Write a 700- to 1,050-word reflective journal in which you answer the following questions: Near the beginning of my shift we admitted a 16-year-old mother, Rachel Banks. She’s in her tenth hour of labor now.

Write a 700- to 1,050-word reflective journal in which you answer the following questions:
Near the beginning of my shift we admitted a 16-year-old mother, Rachel Banks. She’s in her tenth hour of labor now.

o What were the ethical issues presented in the simulation?
o What decision-making steps did you take to ethically address these issues?
o What ethical perspectives, or lenses, did you use to make your decisions in the simulation?
o How did these ethical perspectives, or lenses, influence your decisions?
o How might concepts from this simulation relate to your workplace?

Dilemma 1
You are a supervising nurse in Seva Medical Center’s Ob/Gyn department. Earlier today, a minor unwed mother in the early stages of labor was admitted, accompanied by her parents. As your night shift begins, you see a few emails about the situation….

From Subject
Brenda Willis Patient to watch
From: Brenda Willis
To: MORGAN

Patient to watch

Just a quick note as your shift starts:

Near the beginning of my shift we admitted a 16-year-old mother, Rachel Banks. She’s in her tenth hour of labor now. Her parents have been with her, and they have chosen to limit the amount of medication and other medical assistance we’ve administered for personal reasons. Given the length of her labor, however, her situation could worsen. Keep a close eye on her. I’m not sure her parents understand how dangerous her situation could get.

Brenda Willis, RN
Shift Supervisor
Seva Medical Center
Harold Mills Staffing Adjustment
From: Harold Mills
To: MORGAN

Staffing Adjustment

Greetings:

Due to recent financial shortfalls, we’ve had to cut back on staff in your department. This readjustment of personnel will reduce the number of on-call physicians available during your shift. We have confidence that our exemplary nursing staff, under your capable leadership, can adjust to this restructuring with a minimum of difficulty.

Harold Mills
VP of Human Resources
Seva Medical Center
Stan Kirk Visitor
From: Stan Kirk
To: MORGAN

Visitor

Hey:

We just had a visit from a Joseph Banks, brother of a sixteen-year-old patient, Rachel Banks. He was really upset. He said Rachel’s parents were “punishing” her for getting pregnant before she was married and withholding painkillers and treatment. According to Joseph, the whole family had a big argument and the father said Rachel was being “judged” and “if God wants the child to survive, it will be Him, not the hospital, who protects her.”

I told him the staff here would do everything they could to keep Rachel and her child safe, but I also reminded him that Rachel’s a minor, and legally that means the parents make the call. The last thing we need is a big lawsuit.

In the end, I convinced him not to go into Ob/Gyn and make a scene, but I thought I should tell you about the incident just in case.

Stan Kirk
Reception
Seva Medical Center

Harold Mills Annual Performance Review
From: Harold Mills
To: MORGAN

Annual Performance Review

Just a reminder: We’ll be conducting your annual Performance Review this week. Be sure to review your Job Description so you can discuss with us in detail how you fulfill the requirements of your role and how you’ve attempted to meet your goals. Also, please keep Rian’s advice on ethical decision making in mind. Finding leaders who can make ethical decisions is one of Seva’s highest priorities.

Here’s your current job description:

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