Physician Impairment
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The ability to detect and treat physician impairment in a non-threatening environment is of paramount importance. Instances of physician impairment should be addressed with minimal delay but with the utmost fairness and respect for fellow physicians. However, the absence of physician impairment does not always imply physician wellness. Prepare a memorandum addressing the risks that need to be mitigated in the situation involving physician impairment and medical error. Note the location (city and state) of your hypothetical healthcare system at the top portion of your memo. Research and use state specific applicable regulations.
Scenario / Directions:
Chief Nursing Officer of a healthcare system was concerned. Over the years she had watched the Head Surgeon Dr. James Montgomery as he kept his six days a week operating schedule. Lately Nina noticed the seventy-five-year-old surgeon slowing down. She noticed Dr. Montgomery had gone to a five-day surgery schedule. Last Tuesday he had performed surgery on Mrs. Able, an 80-year-old lady for a growth on her large intestine; which was benign. The surgery went well, however, the next day Nina was informed that the sponge count was incorrectly done and that one sponge was missing in the count. It wasnt in the operating room waste bag or in the room when it was cleaned.
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