Monday, April 10th, 2017

Prison Your Paticents In Some Fields

January 6, 2011 by  
Filed under CNA Training

A question was raised in my hospital in my capacity as a student, and had two ethical and legal concerns. I trained in a medical / surgical floor, and one of the nurses on the floor, said that prisoners are allowed to walk on the ground with the guard after visiting hours had ended. Prisoners are often placed on the floor, a couple of prisons in the vicinity of the hospital.

Clinical Instructor and I studied the political handbook, and can only find two points that were relevant:
a)At a hospital detainees are still limited, unless ยง 6.3 of this policy. This exemption is the result of negotiations between the hospital security, the appropriate Program Manager / Supervisor and, if the period Test.
b)Inmates in the restrictions must be transported in a wheelchair or a stretcher at all times unless walking is a necessary component of health care.

After phone calls to hospital security, prison officials, administrators and policy makers, it seems that it is an unwritten rule that guards choose to follow, and is not an official policy of the agencies. Therefore no legal problems for the nurse if you will insist that the patient during visiting hours on foot, although they may feel concerned about the ethics of fear that can occur in other patients on the floor. Legally, the guards may be at risk of restricting freedom of the patient in a way that is not part of his sentence in prison. The hospital can also take a legal risk by not treating the situation – what if a patient died of something that could have been avoided if ambulatory patients were more often? Nurses often involve conflicts between the rights of the individual over the good of the group,and this is one more example of both the ethical and legal aspects of so many of the issues that nurses face on a daily basis.

The ethical concern arises in the second statement above. It is absolutely necessary for a person on foot after surgery, and therefore the wheelchairs and stretchers are required on arrival or departure on the ground. To limit a patient a few hours at night is an ethical dilemma for nurses. On the one hand, you want the best treatment for your patient (internal), and it should be able to move everything you can as long as possible. However, the stress level to see a prisoner flanked by two guards walking the halls of greatly increased significantly for 30 other patients on the floor. Whose needs to consider first? What are your legal obligations to other patients and their safety? What is your obligation to the prisoner? Guards legal right to restrict the patient? How to reconcile this issue fairly?

However, the theme throughout the article is summarized in the conclusion: The nurse must respect the value, dignity and rights of all patients, regardless of the lifestyle of the individual values or health status.Adopting a policy that no personal benefit from a nurse who will work with the prison and jail any patient.