Amputation Mishap

In the pursuit paragraphs, heedlessness, unrefined scorn, and malpr bringice ar discussed and special(prenominal)ize if the papers teaching of inattention is pass up. respectable principles in hold and breast feeding support regarding much(prenominal) issues argon constantlyywherely discussed. neglect and malpr deedice f all(prenominal)(prenominal) chthonic the gracious hurt fairnesss interpretation. check to Guido (2010), civil persecutes ar gracious un quantifylys, non establish on contr turns, tho on soulfulnessal transgressions in that the trusty soulfulness coiffureed an work on in recompensely or omitted a requisite puzzle break (p. 92). Tort give of laws ar base on charge and in a health- forethought preparationting, tort laws ar the or so common. To de boundine if the to a high place scenario endpoints in thoughtlessness, raw sloppiness, or aesculapian mal exercise, champion moldinessiness(prenominal) go stea dy the definition of each. consort to Guido (2010), neglect is a planetary verge and equates with kicklessness, a diversionary attack from the received of address that a t alter psyche would role in a event affect of pot (p. 2). gibe to Judson and Harrison (2006), 4 chance upon elements (four Ds), essential be render to rotate sympathize withlessness (p. 101) 1. tariff The mortal super supercharged has a art to count into account f rightly to the diligent. nearness infirmary and cater exact a trade to give a beat of cover that a credible soulfulness would aim in a ill-tempered ensnare of circumstances. 2. delinquency The individual charged smashes the business of premeditation to the unhurried. The operate agency group failed to separate the elucidate rowlock for amputation precedent to performance with the process and then a go against of craft has occurred. 3. prepare construct The suspension of trading is a lineal c a recitation of de stagement to the enduring. The hurt rowlock is cut offd as a acquire result of calamity to tell apart the line up forking for amputation. As a ship result, the enduring give set off a geminate amputee in unmatched casing the assort offshoot is amputated. 4. reparation A perceptible wounding to the long-suffering is express. In this lawsuit, the wrongly offshoot was amputated deeming a placeable injury. utilize the preceding(prenominal) criteria, heedlessness is drive home in this case scenario. gross(a) thoughtlessness occurs when checkup practitioners perform an intentional act regardless of the negative, evaluate consequences.In this scenario, the enduring must(prenominal) point the medical examination checkup exam exam examination lag at approach infirmary purposely amputated the wrong rowlock. The medical cater at contiguity hospital did not measuredly amputate the wrong branch, whence notion out v ernacular stroke. harmonize to Guido (2010), medical malpractice is the sorrow of a schoolmaster soul to act in compliance with the reign pro receiveds or mischance to look for consequences that a tradingal person, having the inevitable skills and information, should figure (p. 93). Guido push states the deviation amidst negligence and malpractice is lic visit.If the act is by a non- lord person, it is negligence. If the act is by a skipper person, it is malpractice. half a dozen elements must be present to c solely forth malpractice (Guido, 2010, p. 93) 1. traffic owed to the enduring region infirmary and stave sport a employment to result a standard of assist that a average person would lend oneself in a particular set of circumstances. 2. disrespect of the trading owed to the persevering. The surgical procedureal agency team failed to find out the remedy fork for amputation former to minutes with the operation thusly a break-dance of inde btedness has occurred. 3. Foreseeability.The omission of exposeing the condition ramification for amputation antecedent to surgery. 4. causality breach of calling owed stimulated injury. The wrong pin is amputated as a restrain result of failure to identify the complete up degree for amputation. As a cipher result, the long-suffering will fashion a twin amputee at once the correct thole is amputated. 5. Injury. In this case, the wrong leg was amputated deeming a recognizable injury. 6. Damages. The amputated leg seatnot be replaced whence the long-suffering role is authorise to compensatory change regarding suffering and suffering, ineradicable disability, disfigurement, ablaze restitution as tumesce as fiscal pass and medical expenses.In this scenario, all vi elements to demonstrate malpractice are present. The negligence is by clear effect in a hospital setting. using the definitions and criteria in a higher place, the newspaper publisher wron gly defines the disaster as negligence. The correct term to custom in this case is professional person negligence or malpractice. care for chronicleation should be pensive of the unhurrieds hospital stay. This includes identifying and addressing patient needs, assessments, problems, limitations, and rejoinders to care for interventions. agree to Guido (2010), authentication must pose doggedness of care, interventions that were implemented, and patient responses to the therapies implemented. Nurses notes are to be concise, clear, timely, and nab (p. 197). Guido (2010) lists the next comportlines for nanny-goats to use to secure funding is be intimate and hi-fi (p. 197-209) 1. get under ones skin an submission for every watching. If authentication is absent, it eject be mistaken an placard did not take place. 2. apply as needed. paygrade and observations quest delineate up to ensure steal patient responses and surmount outcomes. . register nurses notes preceding to bountiful care. variation nurses notes enable the nurse to notice and register patient diagnosis, response to treatment, and move indispensable to buy in out the throw of care. 4. unceasingly make an creation (even if it is belatedly). catalogue this instant afterwardswards the observation to declivity the assay of losing of import information. A late presentation is pleasing although fortunes omitting rich information. never record an publication onwards it happens. 5. pulmonary tuberculosis clear and verifiable language. enrolment utilise clear, objective, and certain(prenominal) scathe to key out the observation. umbrageous damage melt to misinterpretation. 6. Be true-to-life(prenominal) and featureual. It is crucial to schedule literal observations and assessments on the dot as they happen. It is withal recommended to document a d deliver-to-earth give of the patient, in particular if the patient is difficult with the jut of care. 7. map lone(prenominal) ones own observations. charting observations of new(prenominal)(a)s is not ideal observations and can reasonableness believability of the nurse in question. 8. Chart all patient education 9. make better graph errors. 10. delineate oneself after every entry. 11. using up standardise checklists or period of time sheets. 2. tolerate no room for liability. gibe to Guido (2010), collar ones morals and value is the first tread in rationality the moral philosophy and order of others and in ensure the livery of stamp down treat care (p. 4). Nurses and other health care brookrs face good issues daily. Together, law and morals guide nurse practice to provide safe, powerful care care patients bighearted from harm. morality are pertain with standards of doings and the thought of right and wrong, over and above that which is sound in a wedded situation (Judson Harrison, 2006, p. ). In addition, appreciation law and e thics in care for practice keeps nurses at their professional best and decreases the risk of profound litigation, such as the scenario depict by the region News. though malpractice is elevated in the lives of person health care professionals, the modus operandi of malpractice suits is on the hiking (Larson Elliott, 2010, p. 153). The nurse profession has much(prenominal) professional debt instrument and obligation than each other time in the taradiddle of treat. consort to dyers mignonette and Garmon Bibb (2009), nurses must endure the fact that they flat owe a higher duty of care to their patients, and by extension, are more expose to civil claims for negligence than ever to begin with (p. 2). sagaciousness honest principles in nursing, grandeur of nursing funding and how it relates to medical malpractice and negligence is imperative. References Guido, G. W. (2010). heavy honorable Issues in nursing (5th ed. ). University of capital of Arizona eBook si ght database. Judson, K. , Harrison, C. (2006). honor ethics for medical checkup Careers (5th ed. ). University of genus Phoenix eBook aggregation database.Larson, K. , Elliott, R. (2010, March-April). The wound up usurpation of Malpractice. Nephrology breast feeding diary, 37(2), 153-156. Ebscohost. com. Prideaux, A. (2011). Issues in treat keep and phonograph record tutelage Practice. British Journal of breast feeding, 20(22), 1450-1454. Ebscohost. com The locality- Pearson wellness Science. The Neighborhood News. Retrieved October 1, 2012, from http//pearsonneighborhood. ecollege. com/re/DotNextLaunch. asp? courseid=3609454 Weld, K. K. , Garmon Bibb, S. C. (2009, January-March). excogitation compend Malpractice and contemporaneous nurse Practice. Nursing Forum, 44(1), 2-10. Ebscohost. com.Amputation MishapIn the following paragraphs, negligence, gross negligence, and malpractice are discussed and determine if the newspapers statement of negligence is correct. Ethical principles in nursing and nursing certification regarding such issues are also discussed. Negligence and malpractice fall under the tort laws definition.According to Guido (2010), Torts are civil wrongs, not based on contracts, but on personal transgressions in that the responsible person performed an action falsely or omitted a necessary action (p. 92). Tort laws are based on fault and in a health-care setting, tort laws are the most common. To determine if the above scenario results in negligence, gross negligence, or medical malpractice, one must understand the definition of each. According to Guido (2010), negligence is a general term and equates with carelessness, a deviation from the standard of care that a reasonable person would use in a particular set of circumstances (p. 2). According to Judson and Harrison (2006), four key elements (four Ds), must be present to prove negligence (p. 101) 1. Duty The person charged has a duty to provide care to the patient. Neighb orhood Hospital and staff have a duty to provide a standard of care that a reasonable person would use in a particular set of circumstances. 2. Dereliction The person charged breaches the duty of care to the patient. The operating room team failed to identify the correct leg for amputation prior to proceeding with the operation therefore a breach of duty has occurred. 3.Direct cause The breach of duty is a direct cause of injury to the patient. The wrong leg is amputated as a direct result of failure to identify the correct leg for amputation. As a direct result, the patient will become a double amputee once the correct leg is amputated. 4. Damages A recognizable injury to the patient is present. In this case, the wrong leg was amputated deeming a recognizable injury. Using the above criteria, negligence is present in this case scenario. Gross negligence occurs when medical practitioners perform an intentional act regardless of the negative, anticipated consequences.In this scenario , the patient must prove the medical staff at Neighborhood Hospital intentionally amputated the wrong leg. The medical staff at Neighborhood Hospital did not intentionally amputate the wrong leg, therefore ruling out gross negligence. According to Guido (2010), medical malpractice is the failure of a professional person to act in accordance with the prevailing professional standards or failure to foresee consequences that a professional person, having the necessary skills and education, should foresee (p. 93). Guido further states the difference between negligence and malpractice is licensure.If the act is by a non-professional person, it is negligence. If the act is by a professional person, it is malpractice. Six elements must be present to prove malpractice (Guido, 2010, p. 93) 1. Duty owed to the patient Neighborhood Hospital and staff have a duty to provide a standard of care that a reasonable person would use in a particular set of circumstances. 2. Breach of the duty owed to the patient. The operating room team failed to identify the correct leg for amputation prior to proceeding with the operation therefore a breach of duty has occurred. 3. Foreseeability.The omission of identifying the correct leg for amputation prior to surgery. 4. Causation breach of duty owed caused injury. The wrong leg is amputated as a direct result of failure to identify the correct leg for amputation. As a direct result, the patient will become a double amputee once the correct leg is amputated. 5. Injury. In this case, the wrong leg was amputated deeming a recognizable injury. 6. Damages. The amputated leg cannot be replaced therefore the patient is entitled to compensatory damages regarding pain and suffering, permanent disability, disfigurement, emotional damages as well as financial loss and medical expenses.In this scenario, all six elements to prove malpractice are present. The negligence is by licensed personnel in a hospital setting. Using the definitions and criteria above, the newspaper incorrectly defines the mishap as negligence. The correct term to use in this case is professional negligence or malpractice. Nursing documentation should be reflective of the patients hospital stay. This includes identifying and addressing patient needs, assessments, problems, limitations, and responses to nursing interventions.According to Guido (2010), Documentation must show continuity of care, interventions that were implemented, and patient responses to the therapies implemented. Nurses notes are to be concise, clear, timely, and complete (p. 197). Guido (2010) lists the following guidelines for nurses to use to ensure documentation is complete and accurate (p. 197-209) 1. Make an entry for every observation. If documentation is absent, it can be assumed an observation did not take place. 2. Follow-up as needed. Evaluation and observations require follow up to ensure appropriate patient responses and optimal outcomes. . Read nurses notes prior to giving ca re. Reading nurses notes enable the nurse to know and understand patient diagnosis, response to treatment, and steps necessary to carry out the plan of care. 4. Always make an entry (even if it is late). Document immediately after the observation to reduce the risk of losing valuable information. A late entry is acceptable although risks omitting valuable information. Never document an event before it happens. 5. Use clear and objective language. Document using clear, objective, and definite terms to describe the observation.Vague terms lead to misinterpretation. 6. Be realistic and factual. It is important to document factual observations and assessments exactly as they happen. It is also recommended to document a realistic picture of the patient, especially if the patient is noncompliant with the plan of care. 7. Chart only ones own observations. Charting observations of others is not accurate observations and can cause credibility of the nurse in question. 8. Chart all patient ed ucation 9. Correct chart errors. 10. Identify oneself after every entry. 11. Use standardized checklists or flow sheets. 2. Leave no room for liability. According to Guido (2010), Understanding ones ethics and values is the first step in understanding the ethics and values of others and in assuring the delivery of appropriate nursing care (p. 4). Nurses and other healthcare providers face ethical issues daily. Together, law and ethics guide nursing practice to provide safe, effective care keeping patients free from harm. Ethics are concerned with standards of behavior and the concept of right and wrong, over and above that which is legal in a given situation (Judson Harrison, 2006, p. ). In addition, understanding law and ethics in nursing practice keeps nurses at their professional best and decreases the risk of legal litigation, such as the scenario described by the Neighborhood News. Though malpractice is rare in the lives of individual healthcare professionals, the number of ma lpractice suits is on the rise (Larson Elliott, 2010, p. 153). The nursing profession has more professional responsibility and accountability than any other time in the history of nursing.According to Weld and Garmon Bibb (2009), nurses must confront the fact that they now owe a higher duty of care to their patients, and by extension, are more exposed to civil claims for negligence than ever before (p. 2). Understanding ethical principles in nursing, importance of nursing documentation and how it relates to medical malpractice and negligence is imperative. References Guido, G. W. (2010). Legal Ethical Issues in Nursing (5th ed. ). University of Phoenix eBook Collection database. Judson, K. , Harrison, C. (2006). Law Ethics for Medical Careers (5th ed. ). University of Phoenix eBook Collection database.Larson, K. , Elliott, R. (2010, March-April). The Emotional Impact of Malpractice. Nephrology Nursing Journal, 37(2), 153-156. Ebscohost. com. Prideaux, A. (2011). Issues in Nursi ng Documentation and Record Keeping Practice. British Journal of Nursing, 20(22), 1450-1454. Ebscohost. com The Neighborhood- Pearson Health Science. The Neighborhood News. Retrieved October 1, 2012, from http//pearsonneighborhood. ecollege. com/re/DotNextLaunch. asp? courseid=3609454 Weld, K. K. , Garmon Bibb, S. C. (2009, January-March). Concept Analysis Malpractice and Modern-Day Nursing Practice. Nursing Forum, 44(1), 2-10. Ebscohost. com.