Question

In which scenario does Mr. Burgundy demand a room and ask for his cameraman?

1) Scenario 1
2) Scenario 2
3) Scenario 3
4) Scenario 4
5) Scenario 5


Ronald Burgundy
Scenario 1
The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. In the interim, start an IV and start infusing Ringers Lactate. Put the patient on O2 NC and Fentanyl 25mcg IVP for pain.

Scenario 2
When she moves him to the hallway, Mr. Burgundy begins yelling at you ""Do you know who I am, I demand a room! Where is my camera man!! I need to be reporting!"" When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. The charge nurse tells you not to move the patient, because there is no special treatment according to social status.

Scenario 3
The nurse observes an elderly lady who is crying and has not been taken care of yet. The charge nurse asks you to assume the patient's nursing care. The patient is asking you where her son is, the last place she saw him was right before the explosion. The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. She is having some difficulty breathing. There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry.

Scenario 4
The patient has a pneumothorax that requires a chest tube placement. The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. You notify the charge nurse that you have never taken part in inserting a chest tube. The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C.

Scenario 5
The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report."

Answer 1

Mr. Burgundy demands a room and asks for his cameraman in Scenario 2, leading to a situation that tests the hospital staff's commitment to equitable treatment. Despite his demands, the charge nurse refuses to give him preferential treatment due to hospital ethics that prioritize medical need over social status.

Step-by-step explanation:

Scenario Analysis: Mr. Burgundy's Demands

In the provided scenarios, it is Scenario 2 where Mr. Burgundy demands a room and asks for his cameraman. During a stressful situation in a hospital setting, Mr. Burgundy begins to raise his voice, expressing his status and the need for special treatment.

An important aspect to highlight here is the adherence to the ethical principle that the hospital staff, including the charge nurse, enforces—there should be no special treatment based on social status. The nurse is instructed by the healthcare provider (HCP) to move Mr. Burgundy into a treatment room, but the charge nurse upholds the standard that medical treatment priority is not determined by an individual's status but by their medical need. This brings to light the tension between patient expectations and healthcare ethics.

Medical care provision should be equitable and based on need, and the charge nurse's decision reflects this standard of care. It emphasizes the importance of professionalism and equal treatment in the medical field, regardless of one's social standing or public recognition.