Goals:
describe ethical conduct
describe the rules of conduct for nursing assistants
Explain how to maintain professional boundaries
WARM-UP (8 min)
1. In your workbook, review TB pg 35 Box 4-1, and then use it to answer pg 17, #71-75
CLASSWORK
HW Review
CW Review
Code of Conduct for Nursing Assistants
Boundaries & the Helpful Zone
Professional Boundaries
Boundary Crossing
brief; minor; unintentional
Boundary Violation
longer-term, cause harm to patient, with intent
Rules for Maintaining Professional Boundaries
Of all the rules, which three do you think are the most commonly crossed?
List them in your notes
offensive language xxx
dating/flirting/sex xx
becoming friends xxxx
gifts xxxxxxxxxxxxxxxxxx
spending extra time w/ patient xx
discussing sex w/ patient x
sharing personal info xxxxxxx
Boundary Signs (6min)
What would it mean if a doctor was thinking about a patient while not at work?
attracted to them
concerned about well-being
figuring out the solution to the problem - researching treatment options
What would it mean if a nurse believed that he/she was the only person who understands the patient and their needs?
trying to get close
been there before - trying to use prior knowledge to help patient
too attached - should change patients
What would it mean if a nursing assistant got defensive when questioned about the care they gave to a patient, or their relationship with said patient?
they know their stuff - feel like their right
crossed a boundary
NA isn't doing good work
NA is hiding something
#013A: Ethical Scenarios
You will be assigned one of three groups. I will be checking this assignment via GC. The groups are:
Autonomy Case 1: Gabby, Becky, Roa, Gisselle, Heysel, Jocelyn, Jasmine, Miriam, Sam
Autonomy Case 2 Erika, Victor, Cynthia, "Teacher", Garibay, Jonathan, Jason, Katherine, Diana
Assisted Reproduction Case 1 Ruth, Erica, Chelcy, Erick, Camille, Areeya, Perla, Nathalie
For your assigned topic, read the overview, then read the case on your own, and answer the questions.
We will come together as small groups, and discuss our answers
Each group will share out their results, and we will discuss whether or not the choice made was ethical
Course Update:
Flight Nurse & Nursing Instructor Betty Bjornsen
https://www.lamission.edu/schedules/LAMC-Fall-Schedule-2017.pdf
HOMEWORK
1. #013A: Ethical Scenarios: Answer all questions. Post to GC
2. #013B: Consent
A. Read TB pg 38 on Informed Consent, and the box on Informed Consent on page 39
B. In your notes, list the 7 components a patient must understand in order for them to provide consent.
C. List the three types of consent
D. Can a patient provide consent without speaking or signing a form?
E. What must you do prior to asking the patient for their consent?