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Case study B
Ann is a night duty nurse in a local hospital. Over the past couple of weeks, she has been working a series of double shifts as several the nursing staff have been absent due to illness. In addition to the long working hours, Ann also cares for her disabled son and elderly mother at home and is usually extremely fatigued when she arrives for her shift. One evening during a particularly busy shift, Ann accidently administers the wrong medication to one patient, Bob. After realising her mistake, Ann immediately checks Bob’s medical history and is certain Bob won’t suffer any adverse reaction from her error. Bob is a particularly anxious patient and has previously been given incorrect medication. On that occasion he suffered no adverse reaction to the medication. However, he was so upset after hearing of the error that he decided to initiate legal action against the RN concerned. Ann discusses the matter with a colleague who suggests that, given Bob’s history, it is probably in Bob’s best interests if he is not told of the error as knowing about the error will only exacerbate his anxiety. The colleague adds, ‘We’re doing the best we can here. You just made a mistake.’
Scenarios taken from (and adapted);
McDonald, F., & Then, S. (2019) Ethics, law & health care: a guide for nurses and midwives (2nd ed.) (p. 180 & p. 270). Red Globe Press.

 
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