prescriptions, the primary care provider needs to OK it. According to Ghorob & Bodenheimer (2012), in most practices, clinicians must approve all prescription refills. Although nurses or medical assistants assist clinicians by contacting pharmacies on the clinicians' behalf, they do not build capacity, because clinician time is needed for the refills. The medical assistant has been there for 10 years, although this is something she felt comfortable doing, it was not within her scope of practice and it was at the expense of the NP if anything were to go wrong with the prescription. Reeducation all of the staff members will be beneficial as a reminder of each individual's responsibilities along with a review of scope of practice so each staff member clearly understands what they can and cannot do. The practice administrator may want to do an internal investigation to ensure an event such as this doesn’t happen again. Finally, to prevent this from happening in the future the NP should prescribe electronically whenever feasible. Prescribing electronically can reduce the chances of prescriptions being called in without the NPs knowledge. Electronic prescriptions can also reduce the opportunities to copy the clinician's signature or altering paper prescriptions. References Buppert, C. (2015). Nurse practitioner’s business practice and legal guide (5 th ed.). Burlington, MA: Jones & Bartlett Learning, LLC. Dower, C., Moore, J., & Langelier, M. (2013). It is time to restructure health professions scope- of-practice regulations to remove barriers to care. Health Affairs , 32 (11), 1971-1976.
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- Registered nurse, Medical prescription, Stephanie