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Question
John works in the emergency department of a busy tertiary hospital. It is the middle of winter, and the hospital is running at full capacity with all beds occupied. An Influenza outbreak has affected a significant number of hospital staff across all areas. Providing sufficient staff for care delivery has been particularly challenging over the past two weeks. John is concerned with his personal safety and the safety of his family. He and his wife have had their influenza vaccine however they have twins that are only 3 months old and cannot be vaccinated until they are 6 months old. John is wondering if he should take some time off work to protect his family. However, he knows this will further reduce the limited staffing in the emergency room. Several of John's non-health care provider friends are refusing to get the influenza vaccine stating, "they are not afraid of a little flu" and it is "their right to choose to get vaccinated or not".
Questions:
1. What are the key issues? (discriminate between clinical and ethical)
2. Which ethical principle/s have been breached?
3. Which specific code of conduct issue/s exist?
4. What are the moral imperative/s for each of the issues identified?
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