Professional Role/Code of Ethic

engraves of Ethis on the case of Mr. E master key Roles and Values Western Governor University State Regulations and Nursing Standards Nursing, as some other medical profession, aims at helping and saving the life of other. As very much as harbors and physician takes to intervene to prolong a uncomplaining life, its important to consider enduring role roles wishes. goodly, intubating Mr. E without proper tidings and consideration of his wishes is against his living will. Its a violation of prep I of ANA economy of ethical motive in reckoning unhurrieds dignity.The bear similarly fail to meet the Standards of Competent Performance based on atomic number 20 Code of Regulation, Article 4, code 1443. 5, which stated encourages acts as the clients exponent, as circumstances require, by initiating action to improve health wish or to change finiss or activities which are against the sidelines or wishes of the client (p. 70) Implication. jibe to code 2. 1 Primacy of patients interest from American Nurses Association, its the nurses commitment to respect the uniqueness of each patient, and respect patients wishes.Therefore, the nurse is responsible to seek for a dissolving agent if patients wishes are conflict with others (p. 5). Based on the preceding(prenominal) codes, the nurse in the scenario must inform Mr. Y about Mr. Es wish. The nurse in any case need to assess Mr. Y taking into custody of risk and benefit of the procedure, so he would have all the neccesary instruction to make finale. Code of Ethics The Code of Ethics was developed by the American Nurses Association as a frame doing for ethical guideline. The work serves as a standard in assisting nurses making ethical decision.According to the ANA Code of Ethics,(2001), provision I stated that nurses must treat patient with forbearance and respect the patients dignity, worth, and uniqueness, regardless of social and frugal status, genius of health problem, and persons attribut es (p. 1). In specific, the interpretive statement 1. 4, in which the focus is on patients right to self-determination, is appropriate to maintain in this scenario. (p. 4) Impact of Code. Code 1. 4 stated that nurses respect patients dignity by honor his or her own wishes. Thus, its important to inform Mr.Y of Mr. Es wish as do non resuscitate (DNR). Although Mr. E is psychically challenge, he has his own cutaneous senses and perspective on his health status. Moreover, the patients mental nail down when he signed cast aside Directive and Power of Attorney is ill-defined therefore, ignoring his wishes is a false assumption and an understatement to his decision-making capabality. As a nurse in this scenario, I would inform Mr. Y of his comrade wish on win Directive. Ethics of Putting Patient on Ventilator. Putting Mr. E on ventilator based on the nieces permission is unethical.The decision didnt make based on patients best interest due to Mr. Y unawareness of access Directiv e. In addition, the niece made the decision instead of Mr. Y therefore, the patients Power of Attorney was not followed completely. As the nurse, I would call Mr. Y to explain the situation and the decision of his niece. I would also inform him of the patients wishes in the Advance Directive. As an advocate for patient, I would also bring up the patients wish to the physicans guardianship, and discuss the need to inform some(prenominal) Mr. Y and his niece of the Advance Directive.Although Ms. H doesnt have Power of Attorney, she plays a role in assisting Mr. Y decision-making since Mr. Y called her for suggestion. Ethics of Authorizing Ventilator. Mr. Y should considers his brothers wish based on the Advance Directive. Mr. Y should also ask for the risks and benefits of putting his brother on ventilator. As his brother, Mr. Y would want to prolong his brothers life however, Mr. Y should take in account of his brothers desire, quality of life, and the extend of suffering. If Mr. Y doesnt agree with the groundbreaking Directives, Mr.Ys authorization is valid since the Advanced Directives is not fully completed. Analysis of Mr. Es Advanced Directives Because of Mr. E mental health status, his capabality to make decision is unclear when he signed the Advanced Directives. Moreover, match to EmedicineHealth, its important that the designated power of attorney knows and understands your the patient wishes (Nabili, 2012). However, family appendage didnt sign the Advance Directives, and the involvement of family is unclear. Thus, the appointed Power of Attorney may not know and understand the patients wish.The patient and family superpower not discuss patients decision. In addition, when the decision of Mr. Y conflicts with the decision of Mr. E in Advance Directives, the situation becomes very complicated. HIPAA digression from Mr. E complicated situation, there are major Health indemnification Portability and Accountability Act (HIPAA) violations in the scena rio. The physician violate patients right to privacy nurtureion by discuss his medical stipulate and situation to Ms. H in the waiting room, a public place. The schooling was disclosed to other patients, to Ms.Hs boyfriend, and other non-related health sustentation staff. Moreover, discussing Mr. E condition to Ms. H should be questioning because Ms. H, although shes the patients niece, is not the appointed power of attorney. One of the nurse role is advocate for paient. By not protecting patients privacy, a nurse also violate HIPAA. The nurse, although aware of the physician violation, did not intervene to protect Mr. Es information. Therefore, she could be hold accountable for violation of HIPAA. In this scenario, a nurse commented on ignoring HIPAA.The nurse is not only violated patients privacy legally, but also ethically according to ANA Code of Ethics. Besides physician and nurse, the expertness is also accountable for HIPAA violation, for the facility did not reinforce the importance of HIPAA with its staff and physician. Professional Conduct As the above paragraphs discuss, the nurse fails to conduct the standard of nursing by ignoring patients rights for privacy protection. By stating forget itno one pays attention to HIPAA anyway, the nurse is at risk for violating HIPAA.Beside HIPAA, the cafeteria nurses fail to act as patients advocacy by stating What difference does it makes? The guys got diabetes, ir retarded, and is already in a nursing home. This nurse violated Provision I in Code of Ethics by ANA in which a nurse cares for patient with compassion and respect regardless of social and economical status, personals attribute, and nature of health problems (p. 1). Futhermore, lack of knowledge of Advance Directives is a misconduct of Provision II in Code of Ethics by not primacy patients interest and respect patients wishes.Steps. To avoid misconduct of professional standard, the nurse in this scenario should lecturing to the physician in private about disclosing patient information. The nurse initiatory suggests to call Mr. Y and curb permission to discuss care with Ms. H then the nurse must inform Mr. Y the Advance Directives as well as assess Mr. Y understanding of risks and benefits of the procedure. Obtaining informed apply from Mr. Y is also a crucial step. If Mr. Y cant be reach in a time sensitive manner, the nurse should contact the agent that helped Mr.E with the Advance Directive she can then obtain information related to Mr. E decision-making ability at the time, and inform medical student and charge nurse for decision-making. However, in this scenario, the nurse should notify charge nurse and higher chain of command about the situation and the violation of HIPAA. Ethical committee should be notified to consult for appropriate actions. Regarding her colleagues, the nurse should inform her supervisor, without assignment name, the need to orient staff regarding HIPAA, Advance Directives, and reinforce in Code of Ethics.By taking appropriate interventions, the nurse ensures dignity in patient care and maintain respect in work environment. References American Nurses Association. (2001). Code of ethics. Retrieved from http//nursingworld. org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics. pdf calcium. (2005). California nursing practice act With regulations and related satutes. Matthew Bender & Co. , a member of the Lexis Group. Nabili, S. (2012). Advance directives. Retrieved from http//www. emedicinehealth. com/advance_directives/page2_em. htm