A physicianarrives on theunit, stating she is "working in the lab and needs some blood to run a lab test for a research study".

The physician enters the room of one oftheir assigned patients.

Without a parent present, the physician asks the 17-year-old patient if she can draw the patient's blood. The patient seems reluctant but agrees to the procedure. The physician draws the blood, and the physician leaves the unit without documenting the procedure.

1) Which ethical principles were violated?

2) How did the nurse fail to act as a patent advocate?

3) What should the nurse have done to protect the rights of the adolescent?

4) If you were the charge nurse and this was reported to you, what would you recommend?

Please include references