How to Answer Beverly Nurse Manager Questions (Complete Guide)

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Original Question

Beverly is a nurse manager in a busy operating room. She is logged into a computer at the O.R. desk. Beverly is summoned by a circulating nurse down the hall to speak with one of the surgeons regarding equipment needs for his next case. Since one was sitting at the O.R. desk and thinking she would be right back, she did not lock her computer. Lisa, a Certified Registered Nurse Anesthetist (CRNA), who is waiting for her next patient to arrive, sits down at the O.R. desk. She notices the computer at the desk is not locked. Lisa decides to access a coworker’s EHR, who had a surgical procedure earlier that day that was anesthetized by an anesthesiologist. The circulating RN and scrub tech, who are waiting on the same patient, come and sit with Lisa at the O.R. desk. Lisa shares the information about their colleague’s procedure, diagnosis, and prognosis as denoted in the physician progress notes. Lisa also pulls up diagnostic reports on the computer and shows them the results. Once the coworker is discharged from the hospital, the circulating RN shares with her that Lisa has been in her EHR and discussing her case, diagnosis, and prognosis with her and the scrub tech. The patient/OR employee reported this incident to the director of Perioperative Services and to Corporate Compliance. An investigation was conducted. What ethical principles have been compromised by both Beverly and Lisa? What role did technology play in this situation? From the perspective of a nursing leader, how should this investigation be handled? Should disciplinary action be pursued for either Beverly or Lisa? Explain your answer regarding both individuals. Did the RN and the scrub tech take appropriate action? If not, what action(s) should the circulating RN and the scrub tech have taken?

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