Professional Role/Code of Ethic

decrees of Ethis on the case of Mr. E master key Roles and set Western Governor University State Regulations and Nursing Standards Nursing, as other medical profession, aims at helping and preservation the life of other. As much as cling tos and doctor wants to intervene to prolong a patient life, its important to consider patients wishes. Ethically, intubating Mr. E without proper discussion and consideration of his wishes is against his living will. Its a violation of Provision I of ANA work out of Ethics in paying attentioning patients dignity.The hold dear also split to meet the Standards of Competent Performance based on California label of Regulation, phrase 4, autograph 1443. 5, which stated nurses moulds as the clients advocate, as circumstances require, by initiating action to change health cope or to change decisions or activities which are against the come tos or wishes of the client (p. 70) Implication. According to code 2. 1 Primacy of patients interest from American Nurses Association, its the nurses commitment to respect the uniqueness of each patient, and respect patients wishes.Therefore, the nurse is responsible to seek for a settlement if patients wishes are conflict with others (p. 5). Based on the above codes, the nurse in the scenario moldiness inform Mr. Y about Mr. Es wish. The nurse also need to assess Mr. Y understanding of risk and benefit of the procedure, so he would have all the neccesary information to make decision. Code of Ethics The Code of Ethics was developed by the American Nurses Association as a simulation for ethical guideline. The work serves as a standard in assisting nurses making ethical decision.According to the ANA Code of Ethics,(2001), readiness I stated that nurses must treat patient with compassion and respect the patients dignity, worth, and uniqueness, disregardless of societal and economical status, nature of health problem, and persons attributes (p. 1). In specific, the interpretive s tatement 1. 4, in which the focus is on patients right to self-determination, is appropriate to apply in this scenario. (p. 4) Impact of Code. Code 1. 4 stated that nurses respect patients dignity by honor his or her make wishes. Thus, its important to inform Mr.Y of Mr. Es wish as do not bring round (DNR). Although Mr. E is mentally challenge, he has his own feeling and perspective on his health status. Moreover, the patients mental take when he signed adduce Directive and Power of Attorney is unclear therefore, ignoring his wishes is a false assumption and an understatement to his decision-making capabality. As a nurse in this scenario, I would inform Mr. Y of his comrade wish on Advance Directive. Ethics of Putting Patient on Ventilator. Putting Mr. E on ventilator based on the nieces license is unethical.The decision didnt make based on patients best interest due to Mr. Y unawareness of Advance Directive. In addition, the niece make the decision instead of Mr. Y therefore, the patients Power of Attorney was not followed completely. As the nurse, I would call Mr. Y to explain the situation and the decision of his niece. I would also inform him of the patients wishes in the Advance Directive. As an advocate for patient, I would also bring up the patients wish to the physicans attention, and discuss the need to inform both Mr. Y and his niece of the Advance Directive.Although Ms. H doesnt have Power of Attorney, she plays a role in assisting Mr. Y decision-making since Mr. Y called her for suggestion. Ethics of Authorizing Ventilator. Mr. Y should considers his familiars wish based on the Advance Directive. Mr. Y should also ask for the risks and benefits of putting his associate on ventilator. As his brother, Mr. Y would want to prolong his brothers life however, Mr. Y should proceeds in account of his brothers desire, quality of life, and the extend of suffering. If Mr. Y doesnt agree with the mod Directives, Mr.Ys authorization is valid since the advanced(a) Directives is not fully completed. Analysis of Mr. Es Advanced Directives Because of Mr. E mental health status, his capabality to make decision is unclear when he signed the Advanced Directives. Moreover, gibe to Emedicinewellness, its important that the designated power of attorney knows and understands your the patient wishes (Nabili, 2012). However, family member didnt sign the Advance Directives, and the involvement of family is unclear. Thus, the found Power of Attorney may not know and understand the patients wish.The patient and family business leader not discuss patients decision. In addition, when the decision of Mr. Y conflicts with the decision of Mr. E in Advance Directives, the situation becomes very complicated. HIPAA Aside from Mr. E complicated situation, there are major Health Insurance Portability and Accountability Act (HIPAA) violations in the scenario. The physician violated patients right to seclusion protection by discuss his medical conditio n and situation to Ms. H in the waiting room, a public place. The information was disclosed to other patients, to Ms.Hs boyfriend, and other non-related health care staff. Moreover, discussing Mr. E condition to Ms. H should be questioning because Ms. H, although shes the patients niece, is not the appointed power of attorney. maven of the nurse role is advocate for paient. By not protecting patients privacy, a nurse also violate HIPAA. The nurse, although aware of the physician violation, did not intervene to protect Mr. Es information. Therefore, she could be hold accountable for violation of HIPAA. In this scenario, a nurse commented on ignoring HIPAA.The nurse is not completely violated patients privacy legally, but also ethically according to ANA Code of Ethics. as well physician and nurse, the facility is also accountable for HIPAA violation, for the facility did not reinforce the importance of HIPAA with its staff and physician. Professional Conduct As the above paragraphs discuss, the nurse fails to conduct the standard of nursing by ignoring patients rights for privacy protection. By stating forget itno one pays attention to HIPAA anyway, the nurse is at risk for violating HIPAA.Beside HIPAA, the cafeteria nurses fail to act as patients advocacy by stating What difference does it makes? The guys got diabetes, ir retarded, and is already in a nursing home. This nurse violated Provision I in Code of Ethics by ANA in which a nurse cares for patient with compassion and respect regardless of social and economical status, personals attribute, and nature of health problems (p. 1). Futhermore, lack of knowledge of Advance Directives is a move of Provision II in Code of Ethics by not primacy patients interest and respect patients wishes.Steps. To avoid misconduct of professional standard, the nurse in this scenario should talk to the physician in private about disclosing patient information. The nurse first suggests to call Mr. Y and obtain permission to discuss care with Ms. H then the nurse must inform Mr. Y the Advance Directives as well as assess Mr. Y understanding of risks and benefits of the procedure. Obtaining informed consent from Mr. Y is also a crucial step. If Mr. Y cant be reach in a time fond manner, the nurse should contact the agent that helped Mr.E with the Advance Directive she can then obtain information related to Mr. E decision-making ability at the time, and inform doctor and charge nurse for decision-making. However, in this scenario, the nurse should rede charge nurse and higher chain of command about the situation and the violation of HIPAA. Ethical direction should be notified to consult for appropriate actions. Regarding her colleagues, the nurse should inform her supervisor, without naming name, the need to orient staff regarding HIPAA, Advance Directives, and reinforce in Code of Ethics.By taking appropriate interventions, the nurse ensures dignity in patient care and maintain respect in work enviro nment. References American Nurses Association. (2001). Code of ethics. Retrieved from http//nursingworld. org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics. pdf California. (2005). California nursing practice act With regulations and related satutes. Matthew Bender & Co. , a member of the Lexis Group. Nabili, S. (2012). Advance directives. Retrieved from http//www. emedicinehealth. com/advance_directives/page2_em. htm