week9

Question 1

Ethics is ?

Answer 1

moral principles that govern a person’s behaviour or the conducting of an activity.

Question 2

Morality is?

Answer 2

Community norms, what is right and wrong

Question 3

Values means?

Answer 3

Individual beliefs and attitudes that influence actions and decisions

Question 4

Why is a framework required?

Answer 4

It is needed to analyse and synthesise information to make sound ethical and moral decisions

Question 5

What are the principles of moral reasoning?

Answer 5

Autonomy			
Non-maleficence
Beneficence			
Justice
Veracity and Fidelity

Question 6

What is Autonomy?

Answer 6

Autonomy is about a person’s right to make their own decisions.

Question 7

What is beneficence?

Answer 7

It is to do good, to act for the benefit of others

Question 8

What is non-maleficence?

Answer 8

To do no harm

Question 9

What is justice?

Answer 9

A fair, equitable and appropriate treatment in light of what is due or owed to an individual

Question 10

What are the 3 different types of consent?

Answer 10

Implied
Spoken
Written

Question 11

What must consent be to be valid?

Answer 11

It must be informed
be given voluntarily
Encompass the act to be performed
Be given by a person who is legally competent to do so

Question 12

What must an individual be able to do to be competent to give consent?

Answer 12

They must be able to comprehend and retain information
Believe it
Able to weight the information up
Make a decision based on that ability

Question 13

What may impair a person’s capacity to consent?

Answer 13

Legal capacity
Mental health issues/intellectual disability
Unsound of mind/impaired judgement
Legal age consent is 18

Question 14

What is patient advocacy?

Answer 14

When a person is chosen by an individual to make medical decisions on their behalf in the situation where the individual becomes incompetent

Question 15

What is medical futility?

Answer 15

A rational for why treatment, including lifesaving or sustaining treatment is not considered to be in the patients best interest

Question 16

What is a DNR?

Answer 16

Do not resuscitate – a decision to withhold CPR

Question 17

What is conscientious objection?

Answer 17

A refusal to participate in any procedure that would violate their reasoned moral conscious

Question 18

What is brain death determined by?

Answer 18

Unresponsive come Absence of brainstem reflexes

Absence of respiratory centre function Must be certified by 2 medical practitioners

Question 19

What are some of the symptoms of Brain death?

Answer 19

Immobility
apnoea
Absent skin perfusion
absence of circulation as evidenced by absent arterial pulsatility for a min 2min

Question 20

What is the purpose of a surgical scrub?

Answer 20

To remove as many microorganisms as possible

Question 21

When is this scrub completed?

Answer 21

Before procedures in the operating room

Question 22

How long is each surgical scrub?

Answer 22

First scrub of the day – 5mins

All others – 3mins

Question 23

What are the pre-operative checks completed?

Answer 23

Education			
Fasting
Consent			
Check valuables
Patient ID			
physical status
Gown/TEDS/Underwear		
removal of prosthetics/nail polish/contact lenses
Pre-medication

Question 24

What is involved in the recovery room handover?

Answer 24

Be aware of potential complications All equipment at beside ready for obs/procedures
Verbal handover form OT staff talk to patient
ABCDE assessment Obs/fluid balance
Inspect tubes & drains check med chart
Determine stability of patient documentation

Question 25

Requirements of Consent

Answer 25

Valid Consent
Freely and voluntarily given
Person has legal capacity to give consent
Person is informed of procedure

Question 26

Exceptions of not gaining consent

Answer 26

Patient does not have Capacity
Emergency situation
Advanced Health Directive

Question 27

Implied Consent?

Answer 27

The nurse must explain what they are going to do even although it has been done many times before