Case Scenario – Competent or Not?
Description
In this module, you learned about the medical education system and
requirements of licensing. As you can imagine, the competency of
medical professionals is very important. Issues can arise when medical
personnel do not meet the minimum requirements for a position. An
awareness of the competency dilemmas that can occur in a professional
career can limit the damage that can arise from them.
Increasing public demand for protection, coupled with the growth in
the number and sophistication of fraudulent practitioners over the past
2 decades, has resulted in stronger and more complex licensing boards
and licensing statutes throughout the country. Examples of medical
misconduct include, but are not limited to:
- practicing as a healthcare professional fraudulently
- practicing with gross incompetence or medical negligence
- practicing while impaired by alcohol, drugs, physical or mental disability
- being convicted of a crime
Read the case scenarios below and in a 1-2 page paper, written in APA format, address the items below for each scenario:
- Explain the incompetency of the health care professional (if any).
- Explain a possible solution to address the area of
incompetency, such as reporting the behavior to a supervisor, etc.
Case Scenario 1: Educational Concerns
You are a nurse working in a local hospital with a physician |
Case Scenario 2: Medical Malpractice
You are an ER nurse and have been assigned to a patient who |
Case Scenario 3: Theft from a Patient
You work in an outpatient clinic with a nurse named Mary.
You have noticed that every time you work with Mary, the patients who
are receiving treatment (or their families) report that something
valuable is missing from their room. These missing items include
patient money, property, medicine, or other items of sentimental
value. One day you received a complaint from a patient who could not
find her wedding ring. She described key features of the wedding ring
to you, and you took notes to file in a report. During your shift
the next day, you noticed that Mary had on a new ring. In fact, it
looked exactly like the ring the patient described to you the
previous day. When you asked Mary about the ring, she blushed and became
hesitant when answering your questions. Since you have no proof, you
shrug off the event and go on with your day.
The next day, you are taking the vitals of a patient who is
about to have surgery. The patient is sleeping soundly while you are
taking their vitals. You notice a necklace and ring lying on the table
next to the patient. You exit the room, and Mary immediately enters
the room after you (you wave to her as you pass by). As you sit down
at your desk, you notice that you left something in the patient’s
room. You immediately go back in to retrieve it, and you bump into
Mary exiting the room. You grab what you went in the room for and
while doing so, you glance over again at the table next to the
patient. The necklace and ring you saw there earlier are gone. You
glance at the patient, who is still asleep, and exit the room.
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References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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