organizational changes and ethical-legal influences

Purpose 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. Preparing the Discussion 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: What are the potential ethical and legal implications for each of the following practice members? Medical assistant Nurse Practitioner Medical Director Practice What strategies would you implement to prevent further episodes of potentially illegal behavior? What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice. A scholarly resource must be used for EACH discussion question each week. Category Points % Description DISCUSSION CONTENT Potential ethical & legal implications for healthcare team members 30 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 further conflict 30 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 15 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 Interactive Dialogue 20 20% 4 Required Elements: 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 100 100% DISCUSSION TOTAL = 100 pts Search entries or author Search entries or author Filter replies by unread ReplyReply to Week 2: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Replies are only visible to those who have posted at least one reply.