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Health, Medicine, Nursing
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Analysis and Reflection on Role as Anaesthetic Nurse (Essay Sample)

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Responsibilities and challenges of anaesthetic nurse given a scenario where a Jehovah Witness believer needs blood transfusion. How will the nurse respon

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Analysis and Reflection on Role as Anaesthetic Nurse
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Analysis and Reflection on Role as Anaesthetic Nurse
The Jehovah witness is millennialist Christian denomination in the world that came into being out of the international Bible Studies Association. It was founded by Charles Taze Russel in 1872 in Puttsburgh during the Adventist movement. This religious denomination has several beliefs some of which are contrary to the ordinary way of living especially in the medical sector.
These beliefs are governed by their understanding of scriptural principles and laws. The members of this religion claim that the justification of their way of living is attributed to the book of Genesis (Perry, Potter & Elkin, 2012). These passages according to their faith give concrete details regarding the sacredness of blood as well as the prohibition of blood consumption which, they interpret as a ban to oral and intravenous routes.
This blood prohibition includes; allogeneic whole blood, plasma, white blood cells, platelets, red blood cell concentrates and any autologous blood that have been singled from the patient's body. For this matter, medical practitioners and nurses face a key challenge in efforts to perform blood free surgery to members of this faith (Beyond belief, 1993). As a matter of fact medics and nurses are hampered by both legal and ethical issues when members of this religion. According to the human rights norms and respect for autonomy, medical practitioners to seek the permission of the patient before administering any medical intervention (Seeber & Shander, 2007).
The prohibition of blood transfusion results to the unethical dilemma between the patient's freedom to reject or accept a medical treatment and the physician's role to provide optimal treatment. The doctrine of cognizant is to respect people by accurately and fully providing information required in exercising the decision-making rights (United States, 2007). Therefore, physicians ought to engage in the process of knowledgeable consent in patients prior to undertaking any medical intervention.
In the given scenario, it is paramount to consider the patient's legal and moral rights to refuse any the proposed medical intervention. This is because the well informed consent protects the anaesthetic nurses, the patient as well as other physicians from the repercussions of adhering to the patient's wishes.
Furthermore, in the scenario the situation is complicated because the parents of the patient give the authority to consent by proxy because their interests falls in safeguarding the children's happiness and maintaining the norms of their faith (DuBose, 1995). The situation of the young man is wanting, and immediate interventions are necessary to safe life.
Some of the mechanisms to resolve such huddle include extra consultation with other experienced physicians, anesthesiologists, surgeons, psychiatric or short-term consultation for the patient, parents or family (Seeber & Shander, 2007). In addition, because of the religion variability, it is wise for the patient's parents to consult the religious elders or ministers in an effort to reach at proper decision making regarding the treatment related to blood products.
There is the capability to adapt to low hemoglobin levels. Hence, treatment for such cases is primarily based on how the patient endures the loss of blood especially for this patient subscribing to Jehovah Witness faith (United States, 2007). To uphold isovolumic condition, the Jehovah Witness patient should be filled with isotonic colloid or crystalloid to maintain tissue perfusion and systolic blood pressure.
In vital situations such as the one highlighted in the scenario, the parents of the patient did not provide advance directiv...
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