Ethical and Legal Implications Assignment 

Ethical and Legal Implications Assignment 

Ethical and Legal Implications Assignment

  1. Ethical and legal implications

The medical assistant put the patient at risk of harm by giving her medication for which its safety and efficacy have not been verified by a physician or nurse practitioner. Legally, the medical assistant does not have prescriptive authority, and her actions amount to a legal violation of state and federal laws regarding prescribing medications (Aly et al., 2020). She could face disciplinary actions by the state board, leading to loss or suspension of license.

The Nurse Practitioner is responsible for ensuring patients get safe and quality care. The actions of the medical assistant compromise her duty to promote patient safety. The medical assistant works under the NP; hence NP is responsible for her unthoughtful actions, which could lead to legal litigation, loss, or suspension of license.

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The medical director should be responsible for creating systems and procedures that promote patient safety. Actions of the medical show a lack of a strict policy regarding prescribing medication procedures. If any adverse event occurs with Mrs Smith, litigation on organizational negligence could be brought against the facility, and the medical director may lose his license or disciplinary action (Aly et al., 2020).

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The ethical implication for the practice is failing to protect patients from the risk of harm. The practice could also be legally affected by possible lawsuits or disciplinary actions.

  1. What strategies would you implement to prevent further episodes of potentially illegal behavior?

– Introduce a strict policy on prescribing medications

– Educate the healthcare staff on the risks of giving medications to patients without approval from the NP or physician.

– Routinely assess and identify loopholes that could contribute to patient safety risks and develop mitigation measures (Drew, 2020)

  1. What leadership qualities would you apply to effect a positive change in the practice? Be thinking

about the culture of the practice.

  • Innovative leadership – innovative leadership inspires employees and motivates them to create change
  • Strategic leadership – strategic leader develops systems and processes that support readiness to change
  • Effective communication – effective communication helps to bring employees on board the change process

References

Aly, N. A.-F., El-Shanawany, S. M., & Ghazala, A. M. (2020). Ethico-legal aspects and ethical climate: Managing safe patient care and medical errors in nursing work. Clinical Ethics, 15(3), 132–140. https://doi.org/10.1177/1477750920920559.

Drew, J. (2020). Why healthcare leadership should embrace quality improvement. BMJ, 368. https://doi.org/10.1136/bmj.m872.

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This is a graded discussion: 100 points possible

Week 2: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study (Orig Post due Wednesday, Responses due Sunday)
Purpose

due May 15

12 12

The purpose of this discussion is to discuss organizational changes and ethical-legal influences in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and ethical and legal implications for members of the heath care team as a result of illegal behaviors. Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:

1. Demonstrate effective leadership styles in the management of organizational change (CO3)
2. Interpret various forms of ethical theories and application into practice (CO4)
► 3. Discuss practice guidelines and malpractice prevention (CO2)

Due Date: Wednesday by 11:59PM MST of Week 2

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT. Students are expected to submit assignments by the time they are due.
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 2, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).
Total Points Possible: 100 Requirements:
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.
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.
Case Study Questions:
1. What are the potential ethical and legal implications for each of the following practice members? Medical assistant
Nurse Practitioner Medical Director Practice
2. What strategies would you implement to prevent further episodes of potentially illegal behavior?
3. What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.
4. A scholarly resource must be used for EACH discussion question each week.

DISCUSSION CONTENT
► Category

Points
%

Description
Potential ethical &
legal implications for
30
healthcare team
members

30%

Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion

Strategies to prevent
30
further conflict

30%

Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.

Leadership qualities to effect positive change

Management15 15%

Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice.
Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.

75 75% Total CONTENT Points= 75 pts

DISCUSSION FORMAT

Category

Points
%

Description

4 Required Elements:

Interactive Dialogue

20 20%

Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;
Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)
Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)
Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.

Grammar, Syntax, Spelling, &
Punctuation

5 5%

Grammar, syntax, spelling, and punctuation are accurate.
25 25%

Total FORMAT Points= 25 pts DISCUSSION TOTAL=100 points

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