discussion 5 48

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Discussion:

“Professional Legal Issues with Medical and Nursing Professionals” Please respond to the following:

  • * From the scenario, analyze the different and overlapping general roles of physicians and nurses as they apply to professional credentialing and subsequent patient safety and satisfaction. Determine the major ways in which these overlapping roles may help play a part in health professional credentialing processes and conduct, and identify and analyze the ethical role these influences play in health care.
  • Analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.

Response Sirlin:

From the scenario, analyze the different and overlapping general roles of physicians and nurses as they apply to professional credentialing and subsequent patient safety and satisfaction. Determine the major ways in which these overlapping roles may help play a part in health professional credentialing processes and conduct, and identify and analyze the ethical role these influences play in health care.

Nurses and doctors basically fall under the same credentialing rules; they both must attend and successfully graduate from a respective medical school. They both should have no type of malpractice issues in their past. They are both employed to ensure the safety and well being of the patient. Doctors are subject to the diagnosis and treatment of the patient as nurses are tasked with the following of the doctor’s orders. Both are responsible for administering medications although nursing does most of the administration under the doctor’s orders and care. Both nurses and doctors should go through extreme backgrounds prior to being given privileges and allowed to become part of the organization staff. Where the issue comes in, as brought up in the scenario, is when a nurse disagrees with a doctor’s orders. Although it is my personal opinion that doctors are there for and more specifically trained for the creation of a patients’ diagnosis and treatment plan, the nurse is the one who spends more time with the patient and has a better understanding of who the patient is. With this being said, the nurse’ opinion should hold a little more weight than it currently does. This is my opinion. I respect doctors and nurses alike and think that they both make up the checks and balances needed for proper and great patient care. As a paramedic/instructor, I also believe that there is and should be a hierarchy that needs to be followed in a healthcare facility.

I also feel that oversight should be left in the hands of medical committees such as the credentialing committee, the ethics and standards committee etc. These committees are made up of medical professionals and hospital staff and faculty that are experts in their field.

  • Analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.

As stated above nurses and doctors have a hierarchy that needs to be followed in a medical facility. This hierarchy is based on training and education. Nurses are tasked with the care of the patient once the doctor comes up with a diagnosis and treatment plan for that patient. Nurses though are a doctor’s right hand, they oversee that the treatment plan is carried out properly but they are also there to pass along any pertinent information regarding the patient to the doctor.

Every clinician in a hospital is held to a high standard when it comes to the care of a patient and everyone can be held liable for mistakes. Doctors, nurses, and technologists that treat and interact with patients are the primary caregivers for that patient and play an extremely important role to the patient recovery process. All three levels of providers are there to make the patient as comfortable as possible as well as provide for the patient’s needs. Each level of clinician plays a role in the code of care for that patient. They are all responsible for making sure that the patient has a safe and caring environment. From the transportation staff safely moving a patient from one area to another to the nurse making sure that a patient who may be prone to trips and falls does not fall out of a the bed, to the PT making sure there is an adequate number of people around to help while the patient goes for their therapy. Doctors are there to make sure that the patient gets the correct treatments and that their diagnosis is correct, pharmacists are there to make sure the doctor’s prescriptions are filled correctly that also a check and balance to make sure the medications prescribed are not being contraindicated by any other medications. All play a role in the safety care and satisfaction of the patient.

Response Madonaldo:

“Professional Legal Issues with Medical and Nursing Professionals” Please respond to the following:

• From the scenario, analyze the different and overlapping general roles of physicians and nurses as they apply to professional credentialing and subsequent patient safety and satisfaction. Determine the significant ways in which these overlapping roles may help play a part in health professional credentialing processes and conduct, the and identify and analyze the ethical role these influences play in health care.

Nurses and physicians have very similar roles because they both have to look for the well being of a patient. They both have duties and also liabilities if something were to go wrong. As we all know, the credentialing process for nurses and physicians are the same, as the scenario stated. The Infection Committee manages the credentials for the doctors, and the nurse licensing process is handled by the nurse licensing board. The credentialing process has been beneficial to control and determine who is qualified to take care of another human being’s life. The credentialing process also makes sure that all medical staff is accountable for all of their evaluations. All healthcare organizations, are looking for the most qualified and certified clinical personnel in order to create great services. Physicians and nurses practice clinical judgment every day and must prioritize their primary objective, which is to give the safest and proper treatment for a patient. We do have to say that physicians have more privileges than nurses do, therefore, more responsibilities as well. Ethical roles in healthcare are extensive and essential to follow, in order to create an excellent clinical practice. These roles posses ethical effects that affect patient care. Physicians must apply the best method of treatment of each one of their patients. “Provide appropriate patient care according to by our competency and our historic oath as healers; or defer and refer those patients, regardless of adequate training and competency, to other physicians to evaluate and manage, as motivated to avoid entangling ourselves in apparent controversy and associated challenges. ”(Anderson, 2017). Nurses have the same ethical standards, with less responsibility than the physicians. Nevertheless, all nurses and physicians have the same goal, which is to give the best care to their patients.

Analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.

As we mentioned before, physicians and nurses have similar goals and similar responsibilities on their roles. They both have the responsibility to provide the best care possible for their patients. They must work together to be able to have the best care for their patients. Physicians give orders to nurses in how to proceed with patients treatments. The physician is responsible for having an excellent patient-physician relation and owning their patient’s trust. Nurses help the care of patients by helping the physicians and assisting them. Hospitals of the 21st century have high expectations of care. There are standards that professionals have to obey by and follow to ensure the best care possible. There are many cases where patients die because of the low standard of care and physicians might neglect their illnesses. “Medical negligence is the inadequate/absence of reasonable care and skill or willful negligence of a medical practitioner in the treatment of a patient which causes bodily injury or death of the patient.”(Yadav, 2017). Hospitals must look for patients best interest in order to have proper operations and to have patient retention. If hospitals fail to provide the best care, they can encounter lawsuits and other sanctions. ,

Anderson, M. G. (2017). Ethical Dilemmas in the Postmodern Condition: When Patients and Their Physicians Confront the Controversy of Medical Treatment with Schedule II Controlled Substances…2017 Proceedings of the Annual Meetings of the ACLM. Journal of Legal Medicine, 37, 1–11. https://doi.org/10.1080/01947648.2017.1478578

Yadav, A., Tellewar, S., Swain, R., & Gupta, S. K. (2017). Alleged Medical Negligence Cases : An Autopsy Study. Journal of Punjab Academy of Forensic Medicine & Toxicology, 17(2), 10–15. https://doi.org/10.5958/0974-083X.2017.00001.2

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