Quote from EthicalRN60
Hello to all ! I'm new to the Forum so , Please excuse if I make some mistakes here , I will learn . I am I very experienced RN with 26 plus years in ICU , CCU , ED , Trauma and Management , currently working as a Charge Nurse in the ED . I choose to complete my career back at the bedside , in the ED , my first LOVE . I am tasked with a writing assignment for Ethics , and have chosen the topic as stated above . I find this extremely challenging with the implementation of all the " Patient Satisfaction " changes , including immediate bedding , 10 min door to doctor I have to ask myself are we actually doing the right thing for our patients . I have seen so very many changes our the years , and some not for the best , gone are the days when the ED doctor could tell the pt that the narcotic they are requesting for their migraine headache is contraindicated and could cause rebound headaches or that the knee pain they have is because they weigh 400 lbs. "don't make the patient unsatisfied our scores will be low" . I have interviewed several nurses and physicians I work with but would love feed back from other professionals on this ethical issue . As nurses and physicians we all took an oath to " do no harm " , Beneficence and Maleficence ! HELP Ethical RN60
I am confused about the question. As an experienced nurse, why are you asking if we are doing the right thing for our patients? Hopefully that is rhetorical.
Unnecessary scans, drugs, and procedures are, by definition, harmful. And, as you well know, we do it all the time.
I work with smart, hard working docs who are decent people. They are boxed into a situation in which in order to do their job, they have to practice a certain amount of bad medicine.
Example: When a kid comes in with a just bump on his head they know the risk/benefit of a CT clearly shows that the right thing to do is not to scan. And, if it was a kid in their own family, they would not scan. But, the path of least resistance is to do the scan. And I have not heard of docs being called into admin for ordering too many tests.
When administrators make decisions intended to garner market share, I don't think medical ethics are a chief consideration.
As far as I can tell, all the research shows that this trend of allowing PTs to order what they want a la carte is expensive and harmful.
I would be interested to hear if your research shows otherwise.