In this case study Jerry Mccall takes a call asking for a prescription refill, the person requesting the refill isn’t a normal patient of Dr. Williams he states he is a close friend. This situation puts Jerry in a real tough place, however Jerry is not the doctor and shouldn’t issue refill request to anyone including
He is not only informally treating and collecting specimen from his daughter, but he is also not documenting any of the treatments that he is doing. This is a major problem and could be subject to intervention by the law. Joe is risking his medical credibility by doing this for his daughter. He is also performing these tests without the direct supervision of the supervising physician, which goes against the code of conduct (2013). If a physician assistant violates laws that vary from state to state, the physician assistant could be subject to license suspension or being
Have you done your homework since our last session?” Ethical Decision Making Model 1. Identify the Problem In this situation, Wilma has asked Donna about her homework. This is problematic because Wilma and Donna are not in a clinical environment and this presents issues of professionalism and ethics. Having asked Donna about her counseling outside of the clinical setting, Wilma has created a situation whereby confidentiality could be broken due to the fact that they are in public and Wilma has a friend with her who is not privy to the relationship. Wilma has also jeopardized the client counselor relationship by showing a lack of fidelity.
The care assistant may also hold the cup or glass for the service user as a precaution against spills or dropping the glass/ cup. This falls into the moving and handling principle. A(iv) As there is a care plan in place for the service user, the nurse on the day trip with the residents should know that service user C is a type two diabetic and should have the necessary tablets and medication that this service user needs. If the nurse did not read the care plan for this person and this scenario were to happen, this could prove to be dangerous and stressful. By following the care plan the nurse was able to know that she needed a sugary drink with her and that the service user had taken her tablets before the trip began.
It is used by social workers and other professionals in helping fields. Miller and Rollnick realized that clients were not finding success in treatment because there was no outline, no format for addiction counselors to follow. They saw counselors becoming frustrated with clients’ lack; essentially telling them to come back to therapy
The current policy states the abbreviations are discouraged, but there is no protocol in place on how to monitor, educate, and correct such entries into patient’s medical charts. Without developing a plan to implement the protocol, Nightingale Community Hospital will not meet Joint Commission standards. Corrective Action Plan: 1) Provide all prescribing providers, nursing supervisors, nursing staff, medical records department, pharmacy department, radiology department, respiratory therapy department, and physical therapy department of the list of prohibited abbreviations. a. This list would be sent via interdepartmental and extra departmental memos, e-mails, or US Postal Service.
However, the company refused to acknowledge the certification and would not bargain and filed an exception with the Board on the union certificate. After the board found the certificate valid, North Star had officially violated section 8(a) (5) and 8(a) (1) of the LMRA since they refused to recognize and bargain with the union. Before the union certification, North Star had maintained a health care plan for its employees and historically had this plan for some time. The plan required employees to contribute to the payment of premiums. North Star was also allowed to make unilateral changes in the amount of money the employees needed to contribute depending on costs of health care coverage.
The RN failed to inform the family of the patients wishes regarding his advanced directive. There was little to no communication to the Doctor advocating for the client’s needs, choices and dignity. The RN failed to intervene on behalf of the client to alleviate suffering related to his wishes in his advanced directive. There was also no advocating for the client to receive appropriate end-of-life care related to his wishes in the advanced directive. Code of Ethics The ANA (2011) states in the code of ethics: 3.5 Acting on questionable practice – The nurse’s primary commitment is to
“Paralegals assist attorneys they don’t practice law. Why should APN’s be allowed to practice medicine?” (Smith 1999). Another problem is a result of a history of rivalry between physician and nursing. There is a lack of appreciation by the physicians of the nursing approach to healing and that the nursing role has extended from being the “traditional nurse”. Not all physicians back nurse practitioners prescribing controlled substances nor do they have confidence or respect in their knowledge
I see he has a signed HIPAA release form and adequate patient contact information. While I am perusing his information, the phone rings prompting me to answer. Another patient asks me if she can have a prescription for pain medication. The physician and the office manager are both at lunch, and I am required to make a decision. I pull this patients chart and see that she has been prescribed pain medication in the past so I feel comfortable ordering a refill prescription for her.