Assignment 4: Ethics
Digital Clinical Experience Score
83.5%
Debrief
Time: 1535
You have just completed the assignment about ethics. We're going to take some time to debrief you on what you've done so far. To
begin, you'll have the opportunity to identify and discuss thoughts and feelings about the assignment. Next, we will consider how
,the models and processes you've read about in the Leadership Toolkit apply to the events of the assignment. We'll finish the
debrief by working through ways you can integrate what you've learned with future clinical practice. This debriefing activity does
not impact your scoring in this assignment, and you can speak freely about your experiences. You can expect this activity to take
30-45 minutes.
Understood. Let's get started.
Great. For this beginning portion of the debrief, I will ask you about your perceptions and thoughts of the simulation and your
performance in it. You can expect to spend 3-5 minutes on each question in this section.
In the assignment you just completed, you were required to carefully consider professional ethics to navigate challenging clinical
situations, such as a patient's significant other trying to solicit sensitive medical information and a patient's daughter disagreeing
with her mother's DNR. How do you feel about your performance in these situations?
I have neutral or mixed feelings about my performance.
These conversations are difficult, and I understand why you'd feel this way. Please explain what went well and what you wish had
gone differently.
Answer Preceptor Diana's question here.
Well, I constantly second guess myself
Thank you. As we previously discussed, Mr. Patel's girlfriend Miranda solicited you for confidential information about Mr. Patel's
condition. How did you feel when pressured to violate your professional ethics and privacy laws?
She was forceful only because she cared so much, but I know better then to gve out information to protect the patients
safety
In this assignment, you were unable to contact Dr. Tremblay, one of Mrs. O'Connor's providers, requiring you to speak to Charge
Nurse Angela. How did you feel about escalating your concern up the Shadow General chain of command?
Answer Preceptor Diana's question here.
Charge nurse was helpful and imformative with following policy
, Now that we've discussed your perception of the simulation and your performance, I'm going to ask you some questions about
applying the models and processes you used in the simulation. You can expect to spend 3-5 minutes on each question in this
section of the debrief.
During this assignment, you were involved in a disagreement between your patient Mrs. O'Connor and her daughter Ava. Review
the excerpt from your conversation below.
Ava: Mom, stop. You're not signing a DNR, don't be stupid. Debbie: Ava, listen to me. I've been thinking about this for a long
time. There's just no point. I'm grateful for everything in my life, and for you, and our home, and everything. I love you. But the
way I look at it, if I'm getting sick enough to where I'm freakin' unconscious, what kind of life is that to keep living anyway?
Ava: . . . Nurse, she's clearly not in a right frame of mind to be making any big decisions. You don't have to get a form or anything,
but thank you, and that's all we need you for. Debbie: Ava, come on . . . <b>Your answer:</b> Only a provider can assess a
patient's mental readiness to sign legal documents. Mrs. O'Connor has the last word on whether she is requesting a DNR. As this is
her request, I will call in a provider at the end of our discussion. Ava: Hmph.
You selected the correct response in this exchange. What are three possible consequences for responding incorrectly and agreeing
with Ava by discouraging Mrs. O'Connor from signing a DNR?
I understand that it is hard for family members not want to lose their mom or dad, but I have to respect the patients
overall wishes in which the doctor is the only one can writer orders for an DNR
During the assignment, Mr. Liu requested that you halt his opioid treatment. Review your conversation with him below.
Samuel: So, I was fine taking opioids at first because I was in serious pain, but I've had some time to think it over, and I don't want
to be on this stuff anymore. I should have said something sooner, but I didn't want to be annoying. <b>Your answer:</b> Please
don't think your questions and concerns are annoying. My job is to be here for anything you might need, and I'm glad you brought
this to my attention. Why don't we discuss your concerns more in-depth and then I'd be happy to accommodate your wishes.
Samuel: Oh, right on. I was worried you were going to keep pushing them on me.
The correct response is "Thank you for expressing your concerns about opioids, which is perfectly within your rights. Let’s
discuss this further to make sure you are able to make an informed decision about any choices that might impact your health and
recovery." Why is this a more effective response than your answer?
Answer Preceptor Diana's question here.
Digital Clinical Experience Score
83.5%
Debrief
Time: 1535
You have just completed the assignment about ethics. We're going to take some time to debrief you on what you've done so far. To
begin, you'll have the opportunity to identify and discuss thoughts and feelings about the assignment. Next, we will consider how
,the models and processes you've read about in the Leadership Toolkit apply to the events of the assignment. We'll finish the
debrief by working through ways you can integrate what you've learned with future clinical practice. This debriefing activity does
not impact your scoring in this assignment, and you can speak freely about your experiences. You can expect this activity to take
30-45 minutes.
Understood. Let's get started.
Great. For this beginning portion of the debrief, I will ask you about your perceptions and thoughts of the simulation and your
performance in it. You can expect to spend 3-5 minutes on each question in this section.
In the assignment you just completed, you were required to carefully consider professional ethics to navigate challenging clinical
situations, such as a patient's significant other trying to solicit sensitive medical information and a patient's daughter disagreeing
with her mother's DNR. How do you feel about your performance in these situations?
I have neutral or mixed feelings about my performance.
These conversations are difficult, and I understand why you'd feel this way. Please explain what went well and what you wish had
gone differently.
Answer Preceptor Diana's question here.
Well, I constantly second guess myself
Thank you. As we previously discussed, Mr. Patel's girlfriend Miranda solicited you for confidential information about Mr. Patel's
condition. How did you feel when pressured to violate your professional ethics and privacy laws?
She was forceful only because she cared so much, but I know better then to gve out information to protect the patients
safety
In this assignment, you were unable to contact Dr. Tremblay, one of Mrs. O'Connor's providers, requiring you to speak to Charge
Nurse Angela. How did you feel about escalating your concern up the Shadow General chain of command?
Answer Preceptor Diana's question here.
Charge nurse was helpful and imformative with following policy
, Now that we've discussed your perception of the simulation and your performance, I'm going to ask you some questions about
applying the models and processes you used in the simulation. You can expect to spend 3-5 minutes on each question in this
section of the debrief.
During this assignment, you were involved in a disagreement between your patient Mrs. O'Connor and her daughter Ava. Review
the excerpt from your conversation below.
Ava: Mom, stop. You're not signing a DNR, don't be stupid. Debbie: Ava, listen to me. I've been thinking about this for a long
time. There's just no point. I'm grateful for everything in my life, and for you, and our home, and everything. I love you. But the
way I look at it, if I'm getting sick enough to where I'm freakin' unconscious, what kind of life is that to keep living anyway?
Ava: . . . Nurse, she's clearly not in a right frame of mind to be making any big decisions. You don't have to get a form or anything,
but thank you, and that's all we need you for. Debbie: Ava, come on . . . <b>Your answer:</b> Only a provider can assess a
patient's mental readiness to sign legal documents. Mrs. O'Connor has the last word on whether she is requesting a DNR. As this is
her request, I will call in a provider at the end of our discussion. Ava: Hmph.
You selected the correct response in this exchange. What are three possible consequences for responding incorrectly and agreeing
with Ava by discouraging Mrs. O'Connor from signing a DNR?
I understand that it is hard for family members not want to lose their mom or dad, but I have to respect the patients
overall wishes in which the doctor is the only one can writer orders for an DNR
During the assignment, Mr. Liu requested that you halt his opioid treatment. Review your conversation with him below.
Samuel: So, I was fine taking opioids at first because I was in serious pain, but I've had some time to think it over, and I don't want
to be on this stuff anymore. I should have said something sooner, but I didn't want to be annoying. <b>Your answer:</b> Please
don't think your questions and concerns are annoying. My job is to be here for anything you might need, and I'm glad you brought
this to my attention. Why don't we discuss your concerns more in-depth and then I'd be happy to accommodate your wishes.
Samuel: Oh, right on. I was worried you were going to keep pushing them on me.
The correct response is "Thank you for expressing your concerns about opioids, which is perfectly within your rights. Let’s
discuss this further to make sure you are able to make an informed decision about any choices that might impact your health and
recovery." Why is this a more effective response than your answer?
Answer Preceptor Diana's question here.
