgment, & skill exercised by other reasonable chiropractors under like or similar circumstances.
Emergency DepartmentObjectives of Emergency Caretreatment must begin as rapidly as possiblefunction is to be maintained or restoredscarring & deformity are to be minimizedtreatment regardless of ability to pay.
Jury Returns Largest Medical Malpractice Verdict A man arrived at the ER with severe neck pain and numbness in his arms and legs. A doctor diagnosed his condition as neck strain and released the man from the hospital. A few hours later, the man became completely paralyzed from the chest down… The jury awarded the plaintiff $15 million; $10 million of which was for non-economic damages. −Mark Bello, The Legal Examiner, December 30, 2012
No Duty to Patient
Who Left ED UntreatedIn a wrongful death medical malpractice action alleging negligence, the trial court properly granted summary judgment because under Ohio law, an emergency room nurse had no duty to interfere with an individual who left the ED without telling anyone and who refused treatment.
−Griffith v. University Hospitals of Cleveland
Failure to AdmitPhysician was found negligent in failing to hospitalize the patient or failing to inform her of the serious nature of her illness. The trial court found that had the patient been hospitalized on her first visit, her chances of survival would have been increased.
−Roy v. Gupta
Documentation Sparse & ContradictoryED physician failed to evaluate the patient & to initiate care within first few minutes of patient's entry into the emergency facility. The e ...
Midlevel Operations: Exploring New Expsoures with Allied Health Providers
Jayme T. Vaccaro, J.D.
Director, Professional Liability Claims
Sedgwick Claims Management Services, Inc.
Jayme.Vaccaro@sedgwickcms.com
www.sedgwick.com
MN506 Unit 7 Assignment Description You will constr.docx
MN506 Unit 7 Assignment
Description:
You will construct a group contract in Unit 2. In the contract, you will determine how your group will
communicate and share documents. Roles of the group will be delineated. You will work from Unit 3 to Unit 7
on a malpractice case.
There are two malpractice cases. Your instructor will assign your group either Case Study 1: Malpractice Action
brought by Yolanda Pinnelas or Case Study 2: Wrongful Death by Howard Carpenter on Behalf of Wilma
Carpenter, Deceased. The group will construct a 10–15-page paper about the legal constructs involved in one
of the cases.
Directions:
The group will write a10–15-page APA formatted paper (title page and references list do not count towards
the 10–15 pages). Support the paper with peer reviewed articles and case law where applicable. You must
have minimum of eight references. You may have an appendix that has samples of documents that support
your positions or expands on the facts of the case.
You will post a draft of the group paper in the Discussion Board of Unit 7. This will give you an opportunity to
get peer feedback and to learn from others.
You may use Goggle Hangouts™, SKYPE®, or other conferencing tools. Additionally, you may want to use a
document-sharing tool such as Google Drive®. The paper should discuss the following issues:
• Liability issues
• Parties involved and who should be sued
• Defenses of the parties
• Documents that the plaintiff’s side will ask for and how they will be used
• Standards of care
• Duty, breach, damages, and proximate cause
• Insurance issues
• Risk management issues before and after the incident
• Documentation and mandatory reporting
• Who should write the incident report and what should it say?
• The doctrine of Respondeat Superior and how it would apply the issues surrounding informed consent
Preparation for court of the parties.
Due: Day 7 by 11:59 p.m. (ET)
Case Study 1: Malpractice Action Brought by Yolanda Pinnelas
People involved in case:
Yolanda Pinnelas — patient
Betty DePalma, RN, MS — nursing supervisor
Elizabeth Adelman, RN — recovery room nurse
William Brady, M.D. — plastic surgeon
Mary Jones, RN — IV insertion
Carol Price, LPN
Jeffery Chambers, RN — staff nurse
Patricia Peters, PharmD — pharmacy
Diana Smith, RN
Susan Post, JD — risk manager
Amy Green — quality assurance
Michael Parks, RN, MS, CNS — education coordinator
SAFE-INFUSE — pump
Brand X infusion — pump
Caring Memorial Hospital
Facts:
The patient, Yolanda Pinellas, is a 21-year-old female admitted to Caring Memorial Hospital for chemotherapy.
Caring Memorial is a hospital in upstate New York. Yolanda was a student at Ithaca College and studying to be
a music conductor.
Yolanda was diagnosed with anal cancer and was to receive Mitomycin for her chemotherapy. Mary Jones, RN,
inserted the IV on the day shift around 1300, and the p ...
Failure to insist on EMS transport
This is an actual TMLT medical malpractice case. It involves a family physician treating a patient with chest pain. This presentation illustrates how action or inaction on the part of the physician led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician's defensibility. The case has been modified to protect the privacy of the physician and the patient.
Test bank for critical care nursing a holistic approach 11th edition morton f...
Test bank for critical care nursing a holistic approach 11th edition morton fontaine.pdf
Test bank for critical care nursing a holistic approach 11th edition morton fontaine.pdf
T he fifteen year-old patient was scheduled for surgery on t.docx
T he fifteen year-old patient was
scheduled for surgery on the right
side of his brain to remove a right tem-
poral lobe lesion that was believed to be
causing his epileptic seizures.
The surgery began with the sur-
geon making an incision on the left
side, opening the skull, penetrating the
dura and removing significant portions
of the left amygdala, hippocampus and
other left-side brain tissue before it was
discovered that they were working on
the wrong side.
The left-side wound was closed,
the right side was opened and the pro-
cedure went ahead on the right, correct
side.
The error in the O.R. was revealed
to the parents shortly after the surgery,
but only as if it was a minor and incon-
sequential gaffe.
The patient recuperated, left the
hospital, returned to his regular activi-
ties and graduated from high school
before his parents could no longer deny
he was not all right. After a thorough
neurological assessment he had to be
placed in an assisted living facility for
brain damaged individuals.
When the full magnitude of the
consequences came to light a lawsuit
was filed which resulted in a $11 mil-
lion judgment which was affirmed by
the Supreme Court of Arkansas.
A circulating nurse has a le-
gal duty to see that surgery
does not take place on the
wrong side of the body.
The preoperative documents
failed to identify on which side
the surgery was to be done.
It was below the standard of
care for the circulating nurse
not to notice that fact and not
to seek out the correct infor-
mation.
SUPREME COURT OF ARKANSAS
December 13, 2012
Operating Room: Surgical Error Blamed, In
Part, On Circulating Nurse’s Negligence.
Surgical Error Blamed, In Part, On
Circulating Nurse’s Negligence
The Court accepted the testimony
of the family’s nursing expert that a
circulating nurse has a fundamental
responsibility as a member of the surgi-
cal team to make sure that surgery is
done on the correct anatomical site,
especially when it is brain surgery.
The circulating nurse is supposed
to understand imposing terms like se-
lective amygdala hippocampectomy
and know the basics of how it is sup-
posed to be done.
Hospital policy called for the sur-
geon, the anesthesiologist, the circulat-
ing nurse and the scrub nurse or tech to
take a “timeout” prior to starting a sur-
gical case for final verification of the
correct anatomical site.
The circulating nurse should have
available three essential documents, the
surgical consent form, the preoperative
history and the O.R. schedule.
The full extent of the error, that is,
a full list of the parts of the brain that
were removed from the healthy side,
should have been documented by the
circulating nurse, and failure to do so
was a factor that adversely affected the
patient’s later medical course, the pa-
tient’s nursing expert said. Proassur-
ance v. Metheny, __ S.W. 3d __, 2012 WL
6204231 (Ark.
Should Nurses Blow the Whistle or Just Keep QuietCarolyn Bupper.docx
Should Nurses Blow the Whistle or Just Keep Quiet?
Carolyn Buppert, MSN, JD
June 24, 2014
Confused? I'm Not Surprised
Apparently, a lot goes on in healthcare that makes nurses uncomfortable, because I am asked this question, in some form, frequently. The answer is complicated. People may differ in their opinions of what falls into the realm of incompetent, unethical, or unsafe practice, and the laws of every state are different. And even though I read law every day, I had trouble figuring out what to advise, given the current law governing nurses. No wonder nurses aren't sure what to do.
Nurses are told that they have a duty to protect patient safety. They learn this from language such as this, in one state's (Maryland) nursing regulations. Under "Ethical Responsibilities," it says: "A nurse shall...Act to safeguard a client and the public if health care and safety are affected by the incompetent, unethical, or illegal practice of any person."[1]
The implication is that when a nurse becomes aware of a patient safety threat, the nurse is supposed to do something.
Maryland is not alone in making such pronouncements. Here is language from the Texas Board of Nursing Website:
Situations involving potential risk of harm to patients or the public are referred to as "violating the nurse's duty to the patient" because all nurses have a duty under Rule 217.11(1)B to maintain a safe environment for patients/clients and others for whom the nurse is responsible.[2]
It makes sense to tell nurses that they are expected to safeguard patient safety. It would be even better if nurses who try to do something were better rewarded for their efforts. However, according to nurses I hear from, when a nurse reports a patient safety problem, the nurse often is surprised to find that he or she is considered the "bad guy." A nurse who raises quality issues that require a change of policy, practice, or staffing can be seen as a disruptor rather than someone who is making constructive criticism. Some nurses who have identified problems have found themselves out of a job.
This is bothersome. It's perfectly legal for a hospital to terminate a nurse, for any reason or for no reason. The only job protections are those granted by contract between the nurse and the hospital (whether it is an individual contract or a contract offered through a labor union) and those granted by the US Constitution and civil rights laws. The latter include the right to be free of discrimination on the basis of age, sex, national origin, race, sexual orientation, and religious preference. If the hospital isn't firing the nurse because of age, sex, national origin, race, sexual orientation, or religious preference, in general the firing is legal. A possible exception is a whistleblower law, which may, in some situations, provide protection for nurses who report patient safety problems. We will get to that shortly.
Although it is legal to fire a nurse for raising a patient safety issue (with a poss.
What Is An Lnc
If you would like to know more about what a Legal Nurse Consultant can do in the legal arena, please take a moment to view the power point presentation.
Following the Case Study 1 Malpractice Action brought by Yolanda Pi.docx
Following the Case Study 1: Malpractice Action brought by Yolanda Pinnelas
Construct a paper about •Documents that the plaintiff’s side will ask for and how they will be used , and •The doctrine of Respondeat Superior and how it would apply
Support the paper with peer reviewed articles and case law where applicable not more than3-5 years old
You may have an appendix that has samples of documents that support your positions or expands on the facts of the case
Case Study 1: Malpractice Action Brought by Yolanda Pinnelas People involved in case:
Yolanda Pinnelas — patient
Betty DePalma, RN, MS — nursing supervisor
Elizabeth Adelman, RN — recovery room nurse
William Brady, M.D. — plastic surgeon
Mary Jones, RN — IV insertion
Carol Price, LPN Jeffery Chambers, RN — staff nurse
Patricia Peters, PharmD — pharmacy
Diana Smith, RN Susan Post, JD — risk manage
r Amy Green — quality assurance
Michael Parks, RN, MS, CNS — education coordinator
SAFE-INFUSE — pump
Brand X infusion — pump
Caring Memorial Hospital Facts:
The patient, Yolanda Pinellas, is a 21-year-old female admitted to Caring Memorial Hospital for chemotherapy. Caring Memorial is a hospital in upstate New York. Yolanda was a student at Ithaca College and studying to be a music conductor. Yolanda was diagnosed with anal cancer and was to receive Mitomycin for her chemotherapy. Mary Jones, RN, inserted the IV on the day shift around 1300, and the patient, Yolanda, was to have Mitomycin administered through the IV. An infusion machine was used for the delivery. The Mitomycin was hung by Jeffery Chambers, RN, and he was assigned to Yolanda. The unit had several very sick patients and was short staffed. Jeffery had worked a double shift the day before and had to double back to cover the evening shift. He was able to go home between shifts and had about 6 hours of sleep before returning. The pharmacy was late in delivering the drug so it was not hung until the evening shift. Patricia Peters, PharmD, brought the chemotherapy to the unit. On the evening shift, Carol Price, LPN, heard the infusion pump beep several times. She had ignored it as she thought someone else was caring for the patient. Diana Smith, RN, was also working the shift and had heard the pump beep several times. She mentioned it to Jeffery. She did not go into the room until about 45 minutes later. The patient testified that a nurse came in and pressed some buttons and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. Diana Smith responded to the patient’s call bell and found the IV had been dislodged from the patient's vein. There was no evidence that the Mitomycin had gone into the patient's tissue. Diana immediately stopped the IV, notified the physician, and provided care to the hand. The documentation in the medical record indicates that there was an infiltration to the IV. The hospital was testing a new IV infusion pump called SAFE-INFUSE. The supervisory nurse was Betty DePalma, RN. .
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Read the China Wind Power case I uploaded and answer the following 3.docx
Read the China Wind Power case I uploaded and answer the following 3 questions:
1)
The case identifies the reasons why the Chinese Government supported Wind Energy; please describe briefly the various reasons.
2)
Describe briefly the violations alleged by the USW; and which one (s) did the Chinese government back down on?
3
) Some critics claim that China (and others) are engaging unfairly in trading with other countries. Identify at least three (3) areas where
it is claimed that this is occuring to the detriment of the other countries.
Requirments:
1-2 pages per question, no more than 2 pages per question!!!!
–
OUTLINE Format !!!!!!!!
–
BULLET POINT, DOUBLE-SPACED !!!!!!!!
–
Comprehensible
–
Long-winded/ fuzzy answers will be marked down
•
ANSWER THE QUESTIONS (read carefully!!!!!!!! Repeat the question and then answer)
–
The case is the reality
Grading
•
Completeness
–
Answer the question(s)
–
Cover major points
•
Clarity
–
Ease of understanding
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NOT fuzzy thinking
•
Brevity
–
Precise, to the point
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NOT wordy, verbose
•
Underlying considerations
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Logical thinking
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Insights
Brilliance
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Read the chapters that I attached. Once done present a 800 words e.docx
Read the chapters that I attached. Once done present a
800 words essay
discussing the Haitian and Iranian Heritages. The essay must contained the following;
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Read the chapter on Socialization. Answer the following questions (t.docx
Read the chapter on Socialization. Answer the following questions (thoroughly and completely
and in your own
words
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Nature and Nurture: What do twin studies tell us about nature/nurture? Also, discuss the influence of heredity in explaining the process of one’s personality and intellectual development. Provide examples.
What is the
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I
and
Me
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Explain the dramaturgical approach. What occurs on front-stage? What happens in backstage? How can Erving Goffman’s idea of impression management and face-work be used to understand social behavior?
Identify the agents of socialization. What is the role of schools in gender role socialization? How has technology (computer, cell phone, email, & TV) influenced the socialization process?
What are total institutions? Identify Goffman’s four traits of total institutions. Discuss how a degradation ceremony is used to mortify one’s sense of self.
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Read the Case Study Weill, P., & Woerner, S. L. (2014). Managi.docx
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Read the case study to inform the assignment that follows.
Case Study: Alicia
6th
grade, Age 11
Alicia is a sixth grade student currently receiving resource support for math and written expression. She attends all other subjects within the general education classroom.
Her special education teacher, Ms. Kauffmann, reports that Alicia has average reading decoding skills and average to above average reading comprehension skills. She particularly does well analyzing multiple choice and short answer questions related to reading content. Alicia does have difficulty summarizing what she has read using her own thoughts and ideas and relies heavily on visual supports to aid in comprehension.
Alicia does write complete sentences but struggles in organizing her ideas for writing and needs extensive support for pre-writing, development of topic sentences, and organization of essays. In writing short answer questions, she does so with few grammatical errors. When writing paragraphs and short essays, Alicia needs help editing her own work and making corrections. Punctuation errors are frequently evident. She has excellent spelling skills, but struggles with subject-verb agreement, correct use of point of view appropriate to the task, and in the development of thesis statements and topic sentences.
Regarding her math skills, Alicia struggles specifically with computation and reasoning/problem solving. In class, Alicia shows difficulty in writing number sentences to solve a story problem, and in determining the operations to use. She relies on a calculator for all math computation and benefits from extensive one-on-one support in math problem solving. She also struggles with converting fractions to decimal notation and applying math concepts to real world situations.
T
he most recent psycho-educational evaluation report for Alicia is in her Woodcock-Johnson III Tests of Achievement scores.
The Woodcock Johnson III Tests of Achievement is a norm-referenced assessment that evaluates academic skills in the areas of reading, math, and written expression. The standard score is 100, with a standard deviation of 15.
Alicia's most recent scores:
Cluster
Age Equivalent
(Year + Month)
Percentile
Standard Score (100)
Phonemic Awareness
11-3
43
97
Oral Language Expression
9-8
24
90
Verbal Ability
13-2
67
107
Broad Reading
9-10
22
88
Broad Math
5-6
<1
12
Broad Written Language
8-9
7
78
Over the last two months, Alicia's mother has reported that she is reluctant to get up and get ready for school. She has missed 12 days so far this semester, and frequently complains of a stomachache and headache. Her mother has taken her to the doctor and there are no significant medical issues. Her mother also reports that the struggle to get her to the bus stop or in the car to go to school is too great at times and will sometimes just call her in absent.
In school, Alicia has been quiet and withdrawn, not wanting to participate in classroom .
Read the case study titled St. Lukes Health Care System” found a.docx
Read the case study titled “St. Luke's Health Care System” found at the end of Chapter 14 and linked here as a PDF
.
Write a fully developed paper in which you:
1. Assess the probable difficulties of the IT executives at St. Luke’s view wireless networking as key lever in their quest to increase clinician productivity and improved patient care.
2. Analyze how the Mobility XE enables the IT department to centrally manage all wireless devices used by clinicians.
3. Critique the Mobility works solution and recommend one change to the solution to provide better productivity and improved patient care.
4. Use at least three quality resources in this assignment. Note: Wikipedia and similar websites do not qualify as quality resources.
Your assignment must follow these formatting requirements:
· Be typed, double-spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions.
· Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.
The specific course learning outcomes associated with this assignment are:
· Analyze the technologies and architectures that have been developed for networking over shorter distances.
C9-1
CASE STUDY 9
ST. LUKE'S HEALTH CARE SYSTEM
Hospitals have been some of the earliest adopters of wireless local area
networks (WLANs). The clinician user population is typically mobile and
spread out across a number of buildings, with a need to enter and access
data in real time. St. Luke's Episcopal Health System in Houston, Texas
(www.stlukestexas.com) is a good example of a hospital that has made
effective use wireless technologies to streamline clinical work processes.
Their wireless network is distributed throughout several hospital buildings
and is used in many different applications. The majority of the St. Luke’s
staff uses wireless devices to access data in real-time, 24 hours a day.
Examples include the following:
• Diagnosing patients and charting their progress: Doctors and
nurses use wireless laptops and tablet PCs to track and chart patient
care data.
• Prescriptions: Medications are dispensed from a cart that is wheeled
from room to room. Clinician uses a wireless scanner to scan the
patient's ID bracelet. If a prescription order has been changed or
cancelled, the clinician will know immediately because the mobile device
displays current patient data.
http://www.stlukestexas.com/
C9-2
• Critical care units: These areas use the WLAN because running hard
wires would mean moving ceiling panels. The dust and microbes that
such work stirs up would pose a threat to patients.
• Case management: The case managers in the Utilization Management
Department use the WLAN to docum.
Read the case study on the Air Force Supply Squadron at the end of.docx
Read the case study on the Air Force Supply Squadron at the end of Chapter 3. Present what you feel are the effective leadership behaviors displayed by Colonel Novak and react to the evaluations of your fellow students.
Air Force Supply Squadron
Colonel Pete Novak was assigned to com-
mand an air force squadron that airlifted sup-
plies to combat units during the Korean War.
The squadron had more than 200 men and
several cargo planes.When he assumed com-
mand, the situation was bleak. They were
short of supplies, personnel, and replace-
ments. Organization and coordination were
poor, and there was little cooperation and
teamwork among different sections. Morale
was low due to the unrelenting workload,the
constant bickering and disagreements, and
the stress of flying into combat zones.Colonel Novak held a meeting of the
squadron to introduce himself and talk about
how important their mission was to the success
of the war effort. He talked about how the
men in the front lines were counting on the
squadron to bring them the supplies and am-
munition they needed to keep the enemy
from overrunning the country. He reminded
them that every man had a vital function in
the operation of the squadron.
Then Colonel Novak set out to learn more
about the men in his unit, beginning with the
officers. He held frequent staff meetings with
the section heads and some key noncommis-
sioned officers (NCOs) to discuss the meth-
ods used to carry out the mission of the
squadron.He visited the enlisted men at work
and off duty, talking to them and showing a
personal interest in them.He listened to their
complaints, and whenever possible tried to
deal with their concerns about the poor living
conditions at the base.He flew along with the
airplane crews on some of the supply mis-
sions. On one occasion when supplies were
desperately needed at the front lines and the
squadron was shorthanded,he pitched in and
worked beside the men all during the night to
load the planes.
It was not long before Colonel Novak had
learned each person’s name, what his job was,
and something about his background. As he
found out more about the capabilities of the
men, he reorganized the squadron to place people where the best use could be made of
their skills and experience. In staff meetings,
disagreements were discussed and worked
out, and responsibilities were assigned when
all concerned were present. Authority was
clearly delegated to reduce confusion and
duplication of orders. The NCOs were held
responsible for the actions of their men and,
within limits, their decisions were enforced
without question.
Within two months the effects of the
changes were evident.The officers and enlist-
ed men learned what was expected of them
and began to see themselves as an essential
part of a well-run organization. They began
to take pride in their ability to accomplish
their mission despite the hardships. Morale
and teamwork improved. Before long the
squadron became one of the most efficient in
K.
Read the case study onInfluenza and Influenza Vaccineand dis.docx
Read the case study on
Influenza and Influenza Vaccine
and discuss the following:
1. What are the main symptoms of influenza?
2. Would you expect a flu shot to protect against the “stomach flu”? Why or why not?
3. Identify some of the various causative agents of “stomach flu” and compare them to the influenza virus.
4. Karen described the upper respiratory infection (URI) that she suffered last year and thinks that her
well being is a matter of fate. How many infectious agents cause URI? How can these infections be
prevented? How can they be treated?
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Read the case study and write an essay on the issue.Please.docx
Read the case study and write an essay on the issue.
Please offer your own views on the topic...not just a rehash of what someone else has written - Thanks!
1. John and the Habitat for Humanity Dilemma
Imagine yourself in John Reynold's position. What would you do? What are the social (or contextual) influences on how John thinks about his situation? Are they all equally relevant?
John Reynolds is a Research Chemist in Alabama. He also volunteers for Habitat for Humanity. In his volunteer work, he receives a lot of personal fulfillment as well as lines on his vita and credit towards "service in the community" at the laboratory where he is employed. One weekend, John sees a documentary film called
Blue Vinyl
. It essentially criticizes the polyvinylchloride-related industries for not using environmentally safe procedures, and for allowing PVC derivative compounds to leach into water tables. The current theory is that these compounds can later cause cancer in the human body. John was especially surprised to learn that vinyl siding on homes is considered to be one of the main contributors to groundwater and water table pollution. The documentary noted that a variety of home builders receive special incentive discounts to use vinyl siding. One such builder is Habitat for Humanity, which has used inexpensive vinyl siding in its homes for years, because Habitat receives vinyl siding at a reduced rate from the vinyl industry as a corporate tax shelter contribution. John does some research in respected journals, and decides that the link between vinyl products and cancer gives him cause for concern. What would you do in this case?
Blue Vinyl
is a 2002 documentary film directed by Daniel B. Gold and Judith Helfand. Dubbed the world's first toxic comedy, it highlights the hazards of bio-accumulation, pollution, and the make-up of what we commonly hope are benign plastics. It was shown at the Sundance Film Festival and received rave reviews from Roger Ebert. To be fair, some of the critics noted the final version of the film was edited to eliminate conflicting information and a woman who claimed to have a vinyl-related cancer later changed her diagnosis to another disease. There were other issues raised about the documentary’s credibility. Still, the film became the centerpiece of a campaign to educate and persuade industry change in producing vinyl products. You may use your own resources and research to view the film and obtain any relevant information.
ESSAY GUIDELINES
▪ Factually and succinctly describe the case.
▪ Apply one of the theories of reflective learning from our course to the case.
▪ Imagine yourself in the character’s position.
What would you do?
What are the social (or contextual) influences on how the character thinks about his situation?
Are they all equally relevant?
Your Case Study shall be between 3 to 5 pages (excluding cover page and reference page) and shall have the following sections:
Title page (Not i.
Read the Case Study Olson, M. H. (1982). New Information Techno.docx
Read the Case Study: Olson, M. H. (1982). New Information Technology and Organizational Culture. MIS Quarterly, 6(4), 71-92.
Answer this question: How has the idea of IT in the organizational culture changed from this article to today.
Writing Requirements
2-3 pages in length (excluding cover page, abstract, and reference list)
Include at least two peer reviewed sources that are properly cited
APA format, Use the
APA template
located in the
Student Resource Center
to complete the assignment.
Please use the Case Study Guide as a reference point for writing your case study.
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Read the case study in the attachmentWhat can be done to minim.docx
Read the case study in the attachment
What can be done to minimize the risk of the situation recurring? Can these types of situations be completely avoided?
If you were in Iris’s position, how would you approach your interaction with the second-shift operator?
How should RWW go about notifying its peers? What other procedures should Iris have the technician perform?
When would be the appropriate time to begin the forensic data collection process to analyze the root cause of this incident? Why?
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Read the case study in Chapter 12 of the Bidgoli textbook titled .docx
Read the case study in Chapter 12 of the Bidgoli textbook titled “Collaboration Systems at Isuzu Australia Limited”.
Write a two to three (2-3) page paper in which you:
1. Summarize the main reason(s) that prompted Isuzu Australia Limited (IAL) to use collaboration technologies.
2. Identify the platform that IAL chose as an online portal and content management system, and describe the main reason(s) why IAL chose such a specific platform.
3. Discuss the significant attributes of a wiki, and describe the overall manner in which IAL uses wikis for its internal collaboration.
4. Speculate on the main challenges that IAL could face when implementing groupware, and suggest one (1) step that IAL could take in order to mitigate the challenges in question.
5. Use at least three (3) quality reference. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements:
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Read the case study Consolidated Products at the end of Chapter 3 .docx
Read the case study "Consolidated Products" at the end of Chapter 3 and answer the questions at the end of the reading.
Consolidated Products is a medium-sized manu-
facturer of consumer products with nonunion-
ized production workers. Ben Samuels was a
plant manager for Consolidated Products for
10 years,and he was well liked by the employ-
ees.They were grateful for the fitness center he
built for employees, and they enjoyed the so-
cial activities sponsored by the plant several
times a year, including company picnics and
holiday parties. He knew most of the workers
by name, and he spent part of each day walk-
ing around the plant to visit with them and ask
about their families or hobbies.
Ben believed that it was important to
treat employees properly so they would
have a sense of loyalty to the company. He
tried to avoid any layoffs when production
demand was slack,figuring that the company
could not afford to lose skilled workers that
are so difficult to replace.The workers knew
that if they had a special problem, Ben
would try to help them. For example, when
someone was injured but wanted to continue
working, Ben found another job in the plant
that the person could do despite having a
disability. Ben believed that if you treat peo-
ple right, they will do a good job for you
without close supervision or prodding. Ben
applied the same principle to his supervisors,
and he mostly left them alone to run their
departments as they saw fit. He did not set
objectives and standards for the plant, and
he never asked the supervisors to develop
plans for improving productivity and prod-
uct quality.• high-high leader
• initiating structure
• Leader Behavior Description
Questionnaire (LBDQ)
• monitoring• Multifactor Leadership
Questionnaire (MLQ)
• participative leadership
• peer leadership
• planning• recognizing
• relations-oriented behavior
• supportive leadership
• task-oriented behavior
Under Ben, the plant had the lowest
turnover among the company’s five plants,
but the second worst record for costs and
production levels. When the company was
acquired by another firm, Ben was asked to
take early retirement, and Phil Jones was
brought in to replace him.
Phil had a growing reputation as a man-
ager who could get things done,and he quickly
began making changes. Costs were cut by
trimming a number of activities such as the
fitness center at the plant, company picnics
and parties, and the human relations training
programs for supervisors. Phil believed that
training supervisors to be supportive was a
waste of time. His motto was: “If employees
don’t want to do the work,get rid of them and
find somebody else who does.”
Supervisors were instructed to establish
high performance standards for their depart-
ments and insist that people achieve them.A
computer monitoring system was introduced
so that the output of each worker could be
checked closely against the standards. Phil
told his supervisors to give any worker who
had substandard performance one .
Read the Case Study Below. Answer the questions. Paper must be a pag.docx
Read the Case Study Below. Answer the questions. Paper must be a page and a half
Interactive Session: Organizations The Battle Over Net Neutrality What kind of Internet user are you? Do you primarily use the Net to do a little e-mail and online banking? Or are you online all day, watching YouTube videos, downloading music files, or playing online games? Do you use your iPhone to stream TV shows and movies on a regular basis? If you’re a power Internet or smartphone user, you are consuming a great deal of bandwidth. Could hundreds of millions of people like you start to slow the Internet down? Video streaming on Netflix accounts for 32 percent of all bandwidth use in the United States, and Google’s YouTube for 19 percent of Web traffic at peak hours. If user demand overwhelms network capacity, the Internet might not come to a screeching halt, but users could face sluggish download speeds and video transmission. Heavy use of iPhones in urban areas such as New York and San Francisco has already degraded service on the AT&T wireless network. AT&T reported that 3 percent of its subscriber base accounted for 40 percent of its data traffic. Internet service providers (ISPs) assert that network congestion is a serious problem and that expanding their networks would require passing on burdensome costs to consumers. These companies believe differential pricing methods, which include data caps and metered use—charging based on the amount of bandwidth consumed—are the fairest way to finance necessary investments in their network infrastructures. But metering Internet use is not widely accepted, because of an ongoing debate about net neutrality. Net neutrality is the idea that Internet service providers must allow customers equal access to content and applications, regardless of the source or nature of the content. Presently, the Internet is neutral: all Internet traffic is treated equally on a first-come, first-served basis by Internet backbone owners. However, this arrangement prevents telecommunications and cable companies from charging differentiated prices based on the amount of bandwidth consumed by the content being delivered over the Internet. The strange alliance of net neutrality advocates includes MoveOn.org; the Christian Coalition; the American Library Association; data-intensive Web businesses such as Netflix, Amazon, and Google; major consumer groups; and a host of bloggers and small businesses. Net neutrality advocates argue that differentiated pricing would impose heavy costs on heavy bandwidth users such as YouTube, Skype, and other innovative services, preventing high-bandwidth startup companies from gaining traction. Net neutrality supporters also argue that without net neutrality, ISPs that are also cable companies, such as Comcast, might block online streaming video from Netflix or Hulu in order to force customers to use the cable company’s on-demand movie rental services. Network owners believe regulation to enforce net neutralit.
Read the case study below and answer the following questions in .docx
Read the case study below and answer the following questions in a 3-4 page paper in APA format (not including the cover page and reference page). Note that you must conduct research and your paper must have 3 scholarly references. This means that you must locate peer-reviewed articles. Be sure to support your opinion with evidence using the chapter concepts:
1. Do you think a new approach to leadership is necessary in the new South Korea? Or should Koreans stick to their traditional approach that brought them to where they are? Note that Lee Kun-Hee of Samsung (see above) resigned as CEO in 2008 after a massive slush fund scandal at Samsung. He returned in 2010 from disgrace to again lead the firm and is still leading it at the time of writing this publication. And he’s clear about the issue: “We’re in a crisis now. No one knows what will become of Samsung. Most of our products will be obsolete in ten years. We must begin anew.” Way back in 1992, Mr. Lee used the same rhetoric as a harbinger of his traditional style (“Samsung is a second class company … employees should change everything but their wife and children”). Samsung has taken sides on this issue, with a clear preference for the traditional leader-emanating style. What’s your view?
2. Not all Korean firms have kept a traditional leadership approach. Others are starting to use non-traditional approaches as noted above. What sorts of things are SKT and LG doing and what are the results there?
3. What specific things could these firms import from other countries to unfreeze this purported stodgy, hierarchal, family-style leadership?
4. Importing a different style is far from a panacea. As discussed in this chapter, a different style can be prone to problems when applied poorly across culture. What are some of these problems that could be anticipated if a more Western style is used? And, if we take the statements of KT above at face value, what could they and others do to overcome the resistance to new, non-traditional leader styles should they choose to use these?
Old Habits Die Hard: Can South Korean Companies Loosen Up Their Leadership?
Many Western companies want leaders who encourage ideas, innovation, and speedy decision making. But leadership in Asia conjures up words like order, paternalism, and formality. That certainly describes the leadership approach in many large Korean companies over the past 50 years. Over this half century of great economic success, the power to make key decisions was concentrated at the top of rigidly bureaucratic corporate structures. And these structures were themselves tied to larger interrelated and co-owned conglomerates—the Korean
chaebol
system. These massive industrial groups are often run by rich, inscrutable families who live much like royalty in South Korea. For example, the Lee family is the head of Samsung Electronics—a group whose products account for nearly 20% of the country’s gross domestic product. Other major company groups i.
Read the case and answer the question.2. Identify the strengths .docx
Read the case and answer the question.
2. Identify the strengths and weaknesses of Groupon as a social media e-commerce website.
Question 2 Rubric:
- The strengths and weaknesses are extremely well-written, and the explanatory ideas flow smoothly and well-connected to each other
- The ideas link the different learning concepts from the course together
- The reasoning is well-supported with details from the literature and from external research
- Zero grammar and spelling mistakes were found in the writeup
Multiple citations are available and well-cited
.
Read the Campaign and Election Security Policy Overview and Recen.docx
Read the
Campaign and Election Security Policy: Overview and Recent Developments for Congress report.
Use the stakeholder analysis tool to identify key stakeholders. You can edit the document to add or delete rows. The major objective of this assignment is the identification of stakeholders. You should conduct reasonable background research to identify interests, positions and resources, but you are not expected to have a comprehensive and in-depth understanding of these items, yet. To help in this you may choose to focus on a specific policy issue listed in Table 4 in the reading.
.
Read the below scenario.Uncle Bob is a resident of Californi.docx
Read the below scenario.
Uncle Bob is a resident of California. You and Uncle Bob went on vacation to Miami together. Uncle Bob was speeding while on vacation the police pulled him over. After some conversation with the police officer, Uncle Bob was handcuffed and arrested.
Bob has never been out of the state until now. He has no prior crimes in Florida or any state other than California. Miami Police Department knows his name, birth date, height, and weight. They also know the dates of his offenses, trial, and punishment. Why was Uncle Bob handcuffed and arrested? How did the Florida police officer know of his offenses in that happened in California?
Write
a 700–1,050 word essay discussing how data is assessed and shared between local and federal governments and applying this to the provided scenario.
Consider
how the data was available to the Miami Police Department.
Analyze the information available to the Miami Police Department and the flow of information from California to Florida.
Explain at least four ways that this information is shared between local and/or federal agencies.
Summarize the results of your evaluation of what crimes Uncle Bob could be charged with and the ability of the police agency in Florida to obtain this information.
Your viewpoint and purpose should be clearly established and sustained. You essay should be well ordered, logical and unified, as well as original and insightful.
The assignment should follow the conventions of Standard English (correct grammar, punctuation, and spelling).
The paper should be a continuous piece of writing that allows for your sustained viewpoint with logical order and organization. For example, three separate paragraphs answering the questions on different topics does not allow for this type of sustained development.
Two resources are required (course material is allowed).
.
Read The Belmont Report Ethical Principles and Guidelines for .docx
Read "The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research,” “The Nuremberg Code 70 Years Later,” and “WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects,” all located in the Study Materials.
Create a 10–15 digital slide presentation that could be shared with other health care professionals. The presentation should address the significance of human dignity, autonomy, patient advocacy, professional responsibility, and informed consent, and address the following:
Describe the concepts of human dignity, autonomy, patient advocacy, professional responsibility, and informed consent.
Discuss the Nuremberg Code and the Declaration of Helsinki and summarize the events that led up to the development of ethical guidelines for conducting human clinical trials, including Institutional Review Boards (IRB).
Describe three examples of ways "The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research" works to protect special populations (e.g., minors, prisoners, persons with mental illness).
Explain the importance of preserving the integrity and human dignity in the care of all patients.
Discuss ethical and professional standards as they relate to legal, regulatory, and accreditation compliance within one’s scope of practice.
Explain the rights of the individual while practicing ethical behavior and moral decision-making when resolving ethical dilemmas.
Title slide, reference slide, and presenter’s notes.
.
Read the background of work redesign below done by the internal .docx
Read the
background
of work redesign below done by the internal consulting team. As external consultants, you want to tell them what they did well and what concerns you have about their process and recommended actions.
Include the following information:
Create one list to specify the analysis and work redesign strategies used.
Create a second list identifying the factors for change that were successfully addressed.
Create a third list identifying any factors that deserve more attention. For at least one of these factors, identify how you might have used a different change management practice to handle it.
Remember that no matter how many individual items are raised, feedback should be focused on the top 2 or 3 actions to change. Pay particular attention to issues related to handling resistance because they pertain to creating conditions for effective change. What they did well could be a longer list and does not need to be limited.
Background
Background: International Accounting
The situation:
Back office operations supporting the global operations were all in HQ in the United States. While some countries had financial staff, the majority of business financial services were supplied from this HQ group.
Problems:
Processing expense and budgetary costs for this unit were skyrocketing (over 20% a year).
The operation is very people intensive and is seen as highly inefficient (by management, the workers in the unit are frustrated too, and the “internal customers” are clearly not satisfied with the quality and timeliness of the work).
One measure of the problem is that the regions and local countries vociferously complained about the charge backs from the unit. Better services could be gotten locally, for less cost.
Internal interviews and a questionnaire uncovered backlogs in work, especially in answering customer inquiries. Audits showed proof problems, and records did not match. There was high turnover and poor training of newer staff. Errors were increasing, and adding a quality and compliance staff did not seem to help at all.
Actions:
When the problem was first raised, the internal OD team conducted a series of interviews with management and customers. They suggested that the employees take a survey to assess motivation and identify problems from their view. The survey used was a Job Diagnostic, derived from the work of Hackman and Oldham on job enrichment. It measured the five classic elements: task significance, variety, and identity (along with autonomy and feedback).
The survey was mailed to the employees' homes so they would not feel threatened, but no announcements at work were made. The return rate was so poor, several meetings were held (by management without a consultant) to explain why they were sent and what they were hoping to do. Given all the problems and concerns raised at these meetings, the internal consulting team was asked to hold team building sessions. They did, and the same issues were raised—everything seemed to be .
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- 2. defendants? Read the case study presented at the end of Chapter 16 (Guido, p. 329) Did the nurse manager have a responsibility to supervise the care of the patient? Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient's care more appropriately? If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case? How do the principles associated with delegation and supervision figure into this case? How would you decide this case? e your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling. Assignment: Professional Development Exercises :
- 3. Read the case study presented at the end of Chapter 11 (Guido, p. 222) A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per 222 Part 4 • Impact of the Law on the Professional Practice of Nursing nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. D id the facility have sufficient evidence to suspend the nurse from their employee? 2. How should the testimony of the other nurses in the unit affect the outcome of this case? 3. What additional questions should the institution address before the court rules in this case? 4. How would you have ruled in this case?
- 4. sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). D iscrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. A t trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these Did the facility have sufficient evidence to suspend the nurse? How should the testimony of the other nurses in the unit affect the outcome of this case? What additional questions should the institution address before the court rules in this case? How would you have ruled in this case? Read the case study presented at the end of Chapter 12 (Guido,
- 5. p. 238) preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been caused by digital penetration. The child would not talk about the injury with the ANP. T he ANP then discussed the child’s case with the child protective services worker, and the child was admitted to the facility. The parents were subsequently questioned regarding potential abuse of the child. Charges of child abuse were filed against the father, who is now a registered sex offender in the state. The parents filed suit against the preschool teacher, the case worker and the ANP. A t trial, evidence was presented that the ANP did not share her findings or impressions of possible child abuse with the mother, the child’s primary pediatrician, or other emergency center physicians. She also did not recommend that the mother contact the child’s pediatrician for an evaluation and a second opinion. The ANP also admitted that it was possible that the child had scratched herself as a result of the infection and that the child herself had caused the vaginal tear. Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker? What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?
- 6. Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined? How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants? Read the case study presented at the end of Chapter 16 (Guido, p. 329) licensed practical nurse (LPN) employed by a nursing personnel agency worked one evening shift at the Veterans Administration Hospital in a major city. She cared for a patient who had recently undergone hip replacement surgery. Since his surgery, the patient had consistently spiked significant temperatures, and his temperature generally responded well to oral Tylenol, 500 mg, 2 tablets, every 4 hours as needed. The change nurse explained to the LPN that the patient was to continue on vital signs every 4 hours, including temperatures, and that he was to be medicated if his fever increased, even if only at low-grade levels. During the evening that she worked, the LPN obtained the patient’s temperature at 4 p.m. and again at 8 p.m. He had a lowgrade fever at the 4 p.m. hour and his temperature had risen to 102 degrees orally at 8 p.m. At both intervals, the LPN administered Tylenol as ordered. The charge nurse did not assess the patient during the evening, nor did she inquire about the patient’s condition. The nurse caring for the patient at midnight noted that his temperature was still elevated (102.4 orally). When notified, the attending physician ordered blood cultures, additional treatment for his ever-increasing fever, and a change
- 7. in antibiotic therapy. D espite this aggressive therapy, the patient developed a fatal septicemia and the patient’s family sued for wrongful death. At trial , the court determined that the charge nurse had been derelict in her duty to supervise this patient and assessed partial liability against the LPN and the charge nurse Did the nurse manager have a responsibility to supervise the care of the patient? Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately? If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case? How do the principles associated with delegation and supervision figure into this case? How would you decide this case?