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Ethical Decision Paper

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Submitted By moronica
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Ethical Health Care scenarios
Veronica George
HCS/335
October 5th 2015
Lawrence Fergus

Ethical Health Care scenarios
Scenarios1: Medial Coding in a Physician Practice
By obtaining the maximum repayment for services that were not performed is not only unethical but it is also illegal. This will lead into manipulating documentation, and also I would be manipulating the patients who pay out of pocket, the patient’s insurance companies and ultimately I will be committing fraud. By “up-code” billing, i am not being ethical nor am I leading by the physician’s practice mission statements, or the rules and guidelines. What am really doing is falsifying documentation, in order for the physician’s practice to get the best reimbursement, make the practice’s revenue projections look better. With this action not only could I get into legal trouble, it is also putting the practice in a position to be closed down, and the physician can lose their license, and the ability to practice medicine again. After all he took a Hippocratic Oath that he should live by as well as run his practice according to the mission statement.
Scenario 2: Administration of Patient Medications in the Hospital Setting As a new graduate nurse working nights on a busy medical unit medication error is a possibility. Reporting a medication incident as a novice nurse becomes very challenging. Although it is unethical, dangerous, and possibly grounds for a lawsuit, I think as a newly graduate nurse clinician I may choose not to report the incident, because first of the fear of being reprimanded and possibly terminated. Then also fear of being reported to the licensing boards and possible losing my license to practice nursing. Another reason would be it will damage my self-confidence and attach a stigma of untrustworthiness among my colleagues. I will become so terrified of losing my job that I would be willing to go through any lengths to keep from reporting this incident. Although I know it is unethical and that it is required to report the incident I am going to take measures to keep the incident from being reported. I will also take extra precautions by monitoring the patient that I have overdosed and make sure the patient does not suffer any injuries or die. This way if the patient comes through this ordeal okay then there will never be a reason to report the incident and I will escape the legal ramification but the ethical issues will remain.
Scenario 3: Not Hiring a Qualified Individual Because of Discrimination As the new Human Resource Director of a nonprofit organization it is my ethical duty and obligation to inform the CEO of the organization that it is forbidden by federal and state laws, to discriminate against an individual base of their ethnicity, race, or cultural orientation. It also goes against the mission statement and what the organization stands for. Also if the individual suspects that they did not receive the position due to discrimination then the individual could possibly file discrimination charges against the organization. Which will exploit the CEO since he is the head of the organization. I will make sure to inform the CEO that the individual he wishes not to hire is indeed the only candidate that is more experienced for the position, as well as the most qualified. Explain how he will not only lose the respect of others in the workplace, but it will also reduce productivity at work. No one wants to work for someone who does not lead by example and live up to the organizations mission statement.

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