Questions: For this paper (written in APA format, 3–5 pages), reflect on the presentations, Ethics in Emergent Situations, Part 1 (Links to an external site.) and Part 2 (Links to an external site.). Would knowing the outcome have changed the decisions and ethics chosen in Part 1? Focusing on these scenarios, how did you feel? How would you imagine you would have reacted if this had happened to you in real life? Were your ethical choices correct? Have you ever experienced anything like this? Looking back, what would you have done differently?
Reflect on your personal ethical decision-making tree. Do you have one? Should you? How do you make life-and-death decisions? What is your moral compass? How big of a role does ethics play in this? Have you ever considered this before? What ethical theory do you feel most in line with?
What are your thoughts on this learning experience in general? Was it a useful learning experience? What specific perspectives did you acquire as a result? What have you learned about yourself as a result of this experience?
Ethics in Emergent Situations Part 1 Transcriipt
A well-known cardiothoracic surgeon, Dr. Wilbanks, and his wife present to the women’s center at your rural facility. You have placed them in observation and are awaiting a few tests.
The wife, Sarah, has been placed on monitors and is determined to be in active labor. All attempts to stop labor have failed. Ultrasound shows the fetus measuring at 23 weeks and 0 days gestation, weighing approximately 475 grams. The fetus is also found to be male. You are unable to ship her to another location due to the progression of her labor.
You, the sole provider on the unit, know that delivery is imminent and discuss this with Dr. Wilbanks and Sarah. You go over the complications that may occur at the edge of viability and discuss resuscitation options. Sarah looks to her husband for answers and states she trusts his judgment.
As she is being rushed back for an emergency Cesarean section, Dr. Wilbanks states:
“I do not want any resuscitation efforts performed. The baby is too early and would only have a multitude of issues. Raising a child like that would be too much of a burden on my wife and I. We can always try again. I’ve performed surgeries on these types various times, and they never turn out normal.”
Part 2
A few days later, the father, the local surgeon, is discussing outcomes with you during your rounds. The infant has been found to have a large brain bleed post-resuscitation. You explain to the father that this is a common occurrence of prematurity with emergent resuscitation. The father states:
“This is why I didn’t want him resuscitated.”
The mother, who is also present, starts to cry. How do you communicate your ethical obligations to a patient parent that is this upset? Later that evening, the father asks the RN on duty if he can spend some time alone with his son. The RN, who is unaware of the history with this family, leaves the room and pulls the curtain to allow for privacy. After a few minutes, the father places the central monitor on standby, turns off the ventilator, and extubates the baby and allows the baby to die.
Around 30 minutes later, the RN notices the patient is missing from the central monitor. She goes into the room to check on the infant and finds the baby blue, cold, and nonresponsive. The father is not in the room. She calls a code, but the team is unable to successfully resuscitate the baby.
Upon review of security video, the police are called, and the father confesses. He was later trialed and sentenced for the murder of his newborn son. This scenario is based on a true story.
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