Ethics Consulation Service - Montana VA Health Care System
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Montana VA Health Care System

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Ethics Consulation Service

Every VHA health care facility has an Integrated Ethics consultation service made up of staff with special knowledge and skills relating to ethics in health care.  This service responds to requests from staff, patients, and families to help them identify, understand, and resolve ethical concerns. 

It is important to be able to recognize and respond to ethical concerns since they can have a significant impact on health care quality and decision making.
If you are facing uncertainty or conflict about values, you have an ethical concern.
In health care, ethical concerns often relate to:

  • Shared Decision Making With Patients
    • Ability of Patient to Make Health Care Decisions, Informed Consent Process, Surrogate Decision Making, Limits to Patient Choice, Advance Care Planning
  • End-of-Life Care
    • Cardiopulmonary Resuscitation, Life Sustaining Treatments, Death and Post-Mortem Issues
  • Patient Privacy and Confidentiality
    • Protection of Patient Privacy and Confidentiality of Patient Information
  • Patient Care
    • Cultural/Religious Sensitivity, Conflicts of Interest, Open and Honest Communication with Patients
  • Resource Allocation
    • Fairness in Allocating Resources Across Programs, Services and Patients
  • Business and Management
    • Facility Leadership, Human Resources, Business Integrity
  • The Everyday Workplace
    • Respect and Dignity, Ethical Climate
  • Government Service
    • Government Ethics Rules and Laws for Federal Employees
  • Research
    • Informed Consent for Research, Ethical Standards for Research Practices

Responding to Ethics Concerns

If you have an ethical concern, you may contact Sheralyn Marble, RN, Integrated Ethics Coordinator.  She will work with the other members of the team to provide you with the help you need.

Sheralyn Marble, RN      
Integrated Ethics Coordinator

Contact Info


  • VA Montana Health Care System

Contact Number(s)

  • 406-447-6726

Hours of Operation

  • Monday - Friday 8:00am - 4:30pm