NR 506 Week 2 Discussion: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study
21 views 0 purchase
Course
NR 506 NP 2 Discussion (NR506)
Institution
Chamberlain College Of Nursing
You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back-office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processi...
nr 506 week 2 discussion organizational change and ethical legal influences in advanced practice nursing case study
Written for
Chamberlain College Of Nursing
NR 506 NP 2 Discussion (NR506)
All documents for this subject (1)
Seller
Follow
Bestmaxsolutions
Reviews received
Content preview
You are a family nurse practitioner employed in a busy primary care office. The
providers in the group include one physician and three nurse practitioners. The back-
office staff includes eight medical assistants who assist with patient care as well as
filing, answering calls from patients, processing laboratory results and taking
prescription renewal requests from patients and pharmacies. Stephanie, a medical
assistant, has worked in the practice for 10 years and is very proficient at her job. She
knows almost every patient in the practice, and has an excellent rapport with all of the
providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment
was a year ago for the same reason. During this visit, Mrs. Smith brought an empty
bottle of amoxicillin with her and asked if she could have a refill. You noted the patient's
name on the label, and the date on the bottle was 1 week ago. You also noted your
name printed on the label as the prescriber. The patient admitted that she called last
week concerned about her cough and spoke to Stephanie. You do not recall having
discussed this patient with Stephanie nor do the other providers in the practice.
Case Study Questions:
1. What are 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
illegal behavior?
3. What leadership qualities would you apply to effect a positive change in the
practice? Be thinking about the culture of the practice.
Dr. Sibel and fellow classmates,
Having someone call in a prescription without it being prescribed by an authorized provider is a very
serious offense involving illegal actions by the medical assistant. Stephanie’s action not only affected her
future as a medical assistant, but her actions also have an impact on the patient, nurse practitioner,
medical director, and the primary care practice. Given that Stephanie does not have prescriptive
privileges, she could have wrongly called in a medication that the patient was allergic to, interacted with
medicines taken daily by the patient, or prescribed a medication that could produce long term side effects.
Amoxicillin is not a cough suppressant, so Mrs. Smith did not receive the appropriate medication needed,
and given that prescribing medication is out of Stephanie’s scope of practice, she should have never taken
it upon herself to call in medicine for a patient without consulting with a medical provider and having
them prescribe the desired medicine. While Stephanie appears to have previously been a wonderful
medical assistant, this one action could result in her losing her job, losing her license to practice as a
medical assistant (if she chose to be certified) and could result in legal action and disciplinary measures.
This action affects the nurse practitioner because not only does it show betrayal from a close work
acquaintance, but it also raises concern as to how many prescriptions Stephanie called in for patients
This study source was downloaded by 100000839287192 from CourseHero.com on 04-22-2022 08:33:17 GMT -05:00
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bestmaxsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $5.49. You're not tied to anything after your purchase.
