Session 22 - DEI Considerations

Question 1

• should drive how decisions are made.

- in ER, if unstable, MD should treat/stabilize

Answer 1

patient’s medical condition

Question 2

• reassignment based on bigotry may be due to patient’s status – delirium, dementia, psychosis
• patients with significant cognitive impairment are generally not held to be ethically responsible.

Answer 2

patient’s decision-making capacity

Question 3

• establish mutually acceptable expectations and conditions that patient is seeking and needs
• seek assistance from family members who may persuade the patient to accept treatment.
• ER scenario: Decide among physicians the feasibility and practicality of reassignment or until another MD comes on duty.
• assign an RN or Medical Resident (overseen by MD care) to perform physical evaluation yet inform pt. this is not standard care.
• inform patient regardless of care provider, that hateful or racist speech is not allowed.

Answer 3

options for responding to the request