99%(168)167 out of 168 people found this document helpful
This preview shows page 2 - 4 out of 4 pages.
DeNisco, S.M., & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Retrieved from https: bookshelf.vitalsource.comWeek 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part TwoUpon further investigation, you learn that Stephanie spoke with the patient and called the medication into the patient's pharmacy without consulting with a provider. Stephanie claimed that the patient was insistent about needing a prescription. Because Mrs. Smith was coming into the office the following week for an appointment, she didn't think you would mind if the patient received the prescription early.Discussion Question:What are the ethical-legal concerns associated with this situation? What is your liability in this situation, if any? What is the practice's liability in this situation? What quality improvement strategies might you implement as an APN in this practice to safeguard your role and assure patient safety? Provide evidence to support your response.RESPONSE:The ethical-legal concerns associated with this situation could potentially impose serious penalties, not only on the medical assistant, but on the nurse practitioner, physician and the overall practice. Could you imagine the legal consequences if Mrs. Smith would have had an allergic reaction to the antibiotic
and suffered severe effects, or even worse, died as a result of an unlicensed personnel practicing medicine? The potential legal issues associated with this type of an occurrence could include malpractice and negligence because of tasks being performed outside the healthcare worker’s scope of practice. According to the American Association of Medical Assistants (AAMA) (2018), medical assistantsmay not legally prescribe medication autonomously or refill prescriptions independently. Stephanie’s actcould have legal implications on the nurse practitioner because of using him or her as the prescriber, andthe physician because he or she is responsible for the oversight of medical assistants. On the ethical sideof this situation, I feel Stephanie performed this task because her professional judgment was dominated by her personal judgement and feelings towards Mrs. Smith. As healthcare professionals, we all want what is best for the patient, but we have to know when to put aside our personal judgments and follow the rules and policies that direct our practice. Ethical principles and theories provide the foundation for all ethical behavior and provide direction in the decision-making process (DeNisco & Barker, 2015).