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Illustrative Cases<br />
Substitute Decision Maker (SDM) believes that staff are<br />
not checking in on <strong>inc</strong>apable patient throughout the<br />
night.<br />
SDM Purchases clock radio that can capture audio and<br />
video onto a memory card and positions it on patient’s patient s<br />
bedside table so the door and anyone exiting or entering is<br />
visible.<br />
Later complains to nurse manager and contends can<br />
“prove prove” allegations.<br />
Patient surreptitiously uses phone with web cam to<br />
document nurse-patient nurse patient interactions to demonstrate<br />
quality of care concerns such as response times to call<br />
bell.
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