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Ethics Case Consulta/on (ECC)
What are ethical issues?
Unresolved uncertain/es or conflicts of moral values among pa/ents, families, clinicians, and
- rganiza/ons
What is ethics case consulta/on? Ethics Case Consulta/on (ECC) A - - PowerPoint PPT Presentation
What is ethics case consulta/on? Ethics Case Consulta/on (ECC) A - - PowerPoint PPT Presentation
What is ethics case consulta/on? Ethics Case Consulta/on (ECC) A service and a prac/ce staffed by the Lake to support pa/ents, families, and health care teams facing ethical issues What are ethical issues? Ethics Case Consulta/on Unresolved
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Ethics Case Consulta/on (ECC)
What kinds of ethical issues can be effec/vely addressed in ethics consults?
Shared decision making with pa/ents and families Adolescent privacy, confiden/ality, and decision making Prenatal and beginning of life care End of life and non-beneficial care Professional conflicts on health care teams
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Ethics Case Consulta/on (ECC)
Who requests ethics consults?
Pa/ents and families AKending and consul/ng physicians Nurses and other health care team members Hospital leaders Bioethicist Hospital’s Ethics CommiKee
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Ethics Case Consulta/on (ECC)
How do people request ethics case consulta/on?
Contact Bioethicist Ethics Hotline office/cell phone numbers email/text Physicians may request ethics consults by clicking “Bioethics” on the EPIC Consults Page
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Ethics Case Consulta/on (ECC)
Who provides ethics consults?
Bioethicist Ethics Case Consulta/on Team Invited clinicians and hospital leaders The Ethics CommiKee
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Ethics Case Consulta/on (ECC)
How is an ethics consult conducted?
1.) Bioethicist gathers informa/on and ini/al understanding by talking with the requester and
- ther involved par/es and reviewing the chart.
Bioethicist may also talk with leaders of medical, clinical, and organiza/onal departments.
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Ethics Case Consulta/on (ECC)
How is an ethics consult conducted?
2.) ECCT can complete the consult by edi/ng/ accep/ng the Assessment, and may make a recommenda/on. Bioethicist enters consult into chart and follows up involved par/es.
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Ethics Case Consulta/on (ECC)
How is an ethics consult conducted?
3.) ECCT can otherwise complete the consult by mee/ng in person with involved par/es and upda/ng the Assessment, and may make a recommenda/on.
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Ethics Case Consulta/on (ECC)
How is an ethics consult conducted?
4.) ECCT can refer consult to the Lake Ethics
- CommiKee. The CommiKee can meet with
involved par/es, update the ECCT’s Assessment, and may make a recommenda/on. 5.) Ethics recommenda/ons are advisory
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Ethics Case Consulta/on (ECC)
What is the Ethics process?
1.) Support and lead respec]ul communica/on with, among, and between involved par/es 2.) Elicit ques/ons and concerns and assure that all par/es be heard and respected
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Ethics Case Consulta/on (ECC)
What is the Ethics process?
3.) Support par/es in clarifying their own values, understanding those of others, recognizing shared values, and acknowledging disagreements.
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Ethics Case Consulta/on (ECC)
What is the Ethics process?
4.) Review relevant informa/on and aKempt to facilitate a shared understanding and acceptance of the informa/on
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Ethics Case Consulta/on (ECC)
What is the Ethics process?
5.) Clarify the ethical consensus or disagreement 6.) Discuss a range of ethically permissible decisions
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Ethics Case Consulta/on (ECC)
What is the Ethics process?
7.) Ensures that decided op/ons comport with the hospital’s mission and policies and with relevant laws 8.) Iden/fies the ethically appropriate decision maker when disagreement and conflict are not resolved
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Ethics Case Consulta/on (ECC)
Providers’ Virtues Respect Caring Compassion Transparency
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Ethics Case Consulta/on (ECC)
Providers’ Virtues
Honesty Accuracy Clarity Consistency
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Ethics Case Consulta/on (ECC)
Providers’ Virtues
Humility Pa/ence Perseverance Resiliency Kindness
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Ethics Case Consulta/on (ECC)
Providers’ Principles
1.) Respect for persons 2.) The Harm Principle: stabilize; do not add harm yourself; prevent harm by others) 3.) Do good (stabilize, heal, palliate)
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Ethics Case Consulta/on (ECC)
Providers’ Principles
4.) Jus/ce: pa/ents are due best standards
- f care
5.) Fairness: give pa/ents equal
- pportunity; no discrimina/on
6.) U/lity: rela/ve best, or least worst, or tolerable outcomes
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Ethics Case Consulta/on (ECC)
What is the Ethics Value Added?
1.) Enact personal moral virtues and professional ethical principles which comprise and govern clinicians and organiza/ons taking care of vulnerable pa/ents and families
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