Is there any ethical/legal issues against accepting the transfer of a patient with an issue, being vented for instance, that you aren't experienced with if the hospital provides a support RN 24/7 to manage that aspect of care? In my opinion this shouldn't be an issue, but a lot of people in my class believe this goes against standards of care and so forth. Any thoughts or where I can find doumentation stating why this is acceptable or not would be greatly appreciated. Thanks!!!!!!!
Mar 8, '11
by Esme12, ASN, BSN, RN Senior Moderator
The legal implications are that once you accept
the patient in transfer you are stating that you are accepting responsibility for the patients care and that you are qualified
to do so. In the event something happends to the patient in your care you are liable
and that you were not qualified
to care for the patient will not save you from a lawsuit because you ACCEPTED
the assignment. In fact makes you more liable because you should NOT
have accepted the patient.
The support RN ....... is this in the building? and if she is in the building why isn't she caring for the patient. If you weren't qualified to care for the patient you should not have accepted the assignment. Providing a RN for 24/7 "coverage
" may or may not be suffucient. If the RN is in the building 24/7
monitor and evaluate the patient and can take over in the case of an emergency then maybe.
What type of facility acute care or long term? What are the policies reguarding patients on a vent and who can care for them. Check your state board of nursing and Nurse Practice Act to see what applies to the care of a patient you are not qualified to care for and the right to refuse a patient based upon not being qualifed to care for..........So, essentially your class mates are right......you do have the right
and at times the obligation
to refuse to accept an assignment in the event you are not qualified to care for them.
Last edit by Esme12 on May 2, '13