Critical Thinking Case Study
Critical Thinking Case Study
Anthony Mathew
Dean Rea
CSS/330
12 June 2004
As a not for profit organization we must insure that we provide the best possible treatment while maintaining a close watch on our expenses. We must maintain a high degree of professionalism by following all directives, guidelines and rules. By doing this we prevent mistakes from happening that could jeopardize or organization and our patients.
Currently we are experiencing a wide variety of problems that are negatively affecting our ability to effectively care for our patients while maintaining costs to the prescribed limits. It has come to my attention that some staff members are writing their own directives to either add to or take away from current directives. The directives are in place for the safety of our patients and staff. Changing a directive could result in the failure to treat a patient resulting in court action that not only affects the treating physician but also the stockholders. Not only is this a legal matter, but it also has ethical implications. Is it ethical to treat one patient and not another? No, we should strive for the ethical treatment of all our patients. Directives will only be changed or amended by senior management and only with the approval of the board and current attorneys. This will be done to insure an effective and safe environment for the staff and our patients.
Due to the changes to the directives by certain staff, not everyone is on the same sheet of paper, or following the same guidelines. This has resulted in staff not providing to the best wishes of the patient or to the patients family. For example, a DNR means just that, do not resuscitate, this is not an arguable topic. If a patient or their family has requested this it is no longer up to the staff not to follow it. This is a prime example of staff not working towards the best interests of the patient and their loved ones.
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