Ethic and law in nursing
Topic: This assessment consists of two case studies (One AND Two)
with related questions.
The two case studies are taken from the Singapore Nursing Board
Annual Report 2015 (2016).
› You are required to analyse both of these case studies
addressing the questions set out for each one. You are also expected
to make reference to the relevant national and international peerrefereed
literature in addition to the SNB Code of Ethics and
Professional Conduct in your answers.
Case study 1
› A Registered Nurse carried out insertion of a nasogastric tube for one patient on 24 March 2014. She
proceeded to allow feeding for the patient to take place relying on a test method to ascertain correct
placement of the naso-gastric (NG) tube which is not recommended by the Ministry of Health’s Nursing
Practice Guidelines 1/2010. Secondly, she failed and/or omitted to take into account the significance of the
aspirate PH 6-7 which is indicative of gastric or intestinal aspirate before allowing feeding to take place.
The nurse also failed and/or omitted to withhold feeding for the patient until confirmation of the NG tube’s
position which included confirmation by radiological means. With the Complaint Committee’s
recommendation, the Board decided to suspend her registration for a period of one year. (SNB Annual
Report 2015 (2016, p.18)
› 1. Which value statements from the SNB Code of Ethics and Professional Conduct does the nurse
breach in this case study? (5 marks)
› 2. With reference to the relevant national and international peer-refereed literature, why do you
consider that she breached them? (20 marks)
› 3. Explain how this nurse failed to practise safely by undertaking a review and discussion of the
relevant core competencies that the RN failed to meet. Make reference to each relevant domain,
competency unit and element (20 marks).
› 5 If you were the nurse in charge of the unit where this incident occurred what actions would you
feel the need to take when you realised what had happened and which value statements from the SNB
Code of Ethics and Professional Conduct led you to take these actions in relation to this nurse? (5 marks)
› Case Study 2
› A Registered Nurse (RN) acted in misconduct by drawing drugs from the Omnicell
without authorised approval and by using the drugs for his personal consumption from
May 2010 to September 2014. The RN was subsequently dismissed for cause by the
hospital on 20 January 2015 and given a stern warning in lieu of prosecution to refrain
from such similar conduct in the future by the Singapore Police on 9 April 2015. The
Board decided to suspend his registration for a period of six months.
› Which value statements from the SNB Code of Ethics and Professional Conduct does
the nurse breach in this case study? (5 marks)
› With reference to the relevant national and international peer-refereed literature, why
do you consider that he breached them? (20 marks)
› If you were the nurse in charge of the ward who discovered the behaviour of the nurse
how would you manage this situation? Provide references from the relevant national
and international peer-refereed literature to support your decisions (20 marks)
› Which value statements from the SNB Code of Ethics and Professional Conduct would
cause you, as the nurse in charge, to take the actions you have described above? (5