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Helping
patients and staff resolve ethical dilemmas
WRNMMC strives to maintain the highest ethical
standards of medical care while preserving the life and health of
patients and the autonomy of both patients and medical service personnel.
Rapid advances in medical science constantly
raise new ethical issues and conflicts such as:
- Decisions to withhold or withdraw life
support
- Provider refusal to render care
- Decisions involving patients of diminished
competence
These and other situations often present
difficult, confusing, or conflicting issues.
The WRNMMC Ethics Committee is available
24 hours a day, seven days a week to help resolve these issues.
The decision process
Many times, patients, families, and staff
members are able to informally discuss the implications of various
courses of action, resulting in decisions that are acceptable to
all.
In some cases, family and staff find a benefit from consulting with
others who have experience with similar situations.
The Ethic’s Committee Consultation Program at the Walter Reed National Military Medical Center
exists as a resource for patient, family members
and hospital staff to assist with communication and decision-making.
Having a loved one in the hospital can lead to
very complicated situations that require difficult decisions regarding
life and death and quality of life issues.
Sometimes the patient may not be able to make his or her wishes
known at the time an important decision must be made. Family members
then may bear the responsibility for these decisions and feel overwhelmed
by both the short and long term consequences of their decisions.
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Who
can request a consultation?
- Anyone directly involved in the care of a
WRNMMC patient
- This includes the patient, his or her family
members, attending or consulting physicians, nurses, and other
members of the patient's health care team.
How do I reach a member of the Ethics Committee?
Call 1 (800) 759-8888 (or local 356-1111 inside
the hospital). The Ethics pager PIN number is 1635190.
What Happens in an Ethics Consultation?
When a consultation is requested, an Ethics Committee
member will be available to help identify issues and facilitate
discussion among all involved with the patient's care. If a more
formal consult is needed, the Ethics Committee will meet and discuss
the case.
Committee members represent a number of professional
backgrounds and all receive ongoing training in medical ethics issues.
All information discussed is held in the strictest
confidence.
The Committee exists to help clarify issues in
order to help patients and their families make good decisions.
No one is bound by the discussions or guidance
of the Committee.
Roundtable
Discussions
An ethical case is periodically presented and
discussed in-house. Date and time will be announced through staff
communications.
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