Ethic Question 1

Ethic Question 1



Question 1

The case presents an ethical dilemma for the people involved as towhether they would risk their lives to save the people crying forhelp in the fire, or they should run for their lives. It is evidentfrom the case that Mary, the mother of the ill infant thinks thatthey should go back and save the people. The registered nurse sharesthe same sentiments as Mary and John the resident pediatric. However,peter, the transport employee and Joseph, the father to the illinfant are hesitant to go back for the fear of their lives. Thedilemma in this case is whether it is right to save the people stuckin the pediatric wing and risk the lives of the people who havealready rescued themselves.

Question 2

My value and ethical stand in this case would be informed by themedical ethics provided by the American Medical Association (AMA).The code of ethics allows the medical practitioners to choose whom togive care to in emergency cases and also to consider the environmentwhen giving care (Killion &amp Dempski, 2010). In this instance, itis abundantly clear that the environment is dangerous for the nurseand the pediatric doctor and it would be dangerous for them to tryrescue the people crying for help in the pediatric wing of thehospital. The ethical theory of utilitarianism would be applied inthis case. This is a theoretical principle which asserts that anaction should result in the best result possible. For instance inthis case, would going inside the fire to try rescue the people leadto more benefit than harm? It is clear that the registered nurse andthe pediatric doctor risked their lives by going inside the fire andthis would only lead to more harm. In benefiting the most people in asituation, it is essential to ensure that one uses just and fairmeans. It is abundantly clear that the means being used in thisinstance are unfair to the nurse and the doctor and are also unjust.The possibility of causing harm to themselves is extremely high.

Question 3

There are a number of alternatives that can be applied in resolvingthis problem. One of the alternatives would be waiting for rescueteam from the fire department. It is would be better to contact thefire department as soon as possible to come and rescue the fivepeople as well as the rest of the people stuck inside the pediatricwing. Another alternative would be to find out how to put out thefire by use of the existing fire extinguishers. The registered nurseand the pediatric doctor should be having the knowledge of where thefire extinguishers are located. It is however essential to ensurethat the risk of entering the burning wing is low (Fulton et al.,2010). Putting out the fire would ensure that the stuck people arerescued before the fire department team arrives. It is evidentlyclear that the fire department team might take a long time to arriveto the scene and this would lead to more damage. The alternativetaken by the five people must be quick and effective.

Question 4

The consequence of the alternative would be saving the lives of thepeople stuck in the pediatric wing in the hospital. Additionally,taking the alternative measure would have the effect of informing thefire rescue team of the plane crash. This would ensure that a team issent quickly to come and rescue the people stuck in the fire. Inother words, an alternative solution would ensure that the people arerescued and there is a quick response (Davis et al., 2010). In otherwords, the alternatives would be seeking to hasten the process ofrescuing the people and calling in help from the relevantdepartments.

Question 5

The priority of the alternatives would be based on how eachalternative would lead to the quick rescue of the people stuck in thepediatric wing of the hospital. Calling in the fire rescue team wouldbe the first priority since this would bring in professionalism inthe entire situation. It is clear that people in the helicopter alsoneed rescue and the fire department will come in and rescue them too.If the team from the fire department would delay their arrival, itwould be prudent to try the second alternative of attempting to putout the fire using the available extinguishers.

Question 6

The immediate plan of action would be to call in the fire departmentto come and put out the fire and rescue the people who were stuck. Itwould also be essential to ensure that AMA guidelines of ethicaldilemmas are followed strictly. The ethics demand that the patientshould be given priority (White, 2013). The cause of action takenmust be the one which leads to the least harm. Rescuing the stuckpeople should not put the others at risk of injury or death. The casehas clearly stated that the smoke was immense and it would have beenrisky for the five to get back to try and rescue the stuck people.

Response to teammates answers

Teammate one

The teammate has described clearly what the dilemma is in thecase. It is not clear what steps the caregivers should take in orderto save the patients who are stuck in the fire. The teammate hasclearly stated that this would affect their safety as well. Theteammate has critically analyzed the alternatives which are there andwhich alternatives should be given priority. The teammate hasanswered all the questions asked in the case study. However, it isuseful to note that the answers offered by the teammate are extremelybrief.

Teammate two

This teammate gave a perfect analysis of the situation and whatought to be done to ensure that that there is no more damage, injuryor death of patients, as well as the people who are already safe onthe roof. The teammate, having watched the case on video, offers avalid point of considering the safety of all the people in the entiresituation. He does not recommend anyone going back into the blacksmoke to try and rescue the stuck patients. He believes that it isextremely risky and going back would lead to injury and possibledeaths. The teammate points out to the need of professional help. Heweighs in on the effects of trying to go back into the building andrescue the patients. The teammate insists on ensuring that thewhoever goes back to the building must have protective gear and mustbe sure that he or she is safe.

Teammate three

This teammate has brought forth another perspective to the case. Itis evident that there is no clear explanation of the severity of thefire and the safe people should assess this before taking any action.Teammate agrees with the rest that the dilemma in the case is whetherto wait for rescue or go inside and try rescue the people stuck. Heasserts that it is unethical for the people in safety to go into thefire if that would pose danger and injury or even death to them. Itis advisable according to this teammate to wait for the professionalrescue team. The immediate course of action would depend on theseverity of the fire. This teammate presents a valid point by arguingthat the nurse and the other people in safety must assess the firebefore deciding on whether to get in or wait for the rescue team.

Teammate four

The teammate concurs with the rest that the dilemma in the case iswhether to risk one’s life and go try rescue the rest of the peopleor stay put on the roof and wait for help. The teammate has presentedessential points on the way forward in such a situation. He haspointed to the ANA guidelines in such situations. Whereas the nurseis obligated to put the needs of the patient’s ahead of hers, it isuseful to consider the situation at hand. It would be unethical forthe nurse to die while trying to rescue a patient. The teammate’sopinion is that the people who are safe at the roof top should waitfor the rescuers. Although this may jeopardize on the safety of thepeople stuck in the building, it is safest route to follow in such asituation.


White, G. B. (2013).&nbspEthical dilemmas in contemporary nursingpractice. Washington, D.C: American Nurses Pub.

Davis, A. J., Fowler, M. D. M., &amp Aroskar, M. A. (2010).&nbspEthicaldilemmas &amp nursing practice. Boston: Pearson.

Killion, S. W., &amp Dempski, K. (2014).&nbspLegal and ethicalissues. Sudbury, Mass: Jones and Bartlett.

Fulton, J. S., Lyon, B. L., &amp Goudreau, K. A. (2010).&nbspFoundationsof clinical nurse specialist practice. New York:Springer.