dismissing of ones consciousness can lead to
desensitization and impaired ethical decision making
to conscientiously object, nurses must
have integrity and demonstrate consistency with deeply held ethical beliefs
conscience
inner moral compass for right/wrong in practice
stress of conscience
when a nurse repeatedly can’t act according to conscience and experiences burnout and numbing self to keep working
Conscientious objection
formal refusal to partake in certain aspect of care because it deeply violates moral/religious beliefs while ensuring the patient is not abandoned
when was conscientious objection introduced into the code of ethics
2008
when was MAID passed in Canadian legislation
June 2016
what is the eligibility criteria for MAID
18+
eligible for publicly funded services
voluntary request
informed consent
serious incurable illness
irreversible decline
suffering that cant be relieved under acceptable conditions
MAID safeguards for foreseeable deaths
can retract consent at any time
written request
approved by 2 doctors/NPs
MAID safeguards for deaths that are not foreseeable
-person must be informed on other options to relieve suffering
-must discuss with doc that they have tried all these other options
-eligibility assessment takes 90 days but can be shortened
waiving final consent after decision making capability is lost
MAID will stop if clear refusal is demonstrated. this does not include flinching for ex
role of RN in MAID includes
putting IV in
prepare medication
provide emotional support
RN responsibilities before practicing MAID
read criminal code sections
check CARNA guidance
know employer policy
follow provincial and employer policy
seek legal advice
special circumstances for informed consent
- life threatening emergencies
- research (needs more info)
- HIV testing (many risks)
euthanasia
act to bring about immediate death of terminally ill person
criminal code section 241(b)
crime to counsel someone about MAID
what are the three steps to public health decision making
- analyze ethical dimensions of public health decision
- formulate alternative courses of action
- provide justification for decision
how does resource allocation work in pandemic
based on clinical prognosis but if 2 ppl are same, it goes by lottery (who would do the most good with it)
in a pandemic, who gets liability protection
- RN, temporary permit holder, emergency permit, student, out of province nurses
professional licensure in pandemics
CRNA can broaden who can practice. ex- retired, students, out of province nurses
outbreak
localized. same area at the same time
pandemic
international and unpredictable
3 conditions necessary for a pandemic to occur
new virus emerged
virus makes humans very sick
spreads easily from person to person
when was the establishment of the public health agency of canada
2004
