Camilla works on a surgical unit in a large, inner-city hospital. One morning shift, she is assigned...

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Camilla works on a surgical unit in a large, inner-city hospital. One morning shift, she is assigned to care for Sam, a 21 year-old man who was admitted during the night for investigation of acute abdominal pain. His medical history includes multiple admissions to the emergency department for treatment of (among other things) drug-related psychosis. At the beginning of her shift, Camilla attempts to check Sam’s vital signs but is unable to do so as he is very agitated, attempting to push her away. He is also calling out and unable to answer her questions rationally. Camilla asks the medical team to review Sam as she is concerned about not being able to monitor his condition effectively. She is also concerned for her own safety and that of her colleagues. The medical team arrives to find Sam pulling out his IV cannula and verbally abusing Camilla. They order that Sam be placed in physical restraints and document as much in the notes.Camilla is concerned that this approach will only exacerbate Sam’s agitation and that, ultimately, he will injure himself and/or other patients and staff. She expresses her concerns to the nurse in charge of the shift (Julia) who advises her to apply the restraints and focus on caring for the other patients she has been assigned. Julia states: “patients like Sam are a waste of our time. Besides, we haven’t got enough staff rostered on today to be worried about him”.Case Study

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David · Accepted Answer

Ethics
by Bish Bish
Submission date: 25-Oct-2017 12:27AM (UTC-0400)
Submission ID: 868523821
File name: TFTH-25866_1.docx (26.12K)
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Camilla works on a surgical unit in a large, inner-city hospital. One morning shift, she is assigned to care for Sam, a 21 year-old man who was admitted during the night for investigation of acute...

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