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Case Study A 5-day-old premature baby was believed

Case Study A 5-day-old premature baby was believed to require a blood transfusion because of increasing anemia. The parents were Jehovah’s Witnesses and did not wish to have blood or blood products given to the baby. A court order was obtained with the parents’ knowledge, and blood was given. However, the physician on call the next night did not want to obtain the court’s consent for an additional blood transfusion because it had been granted before. The blood was ordered, and the nurse was asked to hang the blood. The nurse refused for ethical and legal reasons. Case Questions 1. Analyze the ethical and legal reasons for a nurse to refuse to follow the physician’s orders. 2. Describe the steps the nurse should take and the steps you would use in your institution 3. Assess how the doctor’s order and nurse’s response affect the quality and safety of care for the patient. 4. Explain how you think the nurse should respond to the parents.

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