Blogging – HIV & Anaesthetic machine check
Blogging 1
Could you please reply on this blog
• Academic
• Level 5
• 275 words
• 2 references
• Harvard referencing
HIV: an ethical, moral and legal dilemma
I am well aware that all healthcare professionals have to respect patient confidentiality on the basis of ethical, legal and professional obligations (National AIDS Trust, 2009). However, I have this particular experience that made me question my moral obligation to my patient’s partner and to the public as well.
I had an HIV infected patient who gave birth to a healthy baby girl. Prior to starting our list, it was mentioned in the team debrief that we have an HIV patient. The theatre team was aware of it, although we didn’t do anything different in terms of providing patient care to the patient. We were just being aware and cautious. When I checked-in the patient, she was sitting beside her partner. There was no written note that she is an HIV patient, only a high-risk sticker inside the patient’s chart. I have not asked about her HIV status as the midwife told me in private that the partner doesn’t know about her HIV.
Data Protection Act (1998) states that gives individuals the right to know what information is held about them and provides a framework to ensure that personal information is handled properly.
Health and Care Professions Council (2012) states it is a legal and professional responsibility to respect and protect patient’s confidentiality at all times.
Well, that’s what I have done anyway. I respected my patient’s wish. However, I kept thinking about the patient’s partner. That he doesn’t have any idea that his partner has an HIV, and that he, himself have a high risk of getting HIV.
According to the Human Rights Act (1998), “all individuals have a right to respect for private and family life”.
Big question here is when do health care professionals have a duty to warn a person at risk? When is it unethical to breach confidentiality and interfere with individual rights and civil liberty?
References:
Data Protection Act (1998) Data Protection [online]. Available from: https://www.gov.uk/data-protection/the-data-protection-act. [Accessed 24 March 2014].
Health and Care Professions Council (2012). Confidentiality – guidance for registrants [online]. Available from: http://www.hpc-uk.org/assets/documents/100023F1GuidanceonconfidentialityFINAL.pdf [ Accessed 24 March 2014].
Human Rights Act (1998). Article 8: Right to respect private and family life [online]. Available from: http://www.legislation.gov.uk/ukpga/1998/42/schedule/1. [Accessed 24 March 2014].
National Aids Trust (2009). Confidentiality in healthcare for people living with HIV [online]. Available from: http://www.nat.org.uk/media/Files/Publications/Dec-2009-Confidentiality-in-healthcare-for-PLHIV.pdf [Accessed 24 March 2014].
Blogging 2
Could you please reply on this blog
• Academic
• Level 5
• 275 words
• 2 references
• Harvard referencing
Standard checking of the anaesthetic machine
We all know that different people check the anaesthetic machine differently. What does this mean to us? Our mentors will teach us how they check their anaesthetic machine THEIR own way. I find this a bit difficult since I tend to adapt how my current mentor checks his/her anaesthetic machine. Then moving to a different mentor, I will again change the way I check the anaesthetic machine.
The Association of Anaesthetists and Great Britain and Ireland (2012) published a recent checklist for anaesthetic equipment.
However, this article about anaesthetic machine is a good read. Goneppanavar and Prabhu (2013) stated that “No single checklist can satisfactorily test the integrity and safety of all existing anaesthesia machines due to their complex nature as well as variations in design among manufacturers”.
I have discussed this issue to my last mentor and she suggested that It would be good to teach all the Operating Department Practitioners (ODP)/ Anaesthetic nurses a standardized way of checking the machine, involving the manufacturer’s representative. Do you agree with me that this is a good idea?
References:
Association of Anaesthetists and Great Britain and Ireland (2012) Checklist for anaesthetic equipment 2012: AAGBI safety guideline [online]. Available from: http://www.aagbi.org/sites/default/files/checklist_for_anaesthetic_equipment_2012.pdf [Accessed 30 March 2014].
Goneppanavar, U. and Prabhu, M. (2013) Anaesthesia Machine: checklist, hazards and scavenging. The Indian Journal of Anaesthesia [online]. 57(5), pp.533–540. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821271/ [Accessed 30 MArch 2014].
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