Develop a stance and provide support for your decision



Develop a stance and provide support for your decision



You are family nurse practitioner in busy emergency room. Mrs. Stewart brings her daughter, Paige,

in to the ER around 6:30 pm, shortly after she has gotten off work for the day. Paige, who is 6

years old, has been experiencing cold symptoms for the past several days and Mrs. Stewart is

concerned that the cough has gotten worse. She had called her pediatrician™s office that day and

they stated that they did not have an open appointment for the next 3 days and that if she was

concerned she could take Paige to the ER. Paige has is insured through the state Medicaid system

and Mrs. Stewart has had difficulty finding providers that accept this insurance.

Paige is taken to the triage center to be screened and is categorized as non-urgent by the triage

nurse. This particular ER does not have a separate unit or area for non-urgent or primary care

Mrs. Stewart became upset when she was told that although she could continue to wait for Paige to

be seen any urgent or emergent cases that came in would be seen first. She was encouraged to wait

for an appointment with Paige™s pediatrician or take her to a community health clinic in the area.

She was then provided a list of available clinics. The wait time was likely to be more than four

hours and she had to work the next day, she wanted to be certain that Paige was able to go to

school the next day.

The triage nurse comes to you to ask if you will take a moment to speak with Mrs. Stewart. She

explains the situation and wants you to encourage Mrs. Stewart to take Paige home and wait for her

to be seen in a clinic. You are aware of the EMTALA (Emergency Medical Treatment and Active Labor

Act) rules and know that you must assess Paige if Mrs. Stewart chooses to wait. You are also aware

of the difficulties a parent can face with taking time off work for several days with a sick


1. Review the case scenario
2. Describe the ethical problem
3. State what ethical principles are involved
4. Develop a stance and provide support for your decision
5. Discuss the possible consequences this may have on the situation
And we have the following after the scenario:

6)Should Mrs. Stewart utilize the emergency room for non-emergent situations?
7)What is the effect on health care resources?
8)What are the access to health care issues in this situation, and how could the nurse

practitioner help this family?
Week Four
¢ THIS IS THE TEXT FOR THE COURSE: Joel, L.A., (2013) Advanced practice nursing: Essential for

role development. (3rd Ed.). Philadelphia: F.A. Davis. ISBN-13: 978-0803627857

¢ Chapters 26, 27, and 28 from Advanced practice nursing: Essential for role development
¢ American Nurses Association (2001). Code of ethics for nurses with interpretive statements

¢ Buppert, C. (2008). Questions and answers about malpractice insurance (PDF). Dermatology

Nursing, 20(5), 405-406.
¢ Ethics Case Scenario (assigned by your instructor)

Please the questions should be the headings and the response follow the heading, so the writer

should have eight headings with eight answers, and this should be in APA six edition format

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