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Scenario 8.3: Emergency Room Shutdown

question 171

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Scenario 8.3: Emergency Room Shutdown
On Saturday,February 28,2013,Ciara Michal,the human resource manager at Strathcona Hospital,made a decision to shut down the hospital's emergency room.A second registered nurse had refused to work a 12-hour shift due to fears concerning the spread and infection of several communicable diseases.Patients had to be directed to another hospital,260 km away.Michal had spent the last several hours fielding questions and concerns from hospital staff,the public,and government representatives about the hospital emergency room closure.Several additional health and safety concerns were brought to her attention,pointing to a larger problem.
Emergency room doctors and nurses working at Lochview Hospital are particularly concerned about the risk of patients contracting C.difficile virus,as the incidents of infection had increased 300% in two years.There had been two recent needle-stick injuries: one involving a rushed emergency room cleaning staff person and the other,a practicum nursing student.These incidents posed both physical and emotional threats related to the hepatitis B virus,the hepatitis C virus,and HIV.All emergency room staff,as well as paramedics and emergency social services staff,are concerned about the shortage of hospital beds and the makeshift system of creating an overflow ward in the hallways and cafeteria.Hallway beds don't have the safety equipment available,leading to mistakes and poor care.Extension cords run across the floors in order to reach electrical outlets.Patients with acute problems are seen in chairs,and some are tucked way into corners where they cannot be observed.These stressful working conditions are having an adverse impact on emergency room health-care workers.Over 10% of the emergency room staff are on extended stress-related leaves.
-Please refer to Scenario 8.3.On two recent occasions,an emergency room clerk showed up for her late night 12 hour shift under the influence of alcohol and was sent home even though a staff replacement could not be found and patients were already waiting for over three hours.What legislation would guide your immediate decision on how to handle the emergency room clerk who came to work under the influence of alcohol?

Definitions:

Overhead Costs

Expenses related to the operation of a business that cannot be directly tied to a specific product or service, such as utilities or administrative salaries.

Cost of Goods Manufactured

This refers to the total production cost incurred by a company to manufacture products in a specific period, including materials, labor, and overhead costs.

Ending Inventory

The total value of all goods available for sale at the end of an accounting period.

Merchandising Company

A type of business that purchases products to resell them at a profit without changing their form.