DAY 13

Goals:

1. describe ethical conduct
2. describe the rules of conduct for nursing assistants
3. 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

1. HW Review
2. CW Review
   1. Code of Conduct for Nursing Assistants
   2. Boundaries & the Helpful Zone
      1. Professional Boundaries
      2. Boundary Crossing
         1. brief; minor; unintentional
      3. Boundary Violation
         1. longer-term, cause harm to patient, with intent
3. Rules for Maintaining Professional Boundaries
   1. Of all the rules, which three do you think are the most commonly crossed?
   2. List them in your notes
      1. offensive language xxx
      2. dating/flirting/sex xx
      3. becoming friends xxxx
      4. gifts xxxxxxxxxxxxxxxxxx
      5. spending extra time w/ patient xx
      6. discussing sex w/ patient x
      7. sharing personal info xxxxxxx
4. Boundary Signs (6min)
   1. What would it mean if a doctor was thinking about a patient while not at work?
      1. attracted to them
      2. concerned about well-being
      3. figuring out the solution to the problem - researching treatment options
   2. What would it mean if a nurse believed that he/she was the only person who understands the patient and their needs?
      1. trying to get close
      2. been there before - trying to use prior knowledge to help patient
      3. too attached - should change patients
   3. 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?
      1. they know their stuff - feel like their right
      2. crossed a boundary
      3. NA isn't doing good work
      4. NA is hiding something
5. #013A: Ethical Scenarios
   1. You will be assigned one of three groups. I will be checking this assignment via GC. The groups are:
      1. Autonomy Case 1: Gabby, Becky, Roa, Gisselle, Heysel, Jocelyn, Jasmine, Miriam, Sam
      2. Autonomy Case 2 Erika, Victor, Cynthia, "Teacher", Garibay, Jonathan, Jason, Katherine, Diana
      3. Assisted Reproduction Case 1 Ruth, Erica, Chelcy, Erick, Camille, Areeya, Perla, Nathalie
   2. For your assigned topic, read the overview, then read the case on your own, and answer the questions.
   3. We will come together as small groups, and discuss our answers
   4. Each group will share out their results, and we will discuss whether or not the choice made was ethical
   5. LINK
6. Course Update:
   1. Flight Nurse & Nursing Instructor Betty Bjornsen
   2. 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?