Ethics Game
Ethics Game Simulation Reflective Journal
Nannette Johnstone
HCS 478
February 7, 2012
Barbara Scheibe, RNC, MSN
Ethics Game Simulation Reflective Journal
This journal contains my reflections of the Ethics Game simulation assignment. The purpose of this assignment is to help me understand how to make ethical decisions using a decision model.
Ethical Issue #1-Presented during my shift We have a 16 year old pregnant patient (RB), in her tenth hour of labor. Her parents are present and have been with her the entire time. They have chosen to limit medication and assistance available citing personal reasons. Her primary nurse is (YN) is concerned that given her current status, the situation could become critical for the patient and her unborn child. The fetus is not in distress at this moment but there are indications that this is gradually changing as time goes on. Close observation of the fetus and mother continues with the care team unsure if her parents are understand the perils of their daughter’s situation as the baby and the mother move toward irreversible medical danger if the appropriate interventions are not made in a timely manner.
Ethical Issue #2-Presented during my shift AT was admitted to the ICU and has been unconscious all day with no definitive diagnosis made for him. AT was brought to the ER by his domestic partner YM who stayed with him in the ER till his transfer to the ICU. Once AT was admitted to the ICU, YM was prevented from visiting him by CB, the shift supervisor for the day shift despite hospital policy which clearly states that domestic partners are to be treated as married couples.
Decision making process From the readings for this week, I saw there are several steps involved when attempting to resolve any ethical dilemma. First I needed to define the dilemma in both scenarios within the simulation. “Questions need to be raised about the meaning of the situation to all the participants and how the behavior of the
Nannette Johnstone
HCS 478
February 7, 2012
Barbara Scheibe, RNC, MSN
Ethics Game Simulation Reflective Journal
This journal contains my reflections of the Ethics Game simulation assignment. The purpose of this assignment is to help me understand how to make ethical decisions using a decision model.
Ethical Issue #1-Presented during my shift We have a 16 year old pregnant patient (RB), in her tenth hour of labor. Her parents are present and have been with her the entire time. They have chosen to limit medication and assistance available citing personal reasons. Her primary nurse is (YN) is concerned that given her current status, the situation could become critical for the patient and her unborn child. The fetus is not in distress at this moment but there are indications that this is gradually changing as time goes on. Close observation of the fetus and mother continues with the care team unsure if her parents are understand the perils of their daughter’s situation as the baby and the mother move toward irreversible medical danger if the appropriate interventions are not made in a timely manner.
Ethical Issue #2-Presented during my shift AT was admitted to the ICU and has been unconscious all day with no definitive diagnosis made for him. AT was brought to the ER by his domestic partner YM who stayed with him in the ER till his transfer to the ICU. Once AT was admitted to the ICU, YM was prevented from visiting him by CB, the shift supervisor for the day shift despite hospital policy which clearly states that domestic partners are to be treated as married couples.
Decision making process From the readings for this week, I saw there are several steps involved when attempting to resolve any ethical dilemma. First I needed to define the dilemma in both scenarios within the simulation. “Questions need to be raised about the meaning of the situation to all the participants and how the behavior of the
References: EthicsGame.com, LLC. (2007). retrieved from: http://www.ethicsgame.com Salas Santos, A., & Cameron, B. L. (2010). Ethical openings in palliative home care practice. Nursing Ethics, 655-665. Toren, O., & Wagner, N. (2010). Applying an ethical decision-making tool the a nurse management dilema. Nursing Ethics, 393-402.