HA4050D – Healthcare Law

 Discussion 06.2: Premature Discharge?

Read the Discussion 06.2 Scenario. We will debate two related issues:

SCENARIO (BASED ON A REAL LOUISIANA CASE)

As your Pozgar textbook states, “The premature discharge of a patient is risky business” (p. 249). As the

text points out, improperly discharging patients is a very common basis for negligence suits against

physicians.

Scenario (based on a real Louisiana case): A patient with chronic kidney failure required continual

dialysis treatment. As such, hemodialysis catheters, also called access grafts, were surgically inserted in

the patient’s arms. These access grafts eventually caused problems and needed to be removed by a

vascular surgeon. After the procedure, the patient was hospitalized and he suffered two incidents

where he bled copiously from a surgery site in his left arm. The bleeding was stopped with pressure

dressings, and the patient received a blood transfusion. The patient was hospitalized for four additional

days for observation. He had no other episodes of bleeding, he received his dialysis treatment fine, ate

well, and had good vital signs—therefore, the patient was dismissed from the hospital. The physician’s

discharge summary noted the patient had been instructed on how to apply pressure if his arm should

bleed and was told to call his physician if problems occurred.

Upon returning home, the patient had two bleeding incidents. Pressure was applied and the site was

wrapped with gauze. No one called the physician to report the two bleeding incidents. The next day,

the patient was left alone while his wife went to run some errands. When she returned home about 30

minutes later, she found her husband dead, lying in a pool of blood. The patient died from loss of blood

caused by hemorrhaging from the incision in his left arm. His wife filed a wrongful death suit against the

physician, claiming that he never should have been discharged from the hospital. 

.Was the physician who dismissed the patient guilty of negligence?

.Even assuming the physician was negligent, recalling your reading from Chapter 8, are there any affirmative defenses he could raise in this case that might shield him from liability? If so, what are they, and what facts support them?

We will divide the class into two groups:

.Group 1:  Students with last names starting with the letters A-M will represent the defendant physician and argue that the doctor was not negligent and/or he should prevail because of an affirmative defense he could raise at trial.

.Group 2:  Students with last names starting with the letters N-Z will represent the plaintiff and argue that the physician was negligent and that there is no affirmative defense that should excuse the physician from liability.

Each group member is required to debate their position based upon facts and research. Fully explain your reasoning, using legal principles you have learned and applying them to the facts of this case. Opinions offered without evidence are not welcome in this debate. Defend your position by citing research, such as a page of the textbook or an outside source.

Legal Aspects of Healthcare Administration 13th Pozgar 2019 Jones & Bartlett-Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

  

A. Practice Improvement Model using Current Nursing Leadership Strengths and Philosophy CC2. c

Each student is asked to consider their leadership growth and evolution in their own practice improvement model of nursing as well as their leadership strengths as identified in QSEN (https://qsen.org/leadership-in-healthcare/). The reflection should be 3-5 pages of the body and cover the following areas. 

1. Overview of your current professional leadership strengths and nursing philosophy.  (use your leadership strengths assessment in your discussion)

2. Lessons learned to date pertaining to nursing leadership. (what situations or lessons learned which has significantly improved your practice).

3. Utilizing the concepts listed below.

4. Describe specific areas that you would like to focus on to attain your (use personal goals in professional development).

5. There should three to five references.

6. The reflection should be APA 7th edition format.

 

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

1. Discuss your options in the job market based on your educational level.
2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.
3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

 

PHILOSOPHY OF NURSING SCHOLARLY PAPER

A philosophy of nursing is a written paper declaring a nurse’s beliefs, values, and ethical considerations regarding their practice of nursing.  The purpose of this paper is to provide you with the opportunity to reflect on your nursing care and treatment of patients and how you see yourself as a practicing nurse and an individual.  You will find that your nursing philosophy is dynamic, growing as you grow personally and professionally. 

Assignment Criteria:

1. Discuss your professional belief system of nursing. This will include broad statements of your values and beliefs that propose the nature and concerns of nursing and its moral obligations to society.
2. Use the nursing theory you chose for the nursing theory PowerPoint (THEORY OF HUMAN CARING BY JEAN WATSON). Explain the theory and how your values and beliefs are guided by the theory. 
3. Provide your definition of nursing based on your personal belief system and nursing theory. Your definition should be only a few sentences in length.
4. Give at least two examples of how you apply your definition of nursing to your nursing practice. Clearly identify each example.
5. The scholarly paper should be in narrative format, no more than three (3) pages in length excluding the title and reference pages. An abstract is not needed. Include an introductory paragraph and a conclusion.
6. Include Level 1 and 2 headings to organize the paper (see below).
7. This scholarly paper is intended to include first person formatting, with statements such as “I believe…” or “My values include…”
8. Include a minimum of four (4) peer-reviewed scholarly journal articles, professional organizations, or government websites to support the paper. At least two (2) of the four (4) references are current peer reviewed journal articles. References must be no greater than five (5) years old unless considered a “classic source”.
9. APA Student Paper format is required; also attention to spelling and grammar. APA (7th) Student Paper format is required (title page, a reference page, and all citations). Also, attention to spelling, grammar, and style. Do not use quotations.
10. Review your Turnitin Similarity Score and make any needed changes. If the score is greater than 20%, you must revise the paper prior to submission.  A Turnitin Similarity Score of 20% or less is required by the RN to BSN Program.

Title of Paper

(Note: Here you will write your introductory paragraph but do not label it as Introduction)

My Personal Belief System of Nursing

Nursing Theory Best Matching My Values and Beliefs

My Definition of Nursing Based on My Values, Beliefs, and Nursing Theory

How I Apply My Definition of Nursing to My Practice of Nursing

Conclusion

For this writing assignment, complete the Information Technology Self-Assessment Tool. When completed review and determine at least three new goals you would like to achieve. Submit your completed form with a brief description of your experience and comfort level with the use of technology not only in your Program but as a practicing nurse.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ‘.docx’ extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504