Leader, to educate the staff regarding ethics, and their importance to the practice. As stated in our lesson for this week, the Code of Ethics, in provision 4, nurses that are in the capacity of leadership must establish policies and procedures that protect the nurse and the patient from inappropriate employee responsibilities, actions, or tasks (Chamberlain College of Nursing, 2017). By Stephanie taking it upon herself to order a prescription without the authorization of the Nurse Practitioner or Physician, she not only put the Nurse Practitioner in jeopardy, could cause legal ramifications/loss of license or authorization to prescribe, but also the patient, if the patients condition has deteriorated, but her own as well.
Stephanie did not weigh out the ethical decision of her actions, which could’ve led to dire consequences. Tracey References Chamberlain College of Nursing; Week 4 Lesson. (2017). Organizational change and ethical-legal influences on APN and specialty nurse practitioner practice. Downers Grove, IL. Chapman, S. A., & Blash, L. K. (2017). New Roles for Medical Assistants in Innovative Primary Care Practices. Health Services Research , 52 383- 406. doi:10.1111/1475-6773.12602 Gregory, M. (2014). Researching the Scope of Practice for Medical Assistants. AAACN Viewpoint , 36 (2), 13-14. Retrieved from Woten, M. B., & Schub, E. B. (2015). Effective Nursing Leadership: Performing. CINAHL Nursing Guide . Retrieved from Show Less Instructor Romeo reply to Tracey Putz 3/22/2017 1:06:10 PM RE: Next logical step Hi Tracey, thanks for your response. So basically in Colorado as the NP you cannot delegate an MA to call in a new Rx or a refill? So this makes this situation even more serious since she used your name on the Rx. What would you say to Mrs. Smith about the refill she is requesting today? Thanks, Dr. Romeo Show Less
Tracey Putz reply to Instructor Romeo 3/26/2017 10:16:14 PM RE: Next logical step Professor Romeo, You are correct, in the state of Colorado I can delegate if the provider has delegated to me to delegate to the medical assistant, as the MA falls under the physician medical model. The situation with Medical Assistants is a very hot topic for me from what I have witnessed personally in many practices because I have fought with many physicians that do not understand the difference between licensed nurses (they just cost too much) and medical assistants (MA), where they allow the MA to work in the nurses role, where the MA then begins to refer to themselves as a nurse. This gets to be very dangerous as the MA begins to gray the line as well, but this puts my license at risk, as the provider isn't going to put his medical license on the line to save that MA or myself, so it is imperative that the NP not only understands but knows their scope and that of the other employees to protect themselves, I've seen too many good nurses and MA's alike "go down" for a provider all because they wouldn't tell them "No." I won't deny a patient their care, if the illness and request are legitimate,
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- Fall '15
- The American, Advanced practice nurse, Stephanie