Professional liability in interdependent
interventions
|
work in a multidisciplinary
team |
Immobilization of patients – in the emergency
service, in intensive care (6) |
12 |
Agitated patient – clinical condition in
which sedation is not indicated, high risk of fall and/or
accident(2) |
Physical restraint of patients who refuse to
adhere to non-invasive ventilation therapy (1) |
Patient submitted to abdominal surgery,
disoriented, externalized catheters and tries to stand up.
Can he/she have the upper limbs immobilized? (1) |
Refusal of immobilization of patients in a
situation of psychomotor agitation without a prescription of
the GP(1) |
Delay of the physician to accept speaking to
the patient and difficulty to maintain assertivity and make
a “connection” (1) |
communication within the
team |
Telephone medical prescription (therapeutic
prescriptions by the phone) (5) |
10 |
Disagreement between the internist and
specialist physician. Contradictory prescriptions and
medical indications (3) |
Nurse refuses to obtain four venous accesses
or other incorrect indications (according to guidelines)
(1) |
Follow or not a medical indication to treat
injuries, when it is known that it is not the most
appropriate option(1) |
Total
|
22
|
Decision of the health care recipient
|
consent |
In a critical situation, the clinical
situation and the patient’s will are not known (5) |
10 |
Informed consent to perform procedures
(tracheostomy, amputations, etc.) in sedated patients in
intensive care (1) |
Multidisciplinary decision when, during a
surgery, additional procedures than those previously agreed
by the patient are required (1) |
Informed consent, signed by the family, for a
programmed tracheostomy |
Sedated/ventilated patients, unable to
manifest their will. Should the opinion/will expressed by
the significant partner be respected? (1) |
Informed consent – patients who are submitted
to surgeries or exams without knowing what procedures will
be performed, the risks and the consequences (1) |
respect for the decision
expressed |
The patient asks not to speak about the disease – the family
wants to know (3) |
10 |
Nasogastric intubation of a patient who
refuses to eat, because of a severe nutritional impairment
(2) |
Why not respect the patient when he/she
manifests his/her will to determine any type of proposed
treatment? (1) |
The situation of the patient who does not
want to be resuscitated and the family who begs not to let
him/her die (1) |
Refusal of blood transfusion in
hemodynamically unstable patients |
Homosexual patient – the family does not want
the partner to visit; but the patient does (1) |
Fulfillment of medical prescriptions against
the patients will (1) |
Total
|
20
|