One strategy to improve the process at the office would be to make a rule to limit telephone refills to one per patient, and require the patient to be evaluated for any new medication or additional refills of existing medications (Nurses Services Organization, 2012). Setting clear limits for employees and having proper communication with them about their roles and job duties is important. Creating a workplace that upholds values and has integrity as well as a well-communicated code of ethical behaviors that clearly states what is expected of the employees is crucial. This code of ethics should clearly articulate what is acceptable and not acceptable behavior in the workplace. Employees should be rewarded and appreciated when upholding an institutions values and goals (Boatright, 2013). Employees like Stephanie can be an asset to this practice, however, they must respect the legal boundaries of their scope of practice so they do not cause harm to patients. Reference Chamberlain College of Nursing. (2017). NR-510 Week 4: Organizational change and ethical-legal influences on APN and specialty nurse practitioner practice. [Online lesson]. Downers Grove, IL: DeVry Education Group. Boatright, R. D. (2013). Confronting ethical dilemmas in the workplace. Financial Analysts Journal , 69 (5), 6- 9. Nurses Services Organization. (2012). Nurse practitioner 2012 liability update: A three part approach . Retrieved from
%20liability/NP_Claims_Study_2012.pdf Show Less Instructor Romeo reply to Rufina Onumajuru 3/26/2017 8:11:10 AM RE: Wk 4 Discussion Part Three - Improvement Strategies Hi Rufina, thank you for your response. I am not sure that making a policy for one refill via phone per pt. is a wise strategy. A pt. may have not been seen by anyone in the practice for over a year and we generally assess pts. at least yearly that are on maintenance meds. I feel that decisions for refills, or new Rxs should always be the decision of the provider since in most states and for most types of setting it is illegal for an MA to make any independent decisions regarding medications. Thanks, Dr. Romeo Show Less Alison Michalik 3/26/2017 10:43:53 AM Dweek 4 discussion 3
Dr. Romeo and class, The quality improvement strategies I would implement as an APN in this practice to safeguard my role and assure patient safety is first discuss the problem with the entire staff in regards to Stephanie’s actions. I would allow open communication with everyone apart of the team to get each individuals perception of the issue. This will help determine a potential further problems and foster education that is needed to assist in a more cohesive practice. Garth et al. (2014), discusses strategies that involve requesting medications on the same day is to try to block off an hour or two once or twice a week to specifically see “urgent prescription” patients. This small window will allow the physician or NP to set eyes on the patient and reiterate that an appointment is needed for the next time only. Another strategy that
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