Case Study Part 1: An LPN is in her first employment position since graduation. She is working at long-term care facility in the respite unit. In this unit there are 12 beds for respite care as well...

Extracted text: Case Study Part 1: An LPN is in her first employment position since graduation. She is working at long-term care facility in the respite unit. In this unit there are 12 beds for respite care as well as clients who live in the facility permanently. This means that respite clients are admitted from the community for short periods of time, perhaps to give family members and caregivers a break, or to allow them to go on holiday. Sometimes, respite allows a caregiver to take care of their own failing health or to have a needed surgery. The unit is very busy with 2 to 3 admissions and 2 to 3 discharges every day. The LPN has been given four shifts of orientation - 2 days, one evening and one night – working alongside another LPN. After this she starts to work on her own, being placed in charge of the unit and responsible for the supervision of four care aides, one dietary staff at meal times and one rehab assistant. The unit is also supported by an activity aide and a music therapist (for a few hours per week). Residents may go off the unit to attend entertainment activities in the home. After six shifts in charge, the LPN is looking forward to her days off, starting tomorrow. She feels she is unable to keep up with the pace of the unit and is concerned that she has not been able to complete all of her work satisfactorily. She is aware that she has cut coners during each day and, sometimes, did not have enough time to complete all of the checks she was taught about in school before administering medications to some of the residents. She tells the nurse manager about this situation before leaving for her days off. 1. What ethical dilemmas is the LPN faced with at this point in her career? 2. What specific parts of the BCCNM Professional Standards do you believe are under threat in this situation? 3. As a member of the public or a family member, what would you want the LPN to do at this point in time?