East Hampshire Home

 In a narrative format, discuss the key facts and critical issues presented in the case.

2. Explain the dilemma for organizations that have particularly serious regulatory issues. How should Jay resolve the differences in requirements from the Federal agency, OSHA, versus the state?

 3. Employing Porter’s Five Forces model, analyze the industry niche of care for the mentally retarded. What specific conclusions can be drawn from your analysis?

 4. Jay believes the required vaccinations would cost almost $30,000 a year, primarily due to his staff turnover rate, which is approximately 40%. Are there any suggestions you might have for Jay as to how he could reduce that turnover rate? Does the general environment model’s socio-cultural segment offer any clues?

1. Narrative: critical issues and facts

East Hampshire Homes was a for-profit institution for a mentally retarded individual established by Jay and his wife, Leigh, a registered nurse. Leigh was the head of the mental homes and thus, was in charge of overseeing regulatory requirements as stipulated by the local, state and federal health welfare regulations. Leigh only identified Hepatitis B and blood-borne as the likely factors that East Hampshire Homes and nearby society may be exposed to, although the rate of exposure according to her was not at a risk state. Federal Occupation regulations mandated Leigh to develop a compliance policy that could safeguard the employees. On the other hand, OSHA authorized Leigh a discretion of developing a framework for classifying the tasks that require occupational exposure.

Leigh believed that the employees were at a low exposure level and the policy developed advocated for immunization. Conversely, the option of vaccination program was dismissed due to high cost requirements. However, Oliver, OSHA officer, report to the home and confront Kris the head of Homes’ programs with the request for assessing the facility. Not knowing what to do, Kris called Jay who also informed the home Attorney with the hope of getting help from the bureaucratic Attorney. The advice was not to let Oliver search the facility without a warrant. The other help was sought from Kraat, a state health department representative. Kraat later watered Jay’s hope in help from bureaucratic individuals who feared to interfere with the jurisdiction of OSHA. Warren confirms to Jay that he had passed through the same dilemma one time, and the remaining option was to succumb to the orders and fines from OSHA.

2. Dilemmas that have serious regulatory issues

One example of a dilemma is a healthcare setup where the ethical requirements in any medical facility are to offer treatment to any deserving patient. According to the nursing profession, it is ethically wrong to leave a dying patient unattended, as the nursing standards mandate all medical nurses to attend to the patients with care and sufficient time possible to avoid medical errors and negligence…

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