capstone powerpoint ethics
TRANSCRIPT
Working to Full Scope of Practice in unison with PN
Ethics: Wound Care, Tracheostomy's, and
Drains
Presented By: Chandra Campbell, Lisa Gillespie, DanilZaytsev, Navjot Saini
OVERVIEW
1.What is PN ethics2.The Code of ethics 3.Spheres of the scope of practice4.Ethical Principles5.Ethical Principles and Nursing Practice6.Accepting Accountability7.Tracheostomy’s8.Wound Care9.When things go beyond scope10.Drains11.Consultation for Assistance
What is PN Ethics?
Protects Clients
Code of ethics
Guide what is right and wrong
Motives behind determining outcomes through those actions and their consequences of those actions on clients
Support guiding actions nursing related
The Code of Ethics
The "Code of Ethics and Standards of Practice" for licensed practical nurses of Alberta is a foundation of our profession (CLPNA: Code of Ethics and Standards of Practice, 2008, p.2). It serves us as a reference guide for building ethical relationships with our colleagues and patients, it explains our responsibilities on workplace, and directs our practice towards standards of law and existing regulations. This ethical foundation also underlines the role of philosophical values in our profession such as personal obligations, individual commitments, and believes by establishing ethical standards in order to match expectations of general public and community. The code also serves us as a tool for self reflective evaluation and it is essential for maintaining safe, companionate, and ethical environment in our workplace (CLPNA: Code of Ethics and Standards of Practice, 2008, p.2).
The Code of Ethics is based on several assumptions such as promotion of health and well-being to all patients, preserving their dignity, maintaining privacy and confidentiality, promotion of justice, and accountability that should never be compromised by any means
(Cassells & Gaul, 1998, p.10)
Spheres of the Scope of Practice
CLPNA
Institutional Policies
Student’s Scope
Ethical Principles
Through guiding principles as professionals we are able to :
make informed decisions
Deliver more competent care
Are in place to PROTECT THE RIGHTS of the individuals we care for
These principles are the rights for clients:
1.Autonomy
2.Nonmaleficence
3.Justice
4.Fidelity
5.Veracity
6.Accountability
What these Principles mean in current nursing practice
Autonomy-Right to make decisions that impact oneself and take action from those decisions,
Nonmalificence-Do no harm
Beneficence-act in the best interest of others, includes client advocacy, 3 parts: Promote good, prevent harm or evil, Remove Harm or evil
Fedelity-Faithful to ethical principles, and code of ethics for nursing, keeping commitments and promises made to clients
Justice-Fair, equitable, and appropriate treatment, equal distribution of resources
Veracity-To tell the truth
Accountability-Being answerable to self and others based on action, includes responsibility for ones actions for procedures performed as a nurse
Accepting Accountability
Ethical Principles
Scope of practice
Common Drains
Tracheostomy tubes
Tracheostomy tubes
Cuffed tube with disposable and reusable inner cannula
Tracheostomy Tubes
Cuff less Tube with disposable and reusable inner cannula
Types of Tracheostomy tubes
Fenestrated cuffed and cufflesstracheostomy tubes
Wound Care
beyond the dermis beyond
beyond the point in the nasal passages where they normally narrow
the external ear canal
beyond the pharynx
beyond the opening of the urethra
beyond the labia majora
beyond the anal verge
into an artificial opening into the body.
http://peltons.com/
When to stop: Anatomical levels of reference
http://www.health.gov.bc.ca/professional-regulation/hpc/review/part-i/scope-lpnurse.html#IIIA1
When Things Go Beyond Scope of practice
When it is considered that the needs of the patientgo beyond the scope of practice of LPN, the RN wouldtake accountability for the client’s care, in opendiscussion with RN practical nurse should decide which ofthe following options would be the most appropriate:
• RN and LPN work together to provide the required care
• LPN works under the supervision or guidance of RN
(direct/indirect)
• LPN delegate the care for the client to RN
https://www.youtube.com/watch?v=uXBssToP4gk
Drains: Working within the LPN Scope .
Within Scope of
Practise
Outside Scope of Practise
• Jackson Pratt Drain• Nasogastric Tubes (NG Tubes)• Hemovac Drain • Blake Drain • Davol Drain • Flex-I Seal Rectal Tube& Collecting System• Penrose Drain
• Percutaneous Drain/ Stent:
Cook drain/ Pigtail drain/ CT drain• Malecot Drain• T-Tube Drain
Purpose: Seek clarification, assistance and exterior knowledgeto assist in decision making pertaining to critical thinking and administration of care.
Resource's available:
• Fellow Staff Members• Alberta Health Services Policy • & Procedures Manual• Unit In-Service/ Education Days• Charge Nurse• Specialized Nursing Staff (Wound Care)• **Unit Educator**
Priority: Patient Safety!
From Us to You
Nursing comes with a price we all must pay and the path is not always laid with gold. Work hard to learn what you can as students’ knowledge is something we strive for to make us not just better nurses but people as well.
It is the people we care for that teach us about life, values, and form the experiences that help us grow as individuals in our practice.
It’s our responsibility to ensure their safety in our care as we grow, learn, laugh, and cry with them through their experiences to apply it so that the gold we weave can make a lasting impact on the lives we will touch throughout our careers.
Reference Bow Valley College, BVC. (2014). Practical nursing program diploma curriculum. Calgary, AB: BVCCanadian Council for Practical Nurse Regulation, CCPNR. (2013). Code of ethics for licensed practical nurses in Canada. Retrieved from: http://www.clpna.com/wp-content/uploads/2013/02/doc_CCPNR_CLPNA_Code_of_Ethics.pdf
College of Licenced Practical Nurses of Alberta. (2013). Pp. 04, 05. Retrieved fromhttp://www.clpna.com/wpcontent/uploads/2013/02/doc_CCPNR_CLPNA_Standards_of_ Practice.pds
College of Licensed Practical Nurses of Alberta, CLPNA. (2008). Code of ethics and standards of practice. Retrieved from: http://www.clpna.com/wp- content/uploads/2013 /02/doc_CLPNAEthics-Standards.pdf
Cassells, J., & Gaul, A. (1998). An ethical assessment framework for nursing practice. Maryland Nurse, 17(1), 9-12.
Hogan A. (2012). Comprehensive review for NCLEX-PN Reviews & Rationales (2nd ed.), Amherst: Pearson Education Inc.
Kozier, B., Erb, G., Berman, A., Snyder, S., Bouchal, D. S. R., Hirst, S., et al. (2010). Fundamentals of Canadian nursing: Concepts, process, and practice (2nd Canadian ed.). Toronto: Pearson Education
Linton A. (2012). Introduction to medical-surgical nursing. (5th ed.), Philadelphia: Saunders Elsevier