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Professional ethics include impartiality, objectivity, confidentiality and duty of care.These need to be taken into account as providing rules of conduct or standards of behaviour of individuals acting in a professional capacity (Hanbury 2004).Medical and nursing staffs are both bound by professional ethics.
In addition the Coroner’s report highlights that notes within the patient’s medical records were misleading.
This draws attention to the importance of documentation and good record keeping.
Peter Roy Gillam died as a result of sepsis and pulmonary thrombo-emboli complicating a ruptured cerebral artery aneurysm with subarachnoid haemorrhage.
The coroner’s report outlines the background and history surrounding this gentleman’s presentation to his local General Practitioner and subsequent presentation to Modbury Hospital.
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This is not an example of the work produced by our Essay Writing Service.Contributing to this mans death the Coroner found the following: lack of communication and failure to properly convey true the situation of the patient between the Emergency Department Career Medical Officer, the Medical Registrar, and General Practitioner; the lack of understanding by nursing personnel regarding after hours access and cost for procedures that present to the Emergency Department; And a Medical Officer with little experience as a clinician performing the role of Career Medical Officer.The coroner highlighted in this case that poor communication both verbal and documented contributed to the death of Mr Gilliam.Communication requires that participants share a mutual interaction, with the receiver providing feedback to the sender. 3) states that nurses must be effective interpersonal communicators which is defined as “…interactions with patients which are helpful to the patients”.This first contact was not effective communication.In this case the Career Medical Officer could not be questioned as to the intent of his documentation and it was inconsistent with the recall of the Medical Registrar.Therefore it is vital that every entry should stand independently and provide enough information so a new care giver reviewing the medical record would know exactly what the patient was being seen for, their course of treatment and the doctor’s plan of action (Murphy 2001).Good record keeping, whether at an individual, team or organisational level, has many important functions, including helping to improve accountability, supporting the delivery of services, supporting effective clinical judgements and decisions and helping to identify risks, and enabling early detection of complications (Dimond 2005).Like the implementation of health and safety regulations, it is not easy to ensure that there is always a reasonable standard of record keeping: there are peaks and troughs depending on the priority given to record keeping and the competing pressures for the time of registered practitioners.The patient’s re-presentation the next day also highlights the breakdown in communication between the patients General Practitioner, the Career Medical Officer and Medical Registrar.It is important that collaboration occurs between health professionals to ensure a seamless flow of work based on knowledge of the patient and their care (Stein-Parbury & Liaschenko 2007).