ETHICS INSERVICE Bonnie Meyer, DMin, BCC Director of Bereavement and Spiritual Care WHAT DO WE MEAN BY “ETHICS”? HOW TO ACT IN SITUATIONS STANDARDS OF BEHAVIOR WHAT DO WE MEAN BY “ETHICS”? NOT BASED ON: FEELINGS RELIGION FOLLOWING THE LAW FOLLOWING CULTURALLY ACCEPTED NORMS SCIENCE WHAT DO WE MEAN BY “ETHICS”? ETHICS IN HEALTHCARE ARE BASED ON: ETHICAL PRINCIPLES COMPARABLE CASES PROFESSIONAL GUIDELINES CONSCIENTIOUS PRACTICE ETHICAL PRINCIPLES IN HEALTHCARE BENEFICENCE NONMALEFICENCE AUTONOMY JUSTICE VERACITY ETHICAL DILEMNA: CONFLICT AMONG BASES FOR ETHICS ETHICAL PRINCIPLES BENEFICENCE NONMALEFICENCE AUTONOMY JUSTICE VERACITY PROFESSIONAL GUIDELINES CONSCIENTIOUS PRACTICE COMPARIBLE CASES WHAT DO WE DO? FIRST: CONSULT WITH TEAM MEMBERS IF NEEDED, CONSULT WITH SUPERVISOR NEVER ACT ALONE WITH ETHICAL DILEMNA NEVER TAKE QUESTIONABLE POSITION WITHOUT INVOLVING SUPERVISOR IF NEEDED, CONSULT WITH ETHICS COMMITTEE IF SITE DIRECTOR FEELS ADDITIONAL CONSULTATION AND SUPPORT IS NEEDED COMMON ETHICAL ISSUES IN HOSPICE STAFF SAFETY PATIENTS/CGS WHOSE CHOICES AND ACTIONS MAKE “GOOD CARE” DIFFICULT BOUNDARIES DISCONTINUATION OF CARE FUTILE CARE PALLIATIVE SEDATION IMPLANTED CARDIO DEFIBRILLATORS ETHICS PAGE ON HOB INTRANET YOU ARE INVITED TO CHECK OUT THE ETHICS PAGE ON THE HOB INTRANET LISTS OF RELEVENT JOURNAL ARTICLES ETHICS CASES, WHICH STAFF CAN DISCUSS ON A BLOG HOB ETHICAL VALUES ARE CONSISTENT WITH HOB CORE VALUES IN MISSION STATEMENT COMPASSION EXCELLENCE TEAMWORK RESPECT & DIGNITY DIVERSITY INTEGRITY INNOVATION SUSTAINABILITY