Ethical dilemmas are circumstances in which there is a potential conflict between two 

choices of actions that are ethical and reasonable but cannot be satisfied (Htay, M., & Whitehead, 

D., 2021). In this healthcare setting, dilemmas are often conflicting because resources can be 

limited, and policies and compliances have to be followed thoroughly. These dilemmas become 

difficult to solve since the doctor is always thinking of what would be the fastest and best benefit 

to the patient. In this experience, there was an ethical dilemma between a police officer and a 

doctor. 

Ethical dilemmas

An underage patient came accompanied by their legal guardian with a chief complaint of 

intentionally digesting medication. Upon further assessment, we gathered that the patient 

consumed a harmful amount of medication, and the reason they were doing it was to feel 

“hallucinations.” At this very moment, poison control had to be called; they informed that the 

patient was at high risk of having cardiac arrest and seizures and that it was fairly important to 

try to get them out of the facility as soon as possible to seek the appropriate care. 911 had to be 

called, fire rescue and police officers showed up. The incident happened in a different county, 

and the patient arrived at a healthcare setting that is part of another county. The police officers 

could not take the patient unless he was baker acted. The Baker Act is a Florida Law that gives 

permission to families to provide emergency mental health aid and temporary restraints for 

people who are unable to decide their own needs for treatment (University of Florida Health, 

2023). On the other hand, the doctor did not believe the patient should be placed under the 

Backer Act. The doctor believed the patient did not have any ideas of self-harm. 

At this time, the situation was complicated because the police officers were following 

their code of ethics as well as the doctor. The doctor had gathered enough information to 

conclude that the patient was not trying to harm themselves. On the other hand, the police 

officers see that the patient is underage, intentionally taking medications over the normal 

amount, and automatically suspect the patient has a reason to be harming themselves. Another 

addition to this dilemma is that there are no specialized professionals such as mental health 

doctors that could assess the patient to evaluate him and determine if he is a risk to himself or 

others.  As nurses, we had to tell the police officers the serious effects of not taking this patient 

right away since we did not have the emergency equipment required if this patient were to 

present with the possible side effects from consuming the harmful amount of medication. 

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Ethical dilemmas

In conclusion, this ethical dilemma was finally resolved after the police officers were 

aware of the situation and respected the doctor’s autonomy to decide what was best for the 

patient at that time. This dilemma could have been avoided if the doctor and the police officers 

spoke directly to one another. This would have provided better communication and 

understanding from both sides. In the end, the situation was solved, and both sides were able to 

keep the patient safe. 

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