Posted: January 27th, 2023
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Please write 300 word reply to the below discussion post. Must have two scholarly peer reviewed sources. The post is based on the “Hospital Nightmare.” I will upload the transcriipt for the scenerio.
The post you will reply to:
Having concluded the Hospital Nightmare simulation I was able to come to a confident recommendation in the case of Mrs. Smith. To begin, there are five elements I had to conclude in this case after having performed my interviews and obtained evidence – duty of care established, duty of care breached, injury due to negligence, if the concept of respondeat superior applies, lastly, if a file should be made for indemnification against any staff members involved.
Firstly, the duty of care had been established by the fact that Mrs. Smith was admitted to Bright Road Hospital for surgery and post-surgery care. As well as the fact that the hospital was obligated to provide her the highest standard of care and enforce best practices.
Secondly, the duty of care breaching, which was established by the staph infection she contracted and the prolonged harrowing experience she endured. Mrs. Smith was supposedly to stay within the hospital for a mere 5 days and ended up being 30 altogether due to the infection and aggressive antibiotic treatment.
Third, the breach of duty of care was due to negligence because Dr. George Paltrow, Chief of Surgery, the overseeing physician for Mrs. Smith, had not changed his gloves when he was examining his patients. In one hospital room were four patients, the first of which was an amputee which later was found to have had a staph infection. However, because Dr. Paltrow neglected to change his gloves, per protocol, this staph infection carried on to all the other patients in that room examined shortly after the first.
Fourth, respondeat superior, let the master respond, which indicates whether the hospital possessed any liability in part of this case (Pozgar, 2022, p. 50). There were several factors that contributed to this, inadequate training, procedures not being communicated clearly or heavily enforced, low supply of gloves in hospital rooms, lack of convenient hand washing stations etc.
Fifth, filing an indemnification against staff members involved. Two of which by name would be Dr. George Paltrow and Jennifer Brainard, both had taken part in the unfortunate road of this case.
As stated above, the following findings determined that there is in fact all four breaches for a medical malpractice suit, including the fifth involving staff. When it comes to the indemnification against the staff members, the information is crucial to determine why I have made this exact conclusion. For one, hand hygiene is a critical procedure to follow, even though the hospital was at fault for having no signage, Dr. George Paltrow knew better. He also was aware about cross contamination during our interview and attested that he is aware it can happen when proper procedures are ignored. “The continued wearing of gloves during patient-related activities carries the risk of organism transmission, as the gloves touch many surfaces” this includes other patients with infections or microorganisms not seen with the naked eye (Lindberg and Skytt, 2020, para. 4). Nurse Jennifer Brainard was also negligent in this case, as she was aware and had witnessed Dr. Paltrow using the same gloves and did not report it, nor did she say anything until the infection was severe and even recommended a priest because the outlook in recovery was poor. Jennifer should have acted on her authority to be a whistleblower as soon as she saw the breach of duty of care. A whistleblower “is defined as a person who raises concern about wrong doing,” which is exactly what Jennifer should have done and failed to do (Bolsin et al., 2011, para. 4).
In connection with Jennifer Brainard’s willful negligence, I think of the verse, “Do not be deceived: ‘Bad company ruins good morals'” (ESV Bible, 2016, 1 Corinthians 15:33). Regardless of our professional dynamic with another individual, we should never let fear or self-doubt interfere with our obligation to do what is righteous. We should not let ourselves be deceived by the bad morals of others, and do what is good in the eyes of God.
1 corinthians 15:33 do not be deceived: “bad company ruins good morals. ” | english standard version 2016(Esv) | download the bible app now. (n.d.). Retrieved January 23, 2023, from https://www.bible.com/bible/59/1CO.15.33.ESV Links to an external site.
Bolsin, S., Pal, R., Wilmshurst, P., & Pena, M. (2011). Whistleblowing and patient safety: The patient’s or the profession’s interests at stake? Journal of the Royal Society of Medicine, 104(7), 278–282. https://doi.org/10.1258/jrsm.2011.110034 Links to an external site.
Lindberg, M., & Skytt, B. (2020). Continued wearing of gloves: A risk behaviour in patient care. Infection Prevention in Practice, 2(4), 100091. https://doi.org/10.1016/j.infpip.2020.100091 Links to an external site.
Pozgar, G. D. (2022). Legal aspects of health care administration (Thirteenth edition). Jones & Bartlett Learning.
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