Ethical and Legal Concerns for Emergency Room Physicians

Ethical and Legal Concerns for Emergency Room Physicians

There are unique ethical and legal obligations of the Emergency Room Physician. Commonly faced issues include patient “dumping”, organ donation, and Do-Not Resuscitate orders. These issues have ethical and legal considerations for the Emergency Room Physician in regards to their responsibilities and actions. The ethical right for individuals to have access to health care already has a form of legal binding within the United States as seen in the Emergency Medical Treatment and Active Labor Act. “In 1986, Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA), which forbids Medicare-participating hospitals from “dumping” patients out of emergency departments” (Pozgar, 2010, p. 221). The act provides that: In the case of a hospital that has a hospital emergency department, if any individual (whether or not eligible for benefits under this sub- chapter) comes to the emergency department and a request is made on the individual’s behalf for examination or treatment for a medical condition, the hospital must provide for […]

Pateien information system

This software can be used to keep track of the patients registering in a hospital or clinic. Also, this system supports accessing the previous visit histories of any patient, search for patients by name and other properties etc. Patient Information System – Requirements PIS will support registering patients. Users of this software can search for patients by name, admission date, discharge date etc Users can view the previous visit histories of any patient System can maintain the list of doctors in the hospital PIS can maintain the list of beds/rooms available in the hospital Patients are categorized into “In Patients” and “Out Patients” Designing the Patient Information System The first step is to identify the different entities in the system. The following entities are identified in our PIS : Patient – a patient is the person who visit the hospital for treatment/consultation Doctor – a doctor will be assigned to each patient. Bed – if patient type is “In Patient”, […]

Care Group

Background and History CareGroup, Inc. is the parent holding company of Beth Israel Deaconess Medical Center, Beth Israel Deaconess Hospital-Milton, Beth Israel Deaconess Hospital-Needham, Mount Auburn Hospital, and New England Baptist Hospital. On October 1, 1996 three prominent hospitals (the Beth Israel Hospital, the Deaconess Hospital and the Mount Auburn Hospital) in eastern Massachusetts merged together to form this organization. The organization was formed for three key factors. Firstly, the intense competitive environment within the industry in the mid-1990s had driven many hospitals to join forces to gain contracting power against HMOs. Secondly, there was a strong demand for hospitals to strengthen their balance sheets in a complex price war due to excess supply. Lastly, merging hospitals had the opportunity to develop integrated services that could greatly improve the quality of health care as well as cut down costs. Originally formed as a care-delivery system of hospitals and physicians, CareGroup has evolved into a confederation model in the past decade […]

The Senate Committee on Health

Krugman (2009) described the progressive developments in the Congressional Budget Office, which finally succeeded in the proposed legislation from Senate Committee on Health, Education, Labor and Pensions, abbreviated as HELP. The major obstacle in the earlier proposals was the inability of the committee to explain the total cost of universal healthcare, and its impact for the next ten years. Krugman highlighted that all the developed countries have universal health coverage for their citizens, and the cost of healthcare was lesser than the USA. Since the healthcare expenditure on the majority of young adults is lesser than the elderly population (who are covered by Medicare), and the uninsured receive uncompensated care, it was reported that the cost incurred in extending the healthcare coverage to the unfortunate 45 million uninsured Americans through the provision of universal health coverage would not be too much. Krugman (2009) stated that according to the Senate Committee on Health, Education, Labor and Pensions (HELP), the proposed legislation […]

Universal Health Coverage

Provision of universal health coverage has been debated in the Senate and the House of Representatives of the US Congress, and it seems that some Republicans oppose the bill on this major public health policy. According to Curry (2009), 46 million Americans do not have health insurance, and this group comprises 15% of the total American population. Isn’t this figure significant, which clearly speaks out about the poverty of some unfortunate Americans, who can not afford to pay for their health insurance in the richest country of the world? However, due to the persistent efforts of President Barack Obama, who kept his promise that he had made to the American citizens during his election campaign, the reforms bill was introduced by the Democrats in the US Congress. When a patient without health insurance does not visit a doctor for a minor illness, then the minor illness, eventually, worsens into a chronic illness, or a life-threatening disease. It is only then […]

Public Health Nursing

The author ascertained the need to ameliorate the public health nursing skills and knowledge of the BSN studying at the Western Kentucky University. This was done through the implementation of projects with the Barren River District Health Department. Previously, the students had minimal exposure, prompting the researchers to execute a trial curriculum for a year wherein students had the opportunity to participate in at least one program in the public health setting. The study is moderately valid and is due to partially fulfilling several criteria for such, among others. One is mentioning of key points which include stating the purpose of the study and partially fulfilling this in the results. The eligibility criteria for her subjects were mentioned also, stating that only BSN are allowed to take part in the projects, and all of them were assumed to have the same level of knowledge regarding public health nursing, which is a good baseline data to measure improvement, if any. The […]

Health improvement

According to Sapru (2004), ‘Public Policy’ as an academic pursuit emerged in the beginning of 1950s and since then it has been acquiring new dimensions, and is struggling hard to acknowledge the status of a discipline in the comity of social sciences. As a study of products of government, policy forms a significant component in many a course and programme in numerous disciplines—political science, public administration, economics, management. So rapid is the growth that many researchers, teachers, public administrators now feel that it is becoming more and more unmanageable. The disciplines need to comprehend public policy cut right across the old academic lines of demarcation. Indeed it is this interdisciplinary quality which makes the field of public policy interesting and thought provoking. ‘Public policy’ is a concept now much in vogue. It is frequently used term in our daily life and in our academic literature, where we often make references to the national health policy, the new education policy, wage […]

MMR vaccine

As stated under the objectives of the public relations campaign, the main message of the campaign will be that the MMR vaccine has been found to be effective and safe for use by small children therefore, parents should take their children to be vaccinated in order to forestall an impending measles epidemic. The campaign content will include support from various scientific research whose findings have discredited the Wakefield research. It will also include an analysis of the potential dangers that a measles crisis holds for the health of individuals and the well being of the country if the parents refuse to vaccinate their children. Case studies of regions and/or countries that have been affected by the measles epidemic will be included to create a mental picture of how the situation may turn out if parents insist on not vaccinating their children. Each of these campaign messages will be accompanied by an appeal for parents to allow their children to be […]

National Hospital for Infectious

If they don’t die, children are very likely to be maimed for life and this is not a desirable result either. Many measles deaths have been reported and such grim statistics will be included in the nationwide campaign to convince the parents who have refused to vaccinate their children that through their refusal, they could actually be killing their children. The campaign will also publicize the effects of measles on adults who are also susceptible to the disease if they did not receive any vaccination in their childhood. It is important to bring in relevant real examples from countries such as Vietnam where a measles epidemic is decimating the population and it is actually targeting the adults more than the children; probably because the adults have not yet been immunized. The people being treated for measles by the National Hospital for Infectious and Tropical Diseases are all in comas and are said to be in critical condition (VOVNews 2009). In […]

Health issues

The response of the public towards the controversial Wakefield research highlights the prevailing cultural climate in the UK and its effect on health issues in contemporary society. People seem to be quite apprehensive especially on matters surrounding their health and well being and this is being reflected by an increased sense of individual susceptibility to any dangers posed to the health of individuals. There is a perceived increment in risk aversion and this is especially observed on matters pertaining to the health of children. There are high levels of scepticism surrounding immunization since the publication of the Wakefield research as people do not want to put their children at any health risk (Fitzpatrick 2004). It logically follows that any adverse publication on matters of health such as on vaccination is typically followed by a reduction in the coverage of the vaccine and this has adverse effects on public health (“Correspondence” 1998, p. 905). The public relations campaign should therefore be […]


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