While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry. It is not supposed to be a mechanism for some hospitals to shift the cost of doing so to other institutions. More specifically, Medicare-participating hospitals receive funding and many other benefits partly as a negotiated compensation for their anticipated expenses in providing gratuitous emergency services; consequently, it would violate the fundamental principle of fairness to allow them to benefit from their Medicare participation without fulfilling their end of the bargain.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses develop a familiarity with routine procedures as well as with non-routine procedures with which they are very familiar by virtue of their prior experience. Since patient health, safety, and welfare are of paramount importance, nurses should err on the safe side and inquire into the accuracy of physicians' medical orders anytime those orders apparently contradict normal protocol or the nurse's prior experience. As part of the process, the nurse should, where appropriate, also solicit the advice of more senior colleagues and supervisors to resolve apparent deviations that may have justified explanations.
11.The Emergency Medical Treatment and Active Labor Act (EMTALA) forbids Medicare-participating hospitals from dumping patients out of emergency departments. If hospitals are required to treat any and all patients at the emergency room, why is this law necessary?
The rationale for requiring hospitals to treat any and all emergency room patients is a matter of ...
12.Explain how a sexual impropriety committed by healthcare practitioner should be handled. Should the impropriety be handled solely in the institution, rather than the courts? Explain your rationale.
Many forms of sexual impropriety are criminal acts regardless of where they occur within the jurisdiction of state and federal law. Sexual impropriety perpetrated by trusted healthcare practitioners within a medical setting are even more damaging to the victim because they compound the trauma of the act with the additional violation of trust by an individual with unusually intimate access to private information. Likewise, the fundamental nature of medical settings provides greater opportunity for situations conducive to sexually abusive situations.
In view of the seriousness of the consequences to the victims, as well as a deterrent to potential perpetrators, sexual impropriety committed by healthcare providers against their patients should be treated as a more serious crime, rather than as a less serious crime, than similar acts perpetrated by non-healthcare practitioners (or, for that matter, by healthcare practitioners against non-patients outside the medical setting).
Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press
Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley
Starr, P. (1984) the Social Transformation of American Medicine.
New York: Basic Books
United States Department of Health and Human Services Public…
It is not supposed to be a mechanism for some hospitals to shift the cost of doing so to other institutions. More specifically, Medicare-participating hospitals receive funding and many other benefits partly as a negotiated compensation for their anticipated expenses in providing gratuitous emergency services; consequently, it would violate the fundamental principle of fairness to allow them to benefit from their Medicare participation without fulfilling their end of the bargain.
EMTALA Violations in the Healthcare System The Emergency Medical Treatment and Active Labor Act (EMTALA) was introduced because of concerns that patients who needed emergency medical treatment were being denied access to that treatment due to inability to pay (Schecter, 2010). The law basically requires any hospitals that receive federal funding to provide emergency medical care under specific circumstances. However, despite the clear language of the law, hospitals and healthcare providers
While this cannot be expected to work in the larger emergency department, in small institutions this method might prove productive. The pay is further calculated by units according to duties perfumed while the physician is on-call. (Physician Compensation Duties, 2001) V. EVALUATION of STRATEGIES The strategies reviewed in this work include on-call pay for emergency room physicians as well as punitive reduction of pay for refusal to take calls. The primary
EMTALA stands for Emergency Medical Treatment & Labor Act and was passed in 1986 to guarantee the public has access to emergency services irrespective of the ability to pay. The main reason for its implementation is section 1867 of the Social Security Act. This part imposes concise requirements on any Medicare-participating hospitals that provide MSE/emergency services. Before EMTALA, people were turned down for medical treatment if they could not pay,
Conflict Reduction Strategies According to EMTALA (Emergency Medical Treatment and Active Labor Act), hospitals are responsible to ensure on-call physicians respond in a reasonable time frame and medical staff bylaws, or policies and procedures, must define the responsibilities of on-call physicians to respond, examine, and treat patients with emergency medical conditions (On-Call Responsibilities for Hospitals and Physicians, 2013). And, "when feasible, requests for consultative services should be made in accordance with
Health Management (Discussion questions) First student The Emergency Medical Treatment and Labor Act (EMTALA) is a law governing how and when patients may be denied treatment or moved from one hospital to another in cases of extreme medical conditions. EMTALA was legalized as a component of the 1986 consolidated budget reconciliation (Richards & Rathbun, 2009). Sometimes, it is known as the CONRA law. This generalized name has generated other laws. A common
rights EMTALA grants, to whom, when, and in what setting. EMTALA is short for the Emergency Medical Treatment and Active Labor Act. It was part of the larger Consolidated Omnibus Budget Reconciliation Act of 1986, which is commonly referred to as COBRA. The EMTALA legislation governs how and when a patient may be refused treatment and/or when they may be transferred from one hospital to another while in an unstable