behaviors, or is this an isolated event? (Schub & Heering, 2016). If the employee continues to demonstrate the same behavior or break the same rule, the next step is suspension from work –Suspension may be with or without pay, depending on the policy, and can range from a couple of days to a few weeks. During the suspension, the employee is expected to reflect on the problem and arrive at a solution for correcting it The final step in progressive discipline is involuntary termination of employment. Involuntary termination should be a last resort for repeated problematic behavior that shows no sign of improvement despite less severe disciplinary actions (Schub & Heering, 2016).ReferenceSchub, E.B., & Heering, H.C. (2016). Employee disciplinary action: conducting. CINAHL Nursing Guide, Retrieved from: ?vid=5&sid=6b1b2730-3263-4076-8fee-99eea02067cb%40sessionmgr120Week 4 part 3 Due to the incident, you are concerned with office policies and procedure. Upon investigation, you find there isn’t a policy in place to address non-urgent patient requests for prescriptions.Discussion Question: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.
In the hopes to improve patient safety when it comes to non-urgent patient requests for prescriptions, I would meet with all the providers and office manager and suggest we implementa new policy addressing non-urgent request for medication. The policy would include the following, non-licensed employees will not be allowed to call in prescriptions without having discussed it with the provider first. It would also be my recommendation that when at all possible the practice always schedules an appointment for patients calling requesting medications. At a minimum arranging for the provider to at least speak with the patient over the phone before calling in a prescription. According to Asinas, Leonardo, Aldana, Reboton, and Libunao (2016), current data suggests thousands of people are suffering from complications following medical errors and hospital inaccuracies each year despite having well-qualified medical professionals tending to their conditions. Additionally, lack of solidarity and teamwork was cited, which resulted in disorganized work processes and protocols as well as inconsistencies in healthcare practices and delivery. Implementing a new practice protocol will not only ensure the safety of the patients but will alsohelp in reducing the liability for the providers. Everyone in the office will be on the same page and know exactly what their role is and what is expected of them in this particular situation. ReferenceAsinas-Tan, M., Leonardo, J., Aldana, E., Reboton, W.C., & Libunao, J.S. (2016). Implementation ofquality improvement strategies for better patient care.International Journal of Integrated Care (IJIC), 16(6), 1-2. doi: 10.5334/ijic.2963
this week we were presented with a case study where a prescription was sent to the pharmacy without following safe prescribing guidelines. Although the patient was not harmed there is