Here is the fourth Interactive Ward Ethics exercise – this one is called ‘Independent’. In it you will decide, for Nina, how to manage a patient with a very low blood pressure. The delicate issue here is when to escalate, or ask for help, and the consequences that I have focussed on relate not to the patient’s outcome, but to Nina’s psychological development as a doctor. Escalate too soon, and she risks censure – carry on too long, and she risks accusations of over-confidence. These concerns are ever-present in the minds of trainee doctors.
Clicking on each option will link you to the next section, and you can use your back and forward arrows to go back in time. In the Summing Up page are links to two papers that I have written on the topic.
Enter Independent here.