NR 510 Week 4 Case Study Discussion Part 1.docx - NR510 week 4 disc1 Discussion Part One(graded You are a Family Nurse Practitioner employed in a busy

NR510 week 4 disc1 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 & 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 & taking prescription renewal requests from patients & pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years & is very proficient at her job. She knows almost every patient in the practice, & 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 & asked if she could have a refill. You noted the patient’s name on the label & 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 & 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 your response. Topic responses  Discussion  Exp& All More Sort By:        Meghan Mills 7/10/2016 11:46:04 PM Week 4 Part 1

What is your next logically sound course of action? Provide evidence to support your response. One logically sound, next course of action may be to tell Mrs. Smith that after a week of taking amoxicillin, she is not to consume anymore because of the risk of attributing to the development of antimicrobial resistance, “Studies reporting the quantity of antibiotic prescribed found that longer duration & multiple courses were associated with higher rates of resistance” (Costelloe, 2010, c2096). I would then need to reassess Mrs. Smith, & perhaps send her for blood work, testing, etc. After providing a cough-relieving intervention for Mrs. Smith, the next course of action may be to confront Stephanie about the phone call between her & Mrs. Smith by simply asking Stephanie, “what did you do after Mrs. Smith called & told you about her cough?” The next logical course of action then depends on Stephanie's answer. Reference Costelloe, C., Metcalfe, C., Lovering, A., Mant, D., & Hay, A. D. (2010). Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: Systematic review & meta-analysis. British Medical Journal , 340 , c2096. doi: Show Less Mijanou Marretta-Lewis reply to Meghan Mills 7/24/2016 10:28:51 PM RE: Week 4 Part 1 Meghan, When questioning Stephanie, in private, another question after the initial one of asking how this transpired would also be: how often she has done this in the past? Another question would be if she knew what her scope of practice was & does the office have a policy when patients call in asking for medications or advice that is not within the medical assistant’s scope of practice.