Ethics Case Study Essay

Jerry has been trained as a medical assistant and well as LPN or licensed practical nurse. Having an occupation as being a medical assistant is regulated loosely in the U.S. In addition, many states lack medical assistant certification and training requirements. It may be surprising that licensing for medical assistants does not exist. Despite inconsistent regulation, every state mandates by law that whenever a medical assistant provides any type of direct patient care, the supervising physician or licensed health care professional must be physically present in the office or building (medicalassistant.net website, 2012). Another law that is consistent in every state is one that prohibits medical assistants from independently prescribing or refilling medications (medicalassistant.net website, 2012). Licensed Practical Nurses have a broader scope of practice than medical assistants do, but prescribing or refilling medications is not included. In this case study, only Dr. Williams is able to refill the medication. If Jerry decides to call in a refill he will be practicing outside of his professional scope and breaking state law.

1. Right patient - This right is used to confirm that the medication is being administered to the right patient. The medical assistant would ask the patient to cite his or her full name as well as one other identifier from the patients chart, such as their date of birth, age, or address. Not including any questions that prompts yes or no responses from the patient.

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

A patient calls the physician’s office because she is concerned that her prescription medication looks different from what she normally takes. She mentions that her co-pay was lower too.

Was the pharmacy requesting the refills for her and the prescriptions were written for a year at a time? Other questions that are a little more difficult to ascertain include does she not have insurance, transportation issues, was she a rape victim, was she traumatized by having a pelvic exam done ten years before. A caring and concerned nurse can get this patient to answer these questions if asked not directly but with more of an indirect approach and using open-ended questions. The patient may also not realize that she should have been having this done yearly, she may have come into the office for refills regularly and spoken to different nurses or she may have said she would make the appointment when she was leaving and either never did, canceled or no-showed the appointment. The nurse should speak with the provider and if in any way possible have her seen that day while she was in the office. If it is a matter of religion or feeling uncomfortable with a male doctor,

Medical Update: Client has a lot of medical issues. She is legally blind and she goes to Bellevue Hospital Center for all medical appointments. CM informs the client for the next bi-weekly client must bring a list of medications.

If you have ever realized that you were out of refills on an important medication and your doctor was on vacation, then you may have unnecessarily put your health in jeopardy by not obtaining the refill you needed. Or, you may have made an appointment with a different doctor just to get the refill that you needed. Next time you are out of refills and your doctor is away, your pharmacist

Nevertheless, I have a responsibility and a duty to report the error to the proper channel. By taking the responsibility and reporting the incident promptly, there is a possibility that I might be circumvented several penalties that might impede my future practice. According to Wittich, Burkle, and Lanier (2014), penalties confronted by advanced nurse practitioner’s following medication errors can comprise shortfall of the patient reliance and confidence, criminal charges, civil actions, and licensure restriction discipline. Furthermore, I would notify the patient of the error, maintaining a truthful rapport and fostering veracity with one’s patient will enable for a healthy future following befall of errors (Wittich, Burkle, & Lanier, 2014). Personally, I would call the patient and family members, and notify them and appeal for my error and extend express regret with the intention to rectify the error with all possible avenues and I would confer with the lead chief physician to make every essential modification related to the medical

Chapter IV explains that not everyone in the healthcare profession is permitted to dispense medicine without a physician order, there are regulations and precautions that must be observed in order to prevent misunderstandings. It is very important to see out any situations that the patient may have that prevents them from healthcare whether it is transportation, medicine allergies or disabilities. According to a U.S Food and Drug Administration article, a medication error is "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures,

My initial reaction to this situation is to not advise them to write a prescription for their patient to give to the woman nor would I advise them to visit the woman either. If possible, I would say to that instead the patient could try to convince the woman to visit them or another doctor to examine if she actually needs the drugs for her condition. In this circumstance I consider both the physical, resident, and the woman as the primary decision makers with the patient as the stakeholder. My primary ethical question is whether it is morally permissible to write a prescription for someone who is not your patient and is it right to pay them a visit at their home.

Referring the patient to another willing pharmacist certainly does not remove the pharmacist from the causal chain of events that leads to the use of EC, an act that is often considered morally wrong by such objecting pharmacists. Supporters of pharmacists’ right to conscientious objection such as Karen Bauer, hold that such medical treatment violates the Hippocratic Oath by doing harm to human life. Brauer defends pharmacists’ rights to refuse to dispense medications themselves as well as to refuse to dispense medications themselves as well as to refuse to refer customers to other willing pharmacists. Brauner holds this position because she believes that referring customers makes no intrinsic moral difference… A staunch defender of pharmacists’ right to conscientious objection clearly sees no ethical difference between dispensing the

If a patient calls for any reason it is important to make sure they are calling the correct office.

D-The patient arrived on time for his appointment. Reported stable on his dose and denies the need for a dose increase or decrease. According to the patient, he called Wheeler Clinic and did not get a return phone call after he left a message on their general mailbox. So, this writer took the liberty to call Wheeler Clinic alongside with the patient. According to the representative, there could have been a high volume of calls last week; however, the clinic does not schedule appointments for the I.O.P., it's a walk in from Monday thru Thursday from 10-5:30pm and Fridays from 9:3;30pm. The patient is planning to do the walk-in to Wheeler Clinic and will update this writer tomorrow during another counseling session of his enrollment at the IOP.

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Prescription after prescription is brought through the door, most carried by customers eager to have their medication filled. One responsibility of a pharmacy technician is to make sure that a date of birth, address, and doctor’s signature is on each prescription. It is also very important to check for a change in insurance, and whether or not the customer has any allergies. Some medications, such as controlled substances and narcotics, also require a driver’s license or government issued ID to be presented when dropping off and picking up the prescription. The pharmacist can then be given the prescription after making sure that all of the required information is accounted for.