Mike is running late again. The last time he spoke with his supervisor, he promised he would be on time. Mike even left his home 20 minutes earlier than usual, but there was an accident on his commute. The job is very important to Mike. He is the sole provider for his wife and newborn baby, but his supervisor told him that if he continued to be late he might face termination.
Upon arriving, Mike observes a spill on the floor. He must make a decision: stop and make sure the spill is cleaned up or ignore it all together. If he safeguards the spill, surely he will be late clocking in and could face losing his job. Anyway, the spill is in another work area, and perhaps it will be cleaned up while he is clocking in.
The patient is preparing to be discharged, but there has been a spill that led to the patient falling. You now need to explain that the discharge will be delayed until a full assessment has been completed. Additionally, educational materials and instructions need to be provided to the patient. A family member is present to help with discharge and follow-up instructions due to a language barrier.



The patient is sitting in the room waiting for instructions and discharge orders. The patient is getting anxious, having already waited for some time, and wants to leave. The patient does not speak English and is having a difficult time understanding why an assessment needs to be done just for falling down.

Examine how the described problem might happen in your facility and the impact it could have.

Questions to answer based on presented scenario (pertaining to nursing):
• Given that the patient speaks and understands very little English, what other forms of communication might be used to provide patient education?
• How would you assess if the patient understands the discharge instructions?
• How will the actions of the staff member either negatively or positively impact patient care and the patient care experience?
• What ethical values or decisions did the staff member make that do not align with the patient education policy?

In-text citations and references are required.