Ethical Considerations

Framework for Clinical Discussion and Activities: QSEN Competencies https://qsen.org/competencies/pre-licensure-ksas/

· Patient-Centered Care (PCC)

· Teamwork and Collaboration (TWC)

· Evidence-based Practice (EBP)

· Quality Improvement (QI)

· Safety (S)

· Informatics (I)

Pre-Clinical Work:

(Pre-clinical work is your “ticket” into clinical; the below section must be filled out before coming to clinical)

Please research the Ethical Principles below;

1. Beneficence

2. Autonomy

3. Justice

4. Fidelity

5. Veracity

In-Clinical Assignment:

In-Clinical Assignment

Write a reflection on Ethical Considerations when caring for a psychiatric patient.

· Ask a nurse about involuntary admissions.

· What is the criteria for involuntary admissions

· What is the number of physicians required to certify that the pt’s condition requires commitment?

· Can the pt request a legal review of the admission?

· What is the total number of days a pt can be placed on an involuntary admission before a provider and legal team need to review the admission?

· Based on your findings, what are your thoughts regarding involuntary admission?

· Ask a nurse about Client Rights regarding Seclusion and Restraint

· How often are patients placed in seclusion/restraints?

· When is it appropriate to put a pt in seclusion? When is it inappropriate?

· What are the nurse’s responsibilities when the pt is in seclusion/restraints?

· Based on your findings, do you think seclusion and restraints are ethical?

· It is essential that nurses document information related to violent and unusual episodes. What should this documentation cover? (hint-pt,staff, time)

· One minute care plan

Post-Clinical Discussion

· Nursing interventions to manage behaviors before applying mechanical restraints.

· Did you notice any unethical behaviors today? What makes you think they were unethical?