Risk managers work with the public, patient’s family, and staff so it is imperative that risk managers have a working knowledge basic knowledge of basic ethical principles. The risk manager has a code of ethics that guides them in their decision making. One of the most vital components of the code of ethics for the risk manager deals with confidentiality of patient, physician, and hospital medical information. This is mandated by HIPAA and guides the risk manager in their role.
Aligned to ULO(s)
ULO1: Explore the ethical issues and the risks that need to be mitigated in situations involving DNR decisions, advanced healthcare directives, and patients’ rights in nursing homes (CLO1, CLO2)
ULO2: Discuss state regulations related to DNR considerations in nursing homes (CLO5)
|Criteria||Online Students||Blended Students|
|Initial post||By Wednesday at 11:59 P.M., CT.||Five (5) hours prior to the scheduled class session.|
|Two peer responses||By Sunday at 11:59 P.M., CT.|
Ninety five-year-old Mrs. Jones has been a patient at Living Oaks nursing home (a state nursing home chain) for over 10 years. She has had multiple sclerosis for the last 15 years and has been suffering from chronic asthma attacks. Dr. Santana is the Medical Director at the nursing home and takes care of Mrs Jones. During the last year, she was admitted to the local hospital several times for severe complications with the multiple sclerosis and asthma.
Unfortunately, Mrs. Jones suffers a massive heart attack in the middle of the night at Living Oaks. Mrs. Jones family has not signed a Do Not Resuscitate (DNR) for her and the nurses are unable to get ahold of her son who lives 500 miles away. They recall that Dr. Santana had indicated previously that there was no DNR on file for the patient. The nurses present are not sure about the situation and reached out to the Director of Nursing for help in this ethical dilemma. The Director of Nursing found herself as an ethical dilemma too about what to do…
Assume that you are the Risk Manager at Living Oaks nursing home (a state nursing home chain, with the headquarters in the city where you reside).
Prepare a memorandum addressing the ethics and the risks that need to be mitigated in the situation involving DNR decisions, advanced healthcare directives, and patients’ rights in your state nursing homes. Are there state regulations requiring the DNR being on the patient record in nursing homes? Note the location (city and state) of your hypothetical nursing home at the top portion of your memo. Research and use state specific applicable regulations.
The initial posting should be prepared as a Microsoft™ Word document, and then posted directly to the discussion thread and also attached to the unit discussion thread. There is no minimum or maximum in terms of the word count; however, the response should explicitly address all required components of this discussion assignment. The document should be prepared as a practical business deliverable (single-spaced) and reflect higher-level cognitive processing (analysis, synthesis, and evaluation).
Support the initial posting with at least 3 references of credible or peer-reviewed sources. The in-text citations and the list of references should be consistent with the APA writing style (7th ed.). To earn the maximum number of points for the initial posting, the overall quality of the writing should be consistent with that expected of a college student and industry professional.
part 2 I attached the document below
-Develop an action plan to address the root causes I identified in the root cause analysis I prepared.
-Complete your portion of the paper
-Identify and input speaking points and media to the presentation in the power point.
-Take ownership of the project deliverable; ensuring proper APA 7th formatting, making sure the storyline flows and that references are appropriate.