Case study: Observations are Critical in Patient Safety (23/8/17).
A complaint alleging unsatisfactory professional conduct was made against a Registered Nurse (RN) who it was claimed failed in his obligations during a night shift when he was in charge of an Acute Mental Health Ward at a public hospital. During the night shift, one patient sharing a room with another, killed the other patient residing in the room. A complaint made was about the nurses’ observations of the patient’s on the night. It was alleged that the practitioner:
• failed to conduct or ensure the required observations,
• altered the frequency of observations to less than instructed by the medical practitioner, and
• falsely entered records of observations, including not completing them in the manner required.
A Professional Standards Committee (PSC) held in May 2016, upheld the allegations and their findings determined that the RN did not undertake care level observations demonstrating the knowledge, skills, care and judgements expected of a nurse to his level, training and experience under s139B(1)(a) of the National Law. A finding of unsatisfactory professional conduct was concluded (and was admitted by the RN), The RN was reprimanded and conditions were placed on his registration, including 12 months of mentoring.
Critically analyse the above case study with regards to the legal and professional issues raised.
This paper will consider a portion of the key issues and difficulties encompassing escort administrations arrangement. Where conceivable the contentions and talks displayed try to produce a more extensive, more worldwide view keeping in mind the end goal to empower open civil argument around this socially, socially and legitimately delicate subject (Laskowski, 2002). In inspecting this region, the underlying trouble is in catching a solitary, shared comprehension of what escort administrations are (Scoular and O'Neill, 2007). Most societal desires naturally produce a supposition that the individual giving escort administrations is a sex laborer, in spite of the fact that the scope of exercises included can incorporate more kind prerequisites, for example, social camaraderie (Burghart, 2017). Numerous escort offices work inside legitimate national systems by straightforwardly offering such fraternity or more acknowledged administrations (e.g. kneads). The individual idea of those exercises at that point makes nature inside which ensuing casual and less open transactions around what sexual administrations (assuming any) can be given by the escort (UK National Escorts Association, 2018). It thusly takes after that escort administrations include the arrangement of individual, private and custom fitted commitment to a customer for compensation, which might possibly incorporate the arrangement of sexual administrations (Agustin, 2009). Presumptions AND EXCLUSIONS This paper focusses on the arrangement of female escort administrations, offered specifically or through an organization – male escort arrangement isn't looked into (Argento, Taylor, Jollimore, Taylor, Jennex, Krusi and Shannon, 2016). No examination of the idea of these administrations is led, despite the fact that a refinement is drawn between those exercises considered to be legitimate and illicit (Jeffreys, 2010). In taking a more extensive, more worldwide point of view it is imperative to perceive that distinctive national methodologies will exist which implies that at times the arrangement of sexual administrations is viewed as lawful (Outshoorn, 2004). Be that as it may, legitimate acknowledgment does not really convert into social and social acknowledgment for either the customer or the escort worker(s) concerned (Agustin, 2009). The interest for escort administrations, be they legitimate or unlawful and with or without a sexual component is entrenched (Burghart, 2017). This paper in this way does not think about the point of view of customers but rather focusses on the issues forming the activities and choices of those ladies going about as escorts (Matthews, 2007). THE EMPOWERMENT CASE For ladies that work as escorts, contentions have been introduced which recommend that doing as such gives them a place of energy and specialist over their customers (Weitzer, 2007). They work in a division that puts a specific incentive on their aptitudes, capacities and properties and the lady can direct and control to what degree she puts herself 'available' e.g. regardless of whether to participate in sexual action or not and provided that this is true, what those demonstrations will be (Cho, Dreher and Neumeyer, 2013). While numerous administrations are locked in through a handle (the Escort Agency) which will take an expense for their association, charges for any extra exercises are regularly organized on an immediate premise between the escort and the customer (Laskowski, 2002). Be that as it may, such strengthening contentions expect that the lady concerned is working inside the domains of a built up business structure which she can adjust to her own particular prerequisites (Sanders, O'Neill and Pitcher, 2017). They additionally suggest that the ladies has practiced unrestrained choice and decision in turning into an escort and that no pressure has been connected, for example, that seen much of the time of individuals trafficking (O'Connor, 2017). Indeed, even where no plain pressure has been connected, ladies may feel that filling in as an escort is the main feasible alternative given issues, for example, social/financial hardship, individual habit issues and flimsy family foundations (Scoular and O'Neill, 2007). Thus, any strengthening contentions displayed should obviously consider the establishments basic any view of educated decision (Jeffreys, 2010). Indeed, even where such factors are not an issue, (for example, those ladies from An or B financial gatherings with high total assets customers), the social and social shame around escort administrations can confine the degree to which ladies are genuinely enabled (Szirmai, 2015). THE SOCIAL PERSPECTIVE Numerous ladies filling in as escorts consider themselves to be putting forth a fundamental social support of their groups, supporting customers through times of disturbance and turbulence (Sanders, O'Neill and Pitcher, 2017). Cases refered to incorporate widowers looking for organization (or even sexual administrations) without wishing to go into another enthusiastic relationship and those adapting to the breakdown of a long haul relationship looking for direction on the best way to re-draw in viably with ladies (Sanders, O'Neill and Pitcher, 2017). While drawing in helpless customers looking for passionate instead of physical help could be viewed as exploitative, rivalry inside the segment could guarantee that customers support those ladies best ready to address the issues displayed (Koken, 2010). Authoritative and social imperatives do constrain the viability of such help given the disgrace regularly connected with drawing in escorts, regardless of whether no sexual substance is included (Koken, 2010). It could likewise be contended that the overwhelming spotlight on meeting physical/sexual prerequisites in the part makes longer-term social issues, as the customers concerned are regularly unfit to shape stable, candidly stable long haul connections accordingly (Weitzer, 2007). Those customers that frequently utilize escort administrations to meet both their physical and enthusiastic needs may wind up trying to apply the same value-based reasoning to outer connections, coincidentally undermining the status of ladies in that group (Sanders, O'Neill and Pitcher, 2017). Where female laborers are truly enabled, at that point social advantages can gather. For instance, the working hours included and the pay levels that can be managed may enable them to stay both utilized and powerful, available guardians when they may somehow be depending on state bolster (Brooks-Gordon, 2006). In any case, the covered up and illicit nature of a great part of the escort segment economy limits social advantage potential (e.g. undeclared salaries and welfare worries for the offspring of sex specialists) (Sanders, O'Neill and Pitcher, 2017). THE ECONOMIC RATIONALE Numerous escort organizations work as authentic business interests, producing charge incomes and giving either paid business or independent work structures for the ladies concerned (UK National Escorts Association, 2018). The offer is on the arrangement of a booking administration for time and fellowship with ladies (UK National Escorts Association, 2018). It is the ensuing exchanges amongst customers and those ladies which might be lawful and which may not really frame some portion of any straightforward business movement which raise concerns (Matthews, 2007). While the idea of business enlistment in the UK makes it hard to distinguish charge incomes particularly ascribed to escort organizations (which frequently enlist as diversion administrations), it is assessed that prostitution (i.e. unregulated and untaxed action) in that nation manages a spend of around £770M every year (BBC, 2001; UK National Escorts Association, 2018). Ladies working in the part may along these lines can produce and maintain livelihoods that their instructive and social foundations would prevent them in wording from claiming more customary business courses (Weitzer, 2007). Thusly, contingent upon the lawful and administrative systems set up, they might be net money related supporters of society instead of a deplete on national assets (Laskowski, 2007). In any case, such contentions are predicated on the idea of decision and strengthening as those ladies working in the part to support enslavement issues will at present place more prominent requests on wellbeing and social welfare administrations (Rani, Jain and Saxena, 2017). Additionally, the misuse that exists in the area through sorted out criminal exercises (apparently fuelled by authoritative and societal requirements around sex specialists) implies that critical escort incomes stay undetectable to the national exchequers concerned (Sweeney and Fitzgerald, 2017). Additionally, these shrouded incomes can support exercises which make huge financial and social expenses for the nations concerned (e.g. the medications exchange, illegal tax avoidance and criminal savagery) (O'Connor, 2017). POLITICAL ISSUES Political demeanors encompassing escort administrations are molded by national/territorial societies, societal desires and the authoritative structures that outcome (Outshoorn, 2004). As a result, in numerous social orders the political initiative want to keep up a discrete separation from the segment, instead of take part in open civil argument about the part of ladies as escorts (Brooks-Gordon, 2006). While more illuminated states of mind are developing, for example, the working of authorized foundations with Government wellbeing checking projects and social help, anything outside of non-sexual escort action is as yet thought to be illicit in numerous regions (Agustin, 2009). This restricts the political help for ladies in the area to focussing on applying criminal approvals to customers as opposed to laborers and additionally the advancement of social projects to urge them to investigate elective business alternatives (Cho, Dreher and Neumeyer, 2013). As a result, numerous ladies filling in as escorts (utilized and independently employed) are denied a honest to goodness political voice inside their social orders (Outshoorn, 2004). This again raises doubt about the idea of strengthening, as it is troublesome for the ladies worried to impact leaders about their working conditions, rates of pay and business rights (Bartlett and Kennedy, 2018). This absence of energy and impact has prompted these ladies ending up significantly more detached from (and controlled by) standard society as their parts and lif>GET ANSWER