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Discussion Part One (graded)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 backoffice 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 allof 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 one 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.Discussion Question:What is your next logically sound course of action? Provide evidence to support yourresponse.Medical assistants have a scope of practice that allows them to perform basic clinical procedures if they are under the supervision of licensed health care professionals (such as doctorsor nurse practitioners). Some states have laws that allow for medical assistants to have tasks delegated to them by health care professionals, however since medical assistants are unlicensed, they are only permitted by law to perform basic tasks including: administrative work, clerical work, and technical support work[Sta162]. Given the unlicensed nature of the position, a medicalassistant may not diagnose, treat, or perform any sort of medical assessment. Even before performing basic technical support for medical procedures, the medical assistant must be thoroughly trained by licensed health care professionals, and these tasks may only include easy and routine medical tasks and procedures. These sorts of tasks might include medication
administration, simple injections, skin testing, dressing administration and removal, suture removal, and shaving and disinfection[Sta162]. In terms of prescriptions, a medical assistant mayonly hand patients prescription medications that have been prescribed and ordered by a licensed health care professional. This prescription must already be labelled for the patient, and a licensedprofessional must verify that it is the correct medication[Sta162]. With this knowledge in mind, my next course of action would be to confront Stephanie and see if she administered the medication. If she did, regardless of her previous positive work habits, she would have to be disciplined appropriately. I would first discuss the action with the
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Health care provider, Stephanie, medical assistants