Contemporary Issues in Nursing Ethics Discussion

Contemporary Issues in Nursing Ethics Discussion

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Contemporary Issues in Nursing Ethics Discussion

Question Description
I’m stuck on a Nursing question and need an explanation.

Critique ethical issues in current nursing practice.

Scenario
You are the nurse manager of a small, four-bed emergency department. Your department received seven patients involved in a mass casualty shooting at a local grocery store two days ago. A brief overview of each client is provided below.

Pregnant female: 32-years-old, 36 weeks gestation. Presentation to the ED: alert and oriented x 3, respiratory rate at 25 breaths/minute, radial pulses palpable, complaining of abdominal pain after being trampled during the event. Triaged as green. Course of treatment in the ED: Extensive resources (human and non-human) were used to assess the fetus. Both the patient and fetus survived and were discharged 24 hours later.
Caucasian female: 45-year-old suspected shooter. Presentation to the ED: gunshot wound to the right chest, unconscious, shallow breathing at 8 breaths/minute, thready radial pulse. Triaged as red. Course of treatment in the ED: Patient was being aggressively treated, but argument ensued between staff members upon discovering that she was the suspected perpetrator. Care of her was abandoned upon arrival of other patients, and she did not survive.
Caucasian female: 52-years-old, HIV positive. Presentation to the ED: gunshot wound to the right leg, confused, respirations shallow at 40 breaths/minute, no palpable radial pulse. Triaged as red. Course of treatment in the ED: Aggressive treatment of the individual, including first access to the OR. She is stable and recovering in the ICU. Upon realization that this patient was HIV positive, there is much anxiety amongst the ED staff related to potential exposure with the large blood loss the patient experiences.
African American male: 45-year-old Iraqi war veteran, history of PTSD, allegedly shot the perpetrator. Presentation to the ED: No visible physical injuries, hyperventilating at 45 breaths/minute, light-headed, palpable pulse. Triaged as green. Course of treatment in the ED: Patient was observed by ED nursing staff for several hours and was released to police for questioning regarding the event.
Hispanic male child: 6 years-old. Presentation to the ED: gunshot wound to the abdomen, unconscious, no spontaneous respirations, radial pulse not palpable. Triaged as red. Course of treatment in the ED: Extensive treatment was provided, including bag-mask ventilation, intubation, wound care, cardiac monitoring, and blood transfusions. The patient did not survive.
Hispanic female: 29-years-old, mother to the 6 year-old patient. Presentation to the ED: open fracture to left leg, hysterically screaming for her child, climbing out of gurney, palpable radial pulse, respirations at 40 breaths per minute. Triaged as yellow. Course of treatment in the ED: Wound care and stabilization of fractured leg after administration of a sedative. She was the second patient to the OR. The client was kept separated from her child during the incident and was not informed of his death until the following day. She is stable and recovering on the medical/surgical unit.
Migrant Spanish-speaking male: age unknown, appears to be in his 50s. Presentation to the ED: lethargic, unable to communicate verbally due to language barrier, was pointing to and holding his head, laceration noted to the forehead, respirations at 30 breaths/minutes, palpable radial pulse. Triaged as green. Course of treatment in the ED: wound care to the laceration and monitored by nursing staff for several hours, at which time he suddenly became unresponsive. A CT scan revealed a subdural hematoma, and he is in a vegetative state. No attempts were made to find a Spanish-speaking individual to assist in assessing the confusion or pain when he was still conscious.
Instructions
The Chief Nursing Administrator of your facility has requested a post-action report focusing on the triaging and outcomes of these 7 patients. The post-action report should include:

An evaluation of the triaging of each patient
Was the triaging appropriate or not, and what was the associated rationale? Use evidence/resources to support your evaluation.
Was there evidence that personal beliefs, values, and ethics affected the health care providers’ approach to triaging the patients?
An explanation of the treatment of each patient, and a judgement of whether or not the treatment was futile.
The outcome of each patient.
How can the outcome be associated with the triage category, the provider’s personal ethics, and subsequent treatment provided?
Any corrective actions that will occur as a result of the event.
Include ethical considerations in your corrective actions.
resource- https://www.calhospitalprepare.org/mass-fatality-p…

nur3894module3template_1_.docx

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.