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Ethics, Biases and Responsibilities of Nursing

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Ethics, Biases and Responsibilities of Nursing
nancy kimmel
October 7, 2014

Ethics, Biases and Responsibilities of Nursing
On any given day, the nurse will be faced with ethical challenges. The consequences of the nurses action in doing the “right thing” creates a dislocation point within their peer and management group.(Huston, 2014, p. 256) From my personal experience I know of one ethical dilemma that I faced. It was the morning shift. I had just made rounds. As I sorted out the medications I was going to pass, I noticed that one of my patient’s medications consisted of Depakote®(“Valproic Acid and Pregnancy,” 2014), Zyprexa®(“What special precautions should I follow?,” 2014) and Tetracycline®(“What special precautions should I follow?,” 2014). This would not have been a problem except the nurses from the midnight shift stated that the patient was only three months pregnant and had stated she was going to have an abortion. I looked through the chart to see if there was a consent signed for a D &C. There was none. I also proceeded to check if the psychiatric medication consent form was signed. This form needed to be signed prior to administering any anti-psychotic medications. The Physician was responsible for explaining to the patient the side effects. Next, I noticed that the attending Physician wrote the order for the Tetracycline and that the Psychiatrist wrote the order for the anti-psychotic meds. After reading this, I went to the patient and explained to her that there could be very teterogenic side effects to her unborn fetus if she were to take these medications either together or individually. She stated that she didn’t care because she was planning to have an abortion. I graciously bowed out and went to my head nurse. I explained to my head nurse that without documentation of a procedure for a D & C or any signature from the patient indicating that they understood the side effects of the combined medications, I could not in good faith pass these meds. In fact, I added that she could change her mind in a few hours. My head nurse just looked at me and asked me if I was defying a Physicians order. I said, “Yes”. She then proceeded to call the nursing supervisor who also asked me if I was refusing to pass the meds. I told her that I would not pass the meds citing documentation via the Micro-Medex®(“Truven Health Analytics,” 2014) drug compatibility table and my nursing code of ethics, to do no harm.(“Code of Ethics for Nurses,” 2010) After a brief discussion with my head nurse, they relieved me of this patient and gave me someone else. The nurse who took over the care of my patient followed the Dr.’s orders and passed the meds. I was told to write an incident report.
Impact of Legal Responsibilities
My first and foremost responsibility is too my patient. That has and will always be how I practice nursing. However my stance, the actions that I took obviously affected the care of the patient and not for the better. Could I have done it differently? It is important that the nurse has a scope of practice. This is what guides us to know what we can and cannot do. As nurses we must be very careful what lines we cross. Physicians are notorious for asking us to perform skills not within the scope of our practice.
Strategies to Address Conflict
There is no easy answer but as a group voice we can be heard. Which is why being part of the legislative due process of lobbying, helps to have laws passed that protect the nurse and patient.(Mason, Leavitt, & Chaffee, 2014, p. 669) Joining a nursing association also helps bring a unique camaraderie for nurse in their field so specialty, where they can also find peer group support for their cause.

References
Code of Ethics for Nurses with interpretive statements. (2010). Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.pdf
Huston, C. J. (2014). Legal and Ethical Issues. In Professional Issues in Nursing Challenges & Opportunities (3rd Edition ed., pp. 256-262-262). Baltimore, MD: Lippincott Williams & Wilkins a Wolters Kluwer business.
Mason, D. J., Leavitt, J. K., & Chaffee, M. W. (2014). Policy and Politics in the Community. In M. Iannuzzi (Ed.), Policy & Politics in Nursing and Health Care (6th ed., pp. 668-669-669). St. Louis, MO: Elsevier Saunders.
Micromedex Solutions. (2014). Retrieved from http://micromedex.com/
Olanzapine. (2014). Retrieved from http://www.nlm.nih.gov/medlineplus/druginfo/meds/a601213.html
Tetracycline. (2014). Retrieved from http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682098.html
Valproic Acid and Pregnanacy. (2014). Retrieved from http://www.mothertobaby.org/files/Valproic_Acid.pdf


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Pass The NET, The First Time Now for Sale on Amazon

Written by kimmel52 on March 28, 2010 – 10:18 am

Professor Kimmel, RN, PhD now has her book for sale on Amazon.  The book, entitled, Pass The NET™, The First Time has helped students pass many of the nursing entrance tests that are offered through various nursing schools across the United States.  Nursing entrance tests such as the HESI, TEAS, HESI A2 and THE N.E.T. are the main nursing entrance tests that students are required to take prior to admission into nursing school.  Dr. Kimmel’s book has helped many aspiring nursing students get into nursing school.  Students who have used Dr. Kimmel’s book have increased their scores to competitive levels and have helped those taking the nursing entrance test pass the first time.  Now Dr. Kimmel’s book is for sale on Amazon.  This will help students find her book more readily so that they can  have access to the wealth of information contained in the book, such as practice exams on Chemistry, Anatomy and Physiology, Biology, English Grammar, Math and Reading Comprehension.  Dr. Kimmel is also offering those who purchase the book from Amazon a free subscription to the Nurses Learning Center, where students can practice tests online that are similar in content to the HESI, HESI A2, TEAS and the N.E.T.  Nurse educators in Toronto are also using Dr. Kimmel’s study guides as practice tools for nursing students.


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“Pass The NET” Awarded U.S. Trademark

Written by kimmel52 on February 7, 2010 – 10:29 am

Dearborn Heights MI.
Author Nancy L. Kimmel RN, PhD, CHMM, CPI, CNAT has been officially awarded a trade mark on the name of her book entitled, PASS THE NET™. 

the ultimate guide to the HESI, HESI A2, TEAS and nursing entrance Test

the ultimate guide to the HESI, HESI A2, TEAS and nursing entrance Test

Professor Kimmel’s book is already in its fourth printing at Henry Ford Community College and on its third printing at Wayne County Community College.  Having a registered trade mark will now allow Professor Kimmel to reach out to the rest of the U.S. higher institutions of learning for book sales.  Very soon Professor Kimmels book, Pass The NET will be offered for sale on such reputable sites such as Amazon, Borders and Barnes and Noble.   This is a very exciting time for Professor Kimmel.  She has spent many years of tutoring and teaching students to pass the net, (nursing entrance test), HESI, HESI A2 and the TEAS to students in South Eastern MI.  She has received much praise and accolades from her students stating that her book has helped them to pass the Nursing Entrance Test, the HESI, the HESI A2 and the TEAS tests with higher than required scores.  One student who just recently sat for the TEAS test, stated that Professors Kimmel’s book helped her score into the Registered Nurse Program at ITT in Dearborn, MI.  Her scores were in the high 80’s.  The nursing program would only take those who scored the highest on the TEAS Test.  Now she will start her Registered Nursing Program in one month.

“Helping students gain entry into the nursing program is my goal.  I believe that there are many wonderful people who should be given the best opportunity possible to pass the various nursing entrance tests that are required throughout the U.S.  Students must be given complete and comprehensive study materials that represent the tests that they will take.  My book, Pass The NET, will not only challenge their intellect, but simulate their critical thinking skills and give them the necessary and pertinent information to help them pass the nursing entrance tests.”

Professor Kimmel’s trade mark is just one addition to her repertoire of degrees and awards.  Professor Kimmel was issued a Patent recently as well on a revolutionary air filter that can actually make a molecule of oxygen.  As Professor Kimmel continues to be an ardent educator and author, she states that her goals are far from complete, “I hope to  develop a website designed for nurses and those students desiring to become nurses that allow them to access many educational portals to assist them in their career goals.”

One of the biggest hurdles that students find in applying to nursing schools, is that now it is not enough to just pass the net.  Now they must score in a sufficiently high percentile to be able to gain entrance into nursing school.  With all of the other books that are on the market, Professor Kimmel’s, Pass The NET is certainly the best choice for students who are serious about pass nursing entrance tests with the highest scores possible.  Professor Kimmel also has a website dedicated to online testing that parallels the material in her book.  The website is www.nurseslearningcenter.com/testing
“Professor Kimmel, congratulations on your first U.S. Trademark on We will definitely be hearing again from you soon no doubt.”

PASS THE NET will help you get into nursing school

PASS THE NET will help you get into nursing school


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Phlebotomy Student Externship Contract with Oakwood Hospital

Written by kimmel52 on November 27, 2009 – 12:47 am

Phlebotomy Career Training

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Phone: 734-762-3220

Date: 11/27/09

Why not become a phlebotomist Phlebotomy Career Training LLC is pleased to announce that a contract with Oakwood Hospital laboratories in Dearborn, Michigan has been finalized.  This contract will allow our students to participate in actual lab procedures.  Students will be able to complete their one hundred draws while doing their phlebotomy externship at various Oakwood Hospital lab sites.

If you have the desire to go into nursing, then you must first get ready to take the N.E.T., the HESI or the TEAS entrance test. You can begin preparing for your career by practicing your skills using the online tutorials and tests at The Nurses Learning Center. There are over 1000 questions and answers. You will get unlimited internet access, 24/7. It is yours to keep. New questions are added daily. It’s like sitting for the N.E.T., The HESI or the TEAS in your home.


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Pass The N.E.T. and Become a Nurse!

Written by kimmel52 on November 26, 2009 – 7:28 pm

How does one go about to becoming  a Nurse?
There are several ways to become as a Registered Nurse: First and foremost you must pass the NURSING ENTRANCE TEST, THE N.E.T., THE HESI OR THE TEAS-ATT. After which the student will gain entry into the nursing program to earn an associate degree, bachelors degree or diploma as a registered nurse.  There are not as many diploma programs around as there once was.  Twenty to thirty years ago, it was commonplace for an student of nursing to live and work at a hospital.  It was at the hospital that the nurse was trained.  There the student learned hands on the true duties of a nurse.  There was book learning as well, but not as much as there is today.  There are diploma programs available for Licensed Practical Nurses.  There is one in Toledo, Ohio.  It has a waiting list about as long as registered nursing programs. Read more »


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Pass The Nursing Entrance Test Reading Comprehension

Written by kimmel52 on October 23, 2009 – 7:29 pm

By Nancy l Kimmel RN Phd CHMM

How does one approach the reading comprehension section on the Nursing Entrance Test? Many for one are unprepared for the wealth of reading that is required and the computerized method of testing. It can be difficult for those who are not computer savvy to comfortably navigate from page to another and go back to re-read. Time is of course of the essence in taking any test. The questions are at best hard to assimilate due to the ambiguous nature of the way that they are asked. This can be a stumbling block for those who are not prepared before hand for the reading comprehension section of the Nursing Entrance Test. Read more »


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