Section Blare Alarm Assignment Help: How to Answer This Question
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Original Question
Section 1 The blare of an alarm jerks you into consciousness, and the first semi-coherent thought that goes through your mind is, “I need to get a different alarm clock”. Sighing heavily, you drag yourself out of bed to get ready for another day on the trauma unit. The first day back after a few days off is always the hardest, and you’ve got a stretch of three days in a row ahead of you. As you make your way through your morning routine, you wonder what the day holds in store for you. The 20-minute walk to the hospital wakes you up more effectively than the cup of coffee you gulped down. People constantly ask why you walk instead of just paying to park in the garage, but what they don’t realize is it’s a sort of therapy for you. Time before the shift to get yourself ready for the day and time afterwards to decompress. Little do you know how much you’ll need that walk home after your shift that day. Once you get to the hospital you make your way up to your floor. As the Level 1 trauma ICU for a big city, you see all kinds of crazy situations. Each day is different, and that’s what you love about your job. Your fellow nurses are a great team to work with and you all enjoy being kept on your toes. Everyone gathers in the conference room for the morning huddle and to get assignments, then spreads out for report from the night shift. The report you receive on one of your patients is as follows: “Chandra is a 20-year-old college student here in the city. Two days ago, she was on her way back from a night out with friends when their car was T-boned by a truck when it ran a red light. There were five people in the car, including Chandra’s twin sister. Chandra was in the back middle seat and the only survivor of the crash. She suffered a spinal cord injury at C5 causing total paralysis and is currently trached and vented. It’s hoped that some of the paralysis is due to spinal shock and will dissipate, however it’s still too early to tell. The trach was placed two days ago and there is a bit of bleeding, but she is tolerating it well. The neurologist is thinking though that with a bit more time and healing she will be able to be weaned off the vent. She is lethargic, but oriented x 4, and able to communicate by writing on a whiteboard. Her lung sounds are clear in all lobes bilaterally, vent settings are pressure-controlled with FiO2 at 40%, PEEP is 5, RR is 12, and Tidal Volume is 6. RT and Speech Therapy are working with her. She has normal sinus rhythm and is on continuous telemetry. Vitals are stable with the last ones taken at 0400 and are HR 80, BP 126/74, and temp 97.8. O2 sats hold between 90-93%, and both radial and pedal pulses are +2. She has hypoactive bowel sounds in all four quadrants, and has a Dobhoff placed in the right nares with continuous tube feeds running at 60ml/hr and 100ml bolus flush Qhour. She has a double lumen central line in the left subclavian, which is running normal saline at 125ml/hr. We are doing blood draws from the purple lumen. I just sent down a set and haven’t gotten lab results back yet, but yesterday her WBC was 11.7. Her parents flew in yesterday and are active in her care. The family is from India so there may be some cultural things we will have to manage. Any questions?” You don’t have any questions and the night nurse gives you report on your other 2 patients. After 10 minutes of looking up relevant patient information and organizing your day, you hit the ground running. Assessments completed, vital signs taken, and first round of medications given. Nothing in Chandra’s assessment changed from report, and the morning WBC came back 10.9. All other labs were in normal limits, and she looked to be your most stable patient. Just before you start noon vitals at 11am, Chandra’s parents arrive on the unit. They visit with her for a few minutes and then ask to speak with you privately. They tell you that Chandra doesn’t yet know that her twin sister died in the accident and they don’t want her to know. They’re worried that if she finds out she’ll just give up and die, so they’re forbidding anyone from telling her and have simply told her that her twin is in the same state as Chandra. Decision Whichever course of action you decide to take, explain the reason you chose your action. Please use any of the following to justify your decision: ethical principles, the value clarification process, moral/ethical terms, models of ethical reasoning, and/or the guidelines for analyzing ethical dilemmas. Option #1: Find the charge nurse and let him know that you are uncomfortable caring for Chandra due to the parents’ request. Go to page 3. Option #2: Go to the charge nurse and inform him that the parents have forbidden anyone from telling Chandra about her sister and they are lying to her. Go to page 4. Option #3: Respect the wishes of the parents and decide not to tell Chandra that her twin sister is dead. Go to page 5. Option #4: Decide that Chandra has a right to know about and tell her that her sister did not survive the accident. Go to page 6.
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