Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow
Student Elements

Reflective Case Studies

Please read each question below and type your response into each corresponding box. When you are finished, fill out your name, e-mail address, and instructor's e-mail at the bottom of this form, and click submit to send a copy to your instructor.

A 5-day-old premature baby was viewed to require a blood transfusion because of increasing anemia. The parents were Jehovah's witnesses and did not wish to have blood or blood products given to the baby. A court order had been obtained the day before with the parents' knowledge, and blood had been given.

However, the physician on call this particular night did not want to obtain the court's consent because it had been granted before. The blood was ordered, and the nurse was asked to hang the blood. The nurse refused for ethical and legal reasons.

1:  What would be the ethical and legal reasons that the nurse would refuse to follow the physician's orders?

2:  What should the nurse do (i.e., steps the nurse should take)?

3:  How do you think the nurse should respond to the parents?

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Link: Jones and Bartlett Publishers