Read Case #30, Blood-Borne Incident in an STI Clinic (Cases in Health Care Management). What is the overall organizational problem? What are the top three factors contributing to this dilemma? What are the top three management issues in this case? Who should be responsible for resolving this issue? How does this case relate to ethical social responsibility? Provide your reflections and your recommendations for resolving these problems.
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esthesiologist, and done on the right CASE ve been avoided? If 30 mulder edure, what would onsequences might Blood-Borne Incident s being honest and ization. What kind used to avoid these Sob shel in an STI Clinic nal opinions as well all ano s uf valq oral smoo dizzog noirkangaroo onses. Sharon B. Buchbinder miamoves wov as low es anoinigo langewig bas enobosarmtoy shiver Maria Ortiz, a married, 32-year-old mother of three, works as a housekeeper at an urban clinic for Sexually Transmitted Infections (STIs). Her previous job nd ed.). Sudbury, MA: experience involved cleaning offices and lavatories in a nonclinical part of Best Medical Center (BMC). When she transferred into the clinic for a higher rate of health care management pay, the supervisor was delighted she had job experience with BMC and assumed ealth Networks, 85(11), she had already had training on blood-borne pathogens. Maria was on the new job seven days when she ran a rag between the wall and the red sharps container 0). Avoiding wrong site and accidentally jabbed herself with a dirty needle. The uncovered hollow needle was still attached to the syringe; it had become wedged on a ledge of the counter s. Retrieved from http:/ ds_hidden30September next to the sharps container and was hidden by the red plastic box. Maria immediately informed her supervisor of the incident and was seen by goals effective January 1, Dr. Coffin, a clinic physician, who promptly ordered a blood test for all pos- sets/1/6/NPSG_Chapter sible STIs, including syphilis, all blood-borne forms of Hepatitis, gonorrhea, and HIV. With assistance from a coworker, Maria completed the incident report, alth care: Principles and and Dr. Coffin documented the blood tests. A week later, the physician asked ical approach for decision Maria to come into his office. Dr. Coffin was very sorry, but he had to inform her that her blood test was positive for Hepatitis B. Journal of Perioperative Stunned and confused, not really sure what that meant, Maria began to weep. Then, as if that wasn't bad enough, the physician informed Maria that she now management: Using avia- Space and Environmental must prove that she did not have Hepatitis B before she came to work for the linic. Dr. Coffin regretted to tell her that if she could not document the absence le, D., Mehler, P. (2010). of Hepatitis B prior to this incident, then BMC has said it would not pay for protocol era: Analysis of her treatment . nces. Archives of Surgery, 103
