Instructions for ONLINE TRAINING for job shadow

Once you complete your online training, we can set you up to job shadow. I'd like you to finish your online training, so we can get everyone scheduled by March 27th:

HealthStream Instructions

1. Open the internet
2. Go to this website
3. The computer must allow pop-ups to use this program. To do this, click on the TOOLS tab at the top of your screen. Click on POP-UP BLOCKER, and then click on TURN OFF POP-UP BLOCKER. If it already has the pop up blocker off, leave it off.
4. You should now be at the log-in page of HealthStream. The log-in directions displayed on the screen DO NOT pertain to you as a high school student.

**Your user ID is the first letter of your first name and your full last name. The initial password is EDUCATION. Please change your password after your first
log-in. To change your password, click on the “my profile” tab and then click on “manage account information”.

i.e. Cheyanne Sparks… user ID:csparks

5. Enter your user ID and password, click the log-in button
6. An informational screen will appear, click continue to enter into your learning portal
7. You should now be at a page with a titled tab “My Learning.” Under “Assigned Learning” you will see the courses to be completed. These are highlighted in blue. The courses must be completed within 60 days.
8. Click on the course you want to complete and you will be taken to a page titled “Course Details”. This will list the educational course in blue, which must be completed first. Click on the titled course, and begin. Most of the courses have an audio component included (optional).
9. Click on the exam, and complete.
10.Once you have successfully passed the exam you can click on the “my transcript” tab. Select the completed course. Under “Continuing Education Credit Information” click “view certificate”
11.Print the completion certificate to turn into your teacher.

To log in...you need to put in your first letter of your first name and your last name. For instance, my name is Angela Hammang, so my username is ahammang

Your password is EDUCATION (in all caps).

Good LUCK! Bring me your results soon, so we can get you scheduled for your job shadow! :)

Ethical Scenarios

Discuss whether the appropriate actions were taken in each of the following scenarios. Support your answer with references to the AMA ethical guidelines or the general code of ethics for health care workers found in your text book.

1. A local politician was admitted to the hospital for chest pain. That night, the politician's nurse talked about his situation at home with her husband (including his high blood alcohol level). The husband thought he had a duty to the public to warn them of the politician’s alleged alcohol problem. The next day the newspaper printed a damaging story about him quoting from an anonymous source.

2. Jamie, the nurse aid, was ordered to measure blood sugar readings on several patients. She had never been formally trained to operate the glucometer but agreed to take the readings. She had trouble getting the blood glucometer to register Mr. Sweet's blood sugar reading. She had several other patients waiting for her help, so she looked at his last 2 readings and recorded a number in between.

3. Mr. B. is dying of cancer. His wife calmly explains to the doctor that she knows he would not want to suffer so much and asks for him to be given a lethal dose of morphine. The doctor expresses empathy for Mrs. B and his family but explains that she cannot ethically nor legally carry out the wishes of Mr. B.

4. A doctor has determined that an unborn fetus is severely deformed and will not likely live more than a few weeks after birth. Furthermore, the condition will most certainly threaten the life of the mother during childbirth. Upon sharing the news with his patient, she refuses an abortion stating that it is against her moral and religious beliefs. The doctor continues to persuade and pressure his patient until she reluctantly agrees to the procedure.

5. Mr. X suffered a knee injury while downhill skiing. The doctor performed a thorough physical exam and has determined that Mr. X has strained but not severely damaged the ligaments in his knee. She instructs Mr. X to rest the knee and provides a referral to physical therapy. Mr. X is furious with the doctor and insists that she order an MRI. Despite the patient’s argument the doctor upholds her diagnosis and does not order the MRI.

6. Dr. Z is assisting during a routine surgery when the patient unexpectedly dies. The patient has declared herself as an organ donor. Dr. Z happens to have a patient that is on the waiting list for a heart transplant. He shares this information with the head surgeon and the procedure is quickly underway to determine if Dr. Z’s patient is a match for the available donor organ.

7. Dr. DNA has performed genetic testing on Mr. and Mrs. Smith to determine the probability that they may pass a family genetic disorder to their offspring. Mr. Smith’s employer learns of the test and requests a copy of the results. Dr. DNA informs the employer that the results are confidential and cannot legally or ethically share the results.

8. Mrs. O’Leary’s nurse enters her room to find her unconscious, not breathing, and without a pulse. The nurse is aware of the Do Not Resuscitate order in Mrs. O’Leary’s chart. However, she is certain that Mrs. O’Leary has only been unconscious for a minute or less and feels that she can revive the patient. The nurse activates a code blue. Mrs. O’Leary’s pulse is quickly regained after defibrillation as the nurse had suspected.

9. While performing a routine physical Dr. XYZ notices bruising on her patient’s arm. She asks about the injury and the patient reports that her boyfriend is abusive. Dr. XYZ feels that the injury is minor and plans to check back with the patient when she sees her again in six months.

10. While eating lunch with several other nurses, Buffy shares a story of her patient that was “so fat she couldn’t fit on the commode and smelled worse than something you’d find in a barn yard.”

Advanced Directives and Living Wills

For your reference (you got a copy of this last week)...here's an example of what someone's living will declaration might look like...now you write yours! :) Print it, sign it, date it, have two classmates sign it, and turn it in tomorrow.

Living Will Declaration

I, the undersigned, do fully recognize that death is as much a reality as birth, growth, maturity, and old age-it is the one certainty of life. If the time comes when I can no longer take part in decisions for my future, let this statement stand as an expression of my wishes, while i am still of sound mind.

If I should have an incurable or irreversible illness, accident, or condition that will cause my death within a relatively short time, it is my desire that my life not be prolonged by administration of life-sustaining procedures. If my condition is terminal and I am unable to participate in decisions regarding my medical treatment, I direct that __________________will make the decision of whether or not to withhold or withdraw procedures that merely prlong the dying process and are not necessary to my comfort or freedom from pain. By this declaration I am not asking you to withhold food or drink. It is my intention that this declaration shall be valid until revoked by me.

This request is made after careful consideration. I hope that you who care for me will feel morally and legally bound to follow its mandate. I recognize that this appears to place a heavy responsibility upon you, but it is with the intention of relieving you of such responsibility and of placing it upon myself in accordance with my strong convictions, that this statement is made:

DATED this ________________day of ________________, 2013

_________________________________________(signature)

_________________________________________(Witness #1)

_________________________________________(Witness #2)