Case-Study: Nurse Practitioners.

Case-Study: Nurse Practitioners.

Case-Study: Nurse Practitioners.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT;Case-Study: Nurse Practitioners.

Week 4 discussion DQ1 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 one 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 is your next logically sound course of action? Provide evidence to support your response. DQ2 Upon further investigation, you learn that Stephanie spoke with the patient and called the medication into the patient’s pharmacy without consulting with a provider. Stephanie claimed that the patient was insistent about needing a prescription. Since Mrs. Smith was coming into the office the following week for an appointment, she didn’t think you would mind if the patient received the prescription early. What are the ethical-legal concerns associated with this situation? Provide evidence to support your response. DQ3 Due to the incident, you are concerned with office policies and procedure. Upon investigation, you find there isn’t a policy in place to address non-urgent patient requests for prescriptions. What 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. Week 5 discussion DQ1 You are a Family Nurse Practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff have heated arguments with each other, sometimes in patient areas. Today, one of the back office assistants didn’t come to work. Unfortunately, this pattern of behavior is not unusual in this practice. Your clinical schedule is especially busy. Working without appropriate office staff will negatively influence your ability to spend time with patients, impede the flow of patients through the office, and could impact patient safety. How should you logically respond in this situation? Provide rationales and evidence to support your decisions.

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