Moral and Authorized Implications of Prescribing Medication
What sort of drug do you have to prescribe based mostly in your affected person’s prognosis? How a lot of the drug ought to the affected person obtain? How usually ought to the drug be administered? When ought to the drug not be prescribed? Are there particular person affected person elements that would create problems when taking the drug? Do you have to be prescribing medicine to this affected person? How would possibly totally different state rules have an effect on the prescribing of this drug to this affected person?
These are a number of the questions you would possibly think about when choosing a remedy plan for a affected person.
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As a sophisticated apply nurse prescribing medicine, you’re held accountable for folks’s lives daily. Sufferers and their households will usually place belief in you due to your place. With this belief comes energy and accountability, in addition to an moral and authorized obligation to “do no hurt.” It can be crucial that you’re conscious of present skilled, authorized, and moral requirements for superior apply nurses with prescriptive authority. Moreover, it is very important make sure that the remedy plans and administration/prescribing of medicine is in accordance with the rules of the state during which you apply. Understanding how these rules might have an effect on the prescribing of sure medicine in several states might have a major impression in your affected person’s remedy plan. On this Task, you discover moral and authorized implications of situations and think about tips on how to appropriately reply. Due to your place, sufferers and their households will steadily place their belief in you. This belief brings with it energy and accountability, in addition to an moral and authorized obligation to “do no hurt.” It’s important that you’re conscious of the latest skilled, authorized, and moral requirements for superior apply nurses with prescribing authority. Moreover, it’s important to make sure that remedy plans and drug administration/prescribing are in accordance with the rules of the state during which you apply. Understanding how these rules might have an effect on the prescribing of particular medicine in varied states might have a major impression in your affected person’s remedy plan. On this Task, you examine the moral and authorized implications of situations and think about tips on how to reply appropriately.
To Put together
Assessment the Assets for this module and think about the authorized and moral implications of prescribing pharmaceuticals, disclosure, and nondisclosure.
Assessment the situation assigned by your Teacher for this Task.
Search particular legal guidelines and requirements for prescribing pharmaceuticals and for addressing treatment errors to your state or area, and replicate on these as you evaluate the situation assigned by your Teacher.
Think about the moral and authorized implications of the situation for all stakeholders concerned, such because the prescriber, pharmacist, affected person, and affected person’s household.
Take into consideration two methods that you just, as a sophisticated apply nurse, would use to information your ethically and legally accountable decision-making on this situation, together with whether or not you’d disclose any treatment errors.
By Day 7 of Week 1
Write a 2- to Three-page paper that addresses the next:
Clarify the moral and authorized implications of the situation you chose on all stakeholders concerned, such because the prescriber, pharmacist, affected person, and affected person’s household.
Describe methods to handle disclosure and nondisclosure as recognized within the situation you chose. Remember to reference legal guidelines particular to your state.
Clarify two methods that you just, as a sophisticated apply nurse, would use to information your choice making on this situation, together with whether or not you’d disclose your error. Remember to justify your clarification.
Clarify the method of writing prescriptions, together with methods to attenuate treatment errors.
Situation 1:
As a nurse practitioner, you prescribe drugs to your sufferers. You make an error when prescribing treatment to a 5-year-old affected person. Quite than dosing him appropriately, you prescribe a dose appropriate for an grownup.
Situation 2:
A good friend calls and asks you to prescribe a drugs for her. You have got this autonomy, however you don’t have your good friend’s medical historical past. You write the prescription anyway.
Situation Three:
You see one other nurse practitioner writing a prescription for her husband who shouldn’t be a affected person of the nurse practitioner. The prescription is for a narcotic. You possibly can’t determine whether or not or to not report the incident.
Situation four:
Throughout your lunch break on the hospital, you learn a journal article on pharmacoeconomics. You consider a few sufferers who’ve just lately talked about their monetary difficulties. You marvel if a number of the costly medicine you might have prescribed are sufficiently managing the sufferers’ well being circumstances and enhancing their high quality of life.
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Pattern Reply:
Moral and Authorized Implications of Prescribing Medication
Moral and Authorized Implications of Situation 1
The moral and authorized implications of this error in situation one base on ideas of autonomy, righto willpower, nonmaleficence, beneficence, disclosure, proper to data, and veracity (Mars, 2014). Nurses are liable for making certain all stakeholders concerned find out about treatment error. The practitioner must disclose the steps put in place to handle the matter. Autonomy and the appropriate to self-determination, the affected person has the appropriate to take private actions and make decisions to his or her profit. Nonmaleficence and beneficence ethics offers for the nurse practitioner, to take the required measures to stop hurt and make sure the affected person will get correct treatment.
Disclosure and data require that well being care practitioners to make sure the affected person is conscious of the error, which can be helpful in making selections on the measures to take. Moreover, veracity offers for the medical practitioners to one of the best of their data to supply correct and complete info that aids the affected person in understanding what transpired and what led to the error. Consequently, the practitioner should guarantee these concerned are conscious of appropriate choice making. Nonmaleficence and beneficence ethics requires the nurse practitioner to take the required precautions to keep away from hurt and make sure the affected person receives acceptable treatment.
Disclosure and data necessitate that well being care practitioners make sure that the affected person is conscious of the error, which can be helpful in deciding what steps to take. Moreover, veracity requires medical practitioners to supply correct and complete info to one of the best of their potential, aiding the affected person in understanding what occurred and what precipitated the error. Because of this, the practitioner should make sure that these concerned are conscious of acceptable choice making.
Methods to Tackle Disclosure and Nondisclosure in Situation 1
Disclosing errors may be very important within the affected person administration and prevention of treatment errors. Consequently, opposed results comparable to dying, that are prone to come up within the occasion of a drugs error. Due to this fact, healthcare practitioners can tackle disclosure and nondisclosure of treatment errors to uphold their fiduciary duties. The nurse must disclose the error and apologize to the affected person and produce out the required measures that she or he will take to handle the scenario (Lerman, Scrag & Rubinson, 2020). Maybe the nurse will be capable to construct belief with the affected person and can present that even when there was an error, correct procedures are in place. Moreover, the nurse can keep away from legal responsibility prone to come up from the provisions of the Regulation of Torts on the breach of fiduciary responsibility to a affected person.
Methods to Information Choice Making in Disclosing Error
Nurse practitioners have to know that it’s important to disclose and disclose the treatment error inside the shortest time attainable. The measure will support the hospital in taking precautionary measures urgently earlier than the matter escalates additional, affecting affected person security. I might report the error and search additional clarification with different practitioners on tips on how to flip across the scenario to enhance the well being of sufferers.
However, it will be thoughtful to use confidential peer evaluate to keep away from any danger arising from the error made, for instance, lack of apply certificates or opposed results on the sufferers. On this case, different nurse practitioners will come collectively and work with me to handle the difficulty in addition to present additional pointers that is likely to be helpful in such a scenario. A confidential peer evaluate will study all of the procedures that had been taken and provide you with a decision that may Help the affected person enhance from the treatment error (Shapiro & Galowitz, 2016).
Means of Writing Prescriptions and Methods to Reduce Remedy Errors.
To make sure correct prescription, a nursing practitioner must enter an acceptable prescription for the affected person to attenuate errors (Barclay, 2017). On this case, the practitioner must keep away from any omissions or inputting of inaccurate info. The nurse may use dependable strategies to report affected person info in addition to search details about the affected person.
Additionally, the nurse practitioner should pay attention to medicine that look alike. Some medicines might resemble one another, but they’re for various sufferers or totally different therapies. It’s important to make clear with the prescriber earlier than advancing any prescription to the affected person. On this case, it will be attainable to eradicate prescription errors in administering treatment. Moreover, it will Help to grasp if the prescription is full as supplied by the doctor. The speed of medical errors will scale back drastically, resulting in correct treatment.
References
Barclay, Ok. M. (2017). Mistake proofing laboratory monitoring for alemtuzumab handled sufferers with a number of sclerosis (Doctoral dissertation, College of British Columbia).
Shapiro, J., & Galowitz, P. (2016). Peer Help for clinicians: a programmatic strategy. Educational Drugs, 91(9), 1200-1204.
Lerman, L. G., Schrag, P. G., & Rubinson, R. (2020). Moral issues within the apply of legislation. Wolters Kluwer Regulation & Enterprise.
Marrs, J. A. S. (2014). Ethics in Nursing Administration. Monetary Administration for Nurse Managers, 325.
