In most cases nurse in the in-patient units do not work during irregular hours (Burgess, 2014).
In the ER, documentation focuses on addressing acute symptoms through use of ICD-10-CM codes. This is different from documentation that is used in the in-patient setting since it does not involve coding. In the in-patient unit documentation is done in paper format or electronically but without coding (Burgess, 2014).
In the ER, there are several legal issues involved. One of them is determination of how emergent a situation is for the patient since some situations can be deceiving and accurate decisions have to be made. Another common legal issue is ensuring that patients are screened and treated appropriately while keeping them informed of the treatment being given. The legal issues arising from in-patient unit are less compared to the ER. The patients in in-patient unit need to have informed consent of the treatment they receive (Burgess, 2014).
Safety and privacy of the patient can be maintained by ensuring that there is always a technician to help the patient at any given time and that there is no displayed information on the patient that other people can see. The client can also be provided privacy through use of curtains to cover his bed area. Through use of curtains around his bed area, only restricted people can intrude his personal space.
The protocols related to communication include ensuring protection of the information that the patient gives for purposes of medical records. Such information should be treated with a lot of privacy and should be secured. The technicians should not share a patient’s information by any chance and should ensure that the patient is aware of the results (Burgess, 2014).
In such a situation, the nurses and physicians are allowed to carry out the procedure on the patient without any consent to save his or her life. The patient will then be told about the procedures carried out when he is conscious and can ...
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