The Er Nurse and Patient's Rights

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Lynne C Bunch, RN, MBA
Noblesville, IN 46062
June 21, 2013
Journal of Emergency Nursing

To Whom it May Concern:
Please find enclosed an article: "The ER Nurse and Patient Rights" which I am submitting for exclusive consideration of publication as an article in the Journal of Emergency Nursing. The paper demonstrates the issues and concerns when an emergency department patient refuses treatment and how to determine if they are capable to do so. As such, this paper should be of interest to a broad readership including those interested in mental capacity as defined by state statute, emergency detention, discharges of against medical advice, and how to determine if a patient is able to refuse treatment. Thank you for your consideration of my work. Please address all correspondence concerning this article to me at my home at 18717 Prairie Crossing Drive, Noblesville, IN 46062 and feel free to correspond with me by e-mail Sincerely,

Lynne C Bunch
Registered Nurse


The ER Nurse and Patient Rights
Lynne C Bunch
Registered Nurse
Masters of Business Administration
Noblesville, Indiana
ENA Chapter: Indy Roadrunners
June 21, 2013

Emergency nursing professionals must ensure that each patient has the capacity to give valid consent to treatment. If a patient does not have such capacity, professionals must ensure that all decisions about his or her treatment are made in the patients’ best interest. (Cummings, 2012) Emergency nurses must continually assess a patient’s capacity to consent to medical treatment. When a patient refuses medical treatment it is the professional’s responsibility to determine mental capacity of the patient in accordance with the law as it defines mental capacity and the right of the patient to refuse treatment. Determining if a patient has the mental capacity to refuse treatment is very difficult for the emergency room nurse....
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