NR 510 Week 4: Case Study: Part One

NR 510 Week 4: Case Study: Part One

NR 510 Week 4: Organizational Change & Ethical-Legal Influences in Advanced Practice Nursing Case Study: Part One

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.

NR 510 Week 4: Case Study: Part One

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.

NR 510 Week 4: Case Study: Part One

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Discussion Question: What are the ethical-legal concerns … with this situation? What is your liability in this situation, if any? What is the practice’s liability in this situation? … 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.