Ethical Decision Making

Second, get the facts. To some extent the facts speak for themselves. Staff is acting on their individual code of ethics without regard or possibly without knowledge of the hospital's code. With respect to the DNR issues, in all cases the family members were happy, but in this case, as administrator their happiness is not the issue. The legality however is. DNR orders are for the protection of the hospital and its staff. If they are not adhered to that protection is none existent.
What are the facts surrounding treatment or lack thereof? Investigation again reveals varied results. I have staff that fear for their personal safety, so they require HIV clearance before treatment. I have staff that is concerned for the welfare of the hospital, so they require insurance verification prior to treating. I have staff that care for the patients themselves so much they provide free service or payment on installments, both occurring without consent of administration. I also have staff the order treatment just for the sake of doing the procedure.
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