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NR 506 NP Week 5 Discussion.
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NR 506 NP Week 5 Discussion.You are a family nurse practitioner working in an outpatient primary care office of a large
hospital system. The practice has been operating for over 15 years, and many of the
administrative and clinical staff were hired when the practice opened. You have been in
practice for less than 3 months. In that short amount of time, you have witnessed several of the
clinical staff engaging in heated arguments with each other, sometimes in patient areas. You
overhear an argument occurring today between two staff. You pick up a patient's chart and
notice a very low blood pressure that the medical assistant failed to notify you about. When you
confront the MA, she states that she was going to report the vital signs to you when she became
engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who
cannot cooperate effectively can negatively influence your ability to spend time with
patients, can impede the flow of patients through the office, and could impact patient safety.
Case Study Responses:
1. Analyze the case study for potential issues for members of the healthcare team from
office conflict. Contrast the potential effects for each member of the healthcare team based
upon the required readings from the week. Discuss the potential ethical and legal implications
for each of the following practice members:
o Medical assistant
o Nurse Practitioner
o Medical Director
o Practice
2. What strategies would you implement to prevent further episodes of potentially
dangerous patient outcomes?
3. What leadership qualities would you apply to effect positive change in
the practice? Focus on the culture of the practice.
Dr. Sibel and fellow classmates,
Having staff that constantly argues and fights is unacceptable, especially when it starts to affect
patient care. In this case, the medical assistant neglected her duty of notifying me that my patient
was hypotensive. It is a major issue when patient care is compromised. Not only is the patient
affected by the argument but the medical assistant, nurse practitioner (myself), the medical
director, and the medical practice are affected. Below is a chart listing the potential ethical and
legal implications for each member of the healthcare team.
Practice Member Ethical Implications Legal Implications
Medical Assistant The ethical obligations of the MA Medical assistants have a role
(MA) are to come to work, complete to assist clinicians in practice.
tasks as ordered, and adhere to the It is their duty to ensure that
standards set forth by the information gets passed on to
American Association of Medical the provider. If the patient had
Assistants, which includes no suffered harm from the MA
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