What are the main principles of ethics?
- Respect for autonomy
- Non-maleficence
- Beneficence
- Justice
When might a patient be considered “incompetent” to consent or refuse treatment?
Under 18 years old - legally
is not considered of sound mind and judgement such as mental health patients
is under the influence of drugs/alcohol
How is Brain Death determined?
Determined by:
Unresponsive coma
Absence of brainstem reflexes
Absence of respiratory centre function
ANZICS recommends that death be determined to have occurred when all of the following features are present:
Immobility
Apnoea
Absent skin perfusion
Absence of circulation as evidenced by absent arterial pulsatility for a minimum of 2 minutes, as measured by feeling the pulse or, preferably, by monitoring the intra-arterial pressure
2 x medical practicioners
whole brain death is needed for a declaration of brain death.
Can patients refuse to be resuscitated? What are the reasons for this and how do they do this?
they can achieve this through an advance directive these caN BE DIRECTIVE OR PROXY.
Ethically acceptable and clinically desirable if reduces unnecessary patient suffering
what are 5 of the ANMC Code of Professional Conduct (2008)
- Nurses practise in a safe and competent manner.
- Nurses practise in accordance with the standards of the profession and broader health system.
- Nurses practise and conduct themselves in accordance with laws relevant to the profession and practice of nursing.
- Nurses respect the dignity, culture, ethnicity, values and beliefs of people receiving care and treatment, and of their colleagues.
- Nurses treat personal information obtained in a professional capacity as private and confidential.
- Nurses provide impartial, honest and accurate information in relation to nursing care and health care products.
- Nurses support the health, wellbeing and informed decision making of people requiring or receiving care.
- Nurses promote and preserve the trust and privilege inherent in the relationship between nurses and people receiving care.
- Nurses maintain and build on the community’s trust and confidence in the nursing profession.
10.Nurses practise nursing reflectively and ethically.
Professional Practice
What are 5 of the ANMC Code of Ethics (2008)
- Nurses value quality nursing care for all people.
- Nurses value respect and kindness for self and others.
- Nurses value the diversity of people.
- Nurses value access to quality nursing and health care for all people.
- Nurses value informed decision making.
- Nurses value a culture of safety in nursing and health care.
- Nurses value ethical management of information.
- Nurses value a socially, economically and ecologically sustainable environment promoting health and wellbeing
What is the Golden Hour
the first hour after a traumatic injury, when emergency treatment is most likely to be successful.
What roles do nurses have in the trauma team
Multidisciplinary Team Leader A B C Nurse 1 Nurse 2 Nurse 3 Scribe Specialities
What assessment methods are used to assess the trauma patient
Airway c-spine Breathing Circulation ; haemorrhage control Disability Exposure
Secondary
how much blood is potentially lost in a Humerus fracture
Humerus 500-1500mL
how much blood is potentially lost in a elbow fracture
Elbow 250-750mL
how much blood is potentially lost in a radius/ulna fracture
Radius/ulna 250-500mL
how much blood is potentially lost in a femur fracture
Femur 250-2000mL
how much blood is potentially lost in a pelvic fracture
Pelvis 500-3000mL
how much blood is potentially lost in a tib/fib fracture
Tibia/Fibula 250-2000mL
how much blood is potentially lost in a ankle fracture
Ankle 250-1000mL
