What practice-related legal and/or ethical issues as they pertain to Health Care management were breached?

Failure to adequately assess and monitor the patient post operatively resulting in the patient’s death
NOTE: There were multiple co-defendants in this claim who are discussed in this scenario. 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.
The decedent/plaintiff was a 67 year old male who underwent a right total knee replacement. Following the procedure, the plaintiff was treated in the post-anesthesia care unit where an epidural catheter was inserted for postoperative pain management.
Following one episode of hypotension which was treated successfully with ephedrine, the plaintiff was discharged to an inpatient medical-surgical care nursing unit with the epidural in place. Although the defendant nurse customarily worked on the post-acute critical care unit, she had been re-assigned to the medical-surgical nursing care unit. The defendant nurse stated that she understood her assignment at the time of the plaintiff’s admission to this unit was to provide oversight of the patient care on the entire floor for that shift.
The defendant nurse assessed the plaintiff upon his admission to the unit and found him to be stable. The defendant nurse understood that the direct care of the plaintiff was assigned to a c-defendant licensed practical nurse (LPN). Approximately three hours after arriving on the unit, the plaintiff was unable to tolerate ordered respiratory therapy due to nausea and vomited shortly thereafter. According to the defendant nurse, approximately ten minutes after the episode of vomiting, the LPN found the plaintiff cyanotic and unresponsive and immediately called a code.
The defendant nurse responded, as did the code team, and the plaintiff was intubated and transferred to ICU. This account of events was disputed by the LPN and two other staff on the unit who understood that the defendant nurse was responsible for the direct care of the plaintiff.
The LPN stated that it was the defendant nurse who found the plaintiff to be unresponsive at some point after the episode of vomiting and called the code herself. The elapsed time between the episode of vomiting and the code is also disputed. The eventual diagnosis was anoxic encephalopathy due to the time that elapsed before CPR was initiated. The prognosis was poor and life support was withdrawn. The plaintiff breathed independently and was transferred to hospice care where he subsequently expired.
Ordered vital signs and checks of the xyphoid process were not documented. The fact that the plaintiff had experienced hypotension in the recovery room should have warranted even closer observation. The episode of nausea and vomiting should have resulted in additional observation and notice to the physician.
Resolution
Experts for the plaintiff presented testimony that the defendant nurse had breached the standard of care. The jury found the defendant, a representative of hospital negligent and awarded compensatory and punitive damages to the plaintiff and against the defendant, a representative of the hospital.
Discussion
1. Summarize the case and the verdict.
2. Based on your review and summation, do you agree with the court’s decision? Defend/discuss your answer.
3. What practice-related legal and/or ethical issues as they pertain to Health Care management were breached? How? By whom? Include the nurse as well as ALL other possible defendants. DEFEND your answer.
4. Identify, document, and explain [in detail] a risk management action plan to prevent this type of issue(s) from reoccurring. Refer to rubric for information on what is required for an action plan.
286.
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Job analysis is a core skill for HR professionals and a key task for organizations to perform. So many of the employment decisions are based on this one task. The purpose of the activity is for you to gain practice in conducting a job analysis and to gain knowledge about the methods to collect data for the analysis. Deliverable: You are asked to develop a plan to gather data for a job analysis, use at least two of the methods to gather data, write a short job description and job specification based on the data you have gathered. If you do not have a position in a typical office, retail establishment or production facility you can use, seek out a position from elsewhere. The opportunities could include a server at a restaurant, a service provider in your home, your hair stylist, a sales assistant, the receptionist at your doctor’s office or perhaps your child’s au pair, tutor, teacher or nanny. After you have selected your methods for collecting the data, select the position (a job) to analyze and use at least two of the methods for collecting data, collect the data using the methods selected and summarize your findings in a short job description and job specification. 1. Provide an academic definition of job analysis and a short description of how it is used in organizations. Provide an in text citation for the definition. 2. The position you selected to analyze. 3. The methods you selected for gathering data, an academic definition of each, an in text citation and the pros and cons of each data collection method you selected. 4. The rationale for why you selected the methods you did (tell why you selected the methods you did). 5. A description of your experience in collecting the data (how did it go? – was is easy, hard, stressful? for example). 6. A short sample position description and job specification you were able to design based on the data you gathered. Include an academic definition of position. description and specification along with the in text citation for each. 7. Suggestions for data gathering if you were to complete this assignment again and desire to make it even more accurate. Please try to present your data in no more than 10 slides including your title slide and reference page (recall that if you have in text citations you must also have a reference page and it is to be in APA format including displayed in alphabetical order). Keep all the relevant content in the slide content area and use the notes area on the slide for other supplemental information →← This chapter includes an important discussion of whether a person who works for another is an employee or an independent contractor. The distinction between employee and independent contractor has become an important issue in California (and perhaps five other states) as it relates to the relationship between Uber and Uber’s drivers.relating to the importance of the distinctions between employees and independent contractors, and briefly identify the nature of those distinctions, and identify the reasons a company might wish to characterize one who works for the company as an independent contractor, rather than an employee. Next, review the courts’ decisions, as well as published commentaries about the lawsuits that have been filed by Uber drivers against the company in California, and by Uber drivers in at least two of the other states where actions have been filed, and at least initially, resolved. After reviewing and critically analyzing both sides of the issue, briefly (very briefly) summarize the positions and reasons that have been given by the courts on each side of this important issue. After carefully considering all of the materials that you have reviewed, and after briefly summarizing both sides of the argument, based on rational argument, legal reasoning, and critical thinking, identify which side of the argument is stronger, providing legal and factual justification as to why it is the stronger argument. (Merely concluding that both sides are right is NOT a sufficient response for this paper – you must identify which side has the stronger argument based on all that you have read, and based on what you have learned from this project.) Finally, based on what has occurred so far in California in the Uber case, do you believe the courts of this state will side with Uber, or with Uber’s drivers, and briefly justify your conclusion. The total length of each completed paper shall NOT exceed four (4) pages (the Cover Page and Works Cited Page are NOT “pages” for page-counting purposes). The page-length requirement will be strictly construed, with a significant point reduction for any paper that exceeds the four (4)-page maximum. The paper shall be submitted in the following format: 12 point font, Arial type, and, double-spaced – points will be deducted from the final grade on the Research Paper if a student fails to follow these format requirements. Neither an Executive Summary nor an Abstract is required or desired.
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