Did I participate in an unethical situation? - page 2
I am worried that last week I participated in an unethical event. Here is the situation. At our facility, we have a, usually yearly, mock disaster. At our facility it is known as a code delta.... Read More
Dec 9, '02First, I must clarify something. It was not a matter of moving a deceased pt from one place to another. The er was full, hallway beds included, there were approx. 15 pt's and visitors in the hallway between the two rooms, there was nothing discreet about moving the body, especially when someone was on the PA calling out code delta level one three times very excitedly and seeing shocked looks on staff faces who were unaware of the mock nature of the code. None of the staff were supposed to know about it, however neither were we stupid. sudden posting of smallpox info+instuctions on what to do+supervisor staying very late=mock code, duh. Afterthought, I should have gotten a washcloth out and wiped the dots of their faces and asked what they had been huffing and stopped the whole thing in its tracks. My real beef is that if it was a mock thing, why couldn't we have a mock resp. isolation room, and not wasted valuable time away from real sick people i.e. moving out the sick pt to the hallway which was already full, just to move a body so we could make a place for two actors who had not one thing wrong (except their acting skills). I probably did overreact a little, I was exhausted and a little more sensitive than usual, however, I felt that we paraded a families grief unnecessarily.
Dec 9, '02I agree with you defib - totally inappropriate! For those of you who think it wasn't a problem, ask yourself this...If it was your mother who just passed away - how would you feel if you knew what was going on? And please don't try to say it wouldn't matter, because you KNOW it would. Yes, the family's grief probably prevented them from realizing what was happening - does that make it right? The need for mock drills is there - but like defib said, there could have been a "mock" iso room also.
Dec 10, '02I think I would have refused to do it but hey I am quite stubborn and protective of my clients. Hard to do though.
Dec 10, '02MY OPINION.... THe families death of a loved one was REAL!...The Code Delta was play like...Why couldnt D**mned administration "play like" another room was an isolation room..GEEZ..I dont know about unethical but it was definately COLD and UNCARING and SOOOOOOOOOO uneccassary to inconvenience a family in the way that it was done....Good GRIEF!!!!
Dec 10, '02I guess I don't understand the purpose of putting fake patients into a real working ER with patients in the halls. The topic of the thread is the grieving family, but what about all the LIVE patients in an over-loaded ER whose needs are delayed or missed because the nurses are dealing with some kids with dots on their foreheads?
When I've been in mock codes, mock whatever, we also have used mock "real" patients, so that real bonafide patients aren't anywhere around! There are mock drills going on all over the country right now, but it seems your admin is certainly risking a lawsuit! Not from the grieving family, but have one burst appendix die in the hall while you all are playing around with mock patients, and all heck will break loose.
The admin needs to open a few rooms in the basement for mock drills far away from real patients.
Dec 10, '02Does your hospital have an ethics committee? maybe this would be a good topic to establish a new policy on?
Dec 10, '02Completely inappropriate.
Would your department manager like her family to be treated that way? IMO, it was absolutely NOT necessary to conduct a drill at that time. Would have been totally understandable to all involved had it been REAL. Reality check (for all devil's advocates)...This was not real...it was a FAKE drill involving actors. REAL PEOPLE were greiving for the loss of their family member...not actors.
What's next, an anthrax drill during a trauma? How about a fake bomb threat drill during a code? Come on, people...use your heads. Treat the real problems first and foremost, then worry about playing drill games.
Someone had their head up their patootie on this one.
AnneLast edit by KC CHICK on Dec 10, '02
Dec 10, '02ditto! and ***** That is wrong, but it aint your fault!!! The shouldnt have had the "play" in the real ER! and if they wanted the "real scenatrio" in the ER they need to work around the REAL stuff going on! That family is first priority!!! They lost their mother for heaven sake! If it was a real situation it would have been different, and it would have been ok! but this wasnt real, so they should have waited.
Dec 10, '02wow I'm too upset to write anything except DITTO's to what most ppl have said already...
that was freakin ridiculous!
mock disaster is one thing, real patient needs are another.......
if it was a real disaster scenario no doubt people could figure out where to put the deceased patient, I mean it would be chaotic but thats the nature of disasters
to move this patient when its a mock disaster was an awful and WRONG thing to do.....
someone better help us all if in the name of a mock disaster real patient needs get sacrificed and ignored
Dec 10, '02I'm not a bit surprized. This whole situation is completely typical of the administrators that run our hositals. They have no concern for our pts, the families, and especially for us, the people that care for them. All that matters to them is that they can say that they had the drill that was required, all of their precious paperwork is done, and they once again sit on their lazy butts, and make more money that we ever will for doing nothing. ( oh golly, do I sound bitter?) I've said it before, the only thing that keeps me going is the knowledge that there is a special place in hell for these people.
Dec 16, '02hey, here at fort brag, we do participate too! I do not work ER so my heat goes out to you, I am in the ICU, which diverts RN's to the ER, so like you, our patients go without, for a happ-hazzard what if.....
but please remember... when the "what if happens", you'll know that you'll need to move that family, just as you did, which is why the drill occurrs. My heart goes out to that poor family and to you too,
Jan 5, '03We usually move a deceased patient to an unused non-cardiac/respiratory...whatever...room before we bring the family in. This gives us a chance to make the patient look as presentable as possible, even if we can't remove tubes. This also usually prevents a situation like the one you described. We've never had to move a patient out of their room for "fake" patients, but we sure have had to run people out into the hall so we could use their room for real patients.
During our disaster drills (we usually have at least 2 per year), we designate our fast track area for disaster patients. We simply assume that if the real thing were to occur, and it was a true disaster, we'd be sticking people in the coffee room if we had to. I mean, what are you going to do....pile all of your "Disaster" respiratory patients in your one isolation room?!?
As for the lawsuit.....you can sue for anything, but it's not a very good chance you'd win, and if you did, it probably wouldn't be enough to make it worth all that effort? I mean, our legal system sucks, and it takes too much of a headache to sue just because you are upset.
Jan 5, '03Originally posted by Sleepyeyes
Does your hospital have an ethics committee? maybe this would be a good topic to establish a new policy on?
my thoughts too...ethics commitee should surely hear about this.