You are a family nurse practitioner employed in a busy prima
You are a family nurse practitioner employed in a busy primary care… 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. What are your thoughts on the patient? Ethically speaking, does the patient have a right to know that the medication was ordered by a person that was not a licensed health care provider? Why or why not?Communication is important here and communication with Stephanie is important. What other information or data (about people, situation, and environment) do you think would be helpful to have in this situation before decisions and actions are taken?You shared information which makes me think about environments where a “just culture” is the cultural norm. What is a just culture and how do you see its application in this case?How does a leader sustain change?Health Science Science Nursing NR 506
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