Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.


Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. Explain the health care policies that can affect emergency care. Recommend evidence-based decision-making strategies nurses can use during triage. Competency 3: Apply professional nursing ethical standards and principles to the decision-making process. Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Explain how health care disparities impact treatment decisions. Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Correctly format citations and references using APA Style Working in an emergency room gives rise to ethical dilemmas.

Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.Questions to Consider To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. How does a triage nurse decide which patient gets seen first?

How does health disparity affect the triage nurse’s decision making? What ethical and moral issues does the triage nurse take into account when making a decision? What are triage-level designations? Aacharya, R. P., Gastmans, C., & Denier, Y. (2011). Emergency department triage: An ethical analysis. B MC Emergency Medicine, 11(1), 16–29. Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses: Theory and practice. Maidenhead, UK: Open University Press. Domagala, S. E., & Vets, J. (2015). Emergency nursing triage: Keeping it safe. Journal of Emergency Nursing, 41(4), 313–316. Gastmans, C. (2013). Dignity-enhancing nursing care: A foundational ethical framework. Nursing Ethics, 20(2), 142–149. Guidet, B., Hejblum, G., & Joynt, G. (2013). Triage: What can we do to improve our practice? Intensive Care Medicine, 39(11), 2044–2046. Kangasniemi, M., & Haho, A. (2012). Human love – The inner essence of nursing ethics according to Estrid Rodhe. A study using the approach of history of ideas. Scandinavian Journal of Caring Sciences, 26(4), 803–810. Tingle, J., & Cribb, A. (Eds.). (2014). Nursing law and ethics (4th ed.). Somerset, NJ: John Wiley & Sons. Course Library Guide A Capella University library guide has been created specifically for your use in this course.

You are encouraged to refer to the resources in the BSN-FP4006 – Policy, Law, Ethics, and Regulations Library Guide to help direct your research. Internet Resources American Nurses Association. (2016). Position statement: The nurse’s role in ethics and human rights: Protecting and promoting individual worth, dignity, and human rights in practice settings. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/the-nurses-role-in-ethics-and-human-rights/ Vigil, J. M., Alcock, J., Coulombe, P., McPherson, L., Parshall, M., Murata, A., & Brislen, H. (2015). Ethnic disparities in emergency severity index scores among U.S. veteran’s affairs emergency department patients. PLoS One, 10(5). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26024515 Textbook Resources American Nurses Association. (2015).

Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Assessment Instructions Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

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