The Ethics and Legalities of Medication Error Disclosure

Question Description

Write a 2-page paper that addresses the following: APA FORMAT PLEASE

  • Explain the ethical and legal implications of disclosure and nondisclosure. Be sure to reference laws specific to your state. ( my state is maryland)
  • Describe what you would do as the advanced practice nurse in this scenario including whether or not you would disclose your error. Provide your rationale.
  • Explain the process of writing prescriptions including strategies to minimize medication errors.

Assignment: 
The Ethics and Legalities of Medication Error Disclosure

American writer Nikki Giovanni once said: “Mistakes are a fact of life. It is the response to the error that counts” (Goodreads, 2012). Whenever you make an error when writing a prescription, you must consider the ethical and legal implications of your error—no matter how seemingly insignificant it might be. You may fear the possible consequences and feel pressured not to disclose the error. Regardless, you need to consider the potential implications of non-disclosure. How you respond to the prescription error will affect you, the patient, and the health care facility where you practice. In this Assignment, you examine ethical and legal implications of disclosure and nondisclosure of personal error.

Consider the following scenario:

  • You are working as an advanced practice nurse at a community health clinic. You make an error when prescribing a drug to a patient. You do not think the patient would know that you made the error, and it certainly was not intentional.
To prepare:
  • Consider the ethical implications of disclosure and nondisclosure.
  • Research federal and state laws for advanced practice nurses. Reflect on the legal implications of disclosure and nondisclosure for you and the health clinic.
  • Consider what you would do as the advanced practice nurse in this scenario including whether or not you would disclose your error.
  • Review the Institute for Safe Medication Practices website in the Learning Resources. Consider the process of writing prescriptions. Think about strategies to avoid medication errors.

Write a 2- to 3- page paper that addresses the following:

  • Explain the ethical and legal implications of disclosure and nondisclosure. Be sure to reference laws specific to your state.
  • Describe what you would do as the advanced practice nurse in this scenario including whether or not you would disclose your error. Provide your rationale.
  • Explain the process of writing prescriptions including strategies to minimize medication errors.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

TEXT BOOK. PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE BY ARCANGELO PETERSON

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.

REQUIRED READINGS

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 1, “Issues for the Practitioner in Drug Therapy” (pp. 3–14) 
    This chapter introduces issues relating to drug therapy such as adverse drug events and medication adherence. It also explores drug safety, the practitioner’s role and responsibilities in prescribing, and prescription writing.
  • Chapter 59, “The Economics of Pharmacotherapeutics” (pp. 1009-1018) 
    This chapter analyzes the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care.
  • Chapter 60, “Integrative Approaches to Pharmacotherapy—A Look at Complex Cases” (pp. 1021-1036) 
    This chapter examines issues in individual patient cases. It explores concepts relating to evaluation, drug selection, patient education, and alternative treatment options.

Due to the importance of ethical and legal considerations in advanced practice nursing, several resources have been provided for your reference.

Sabatino, J.A., Pruchnicki, M.C., Sevin, A.M., Barker, E., & Green, C.G. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. 
The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.
Note: Retrieved from the Walden Library databases.

American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursing World. Retrieved from http://www.nursingworld.org/MainMenuCategories/Eth…
This article outlines ethical standards in the nursing profession and identifies nine provisions of care that must be adhered to by all nurses.

Ladd, E., and Hoyt, A. (2016).Shedding Light on Nurse Practitioner Prescribing. The Journal For Nurse Practitioners. 12(3). 166-173. 
This article provides NP’s with information regarding state based laws for NP prescribing. 
Note: Retrieved from the Walden Library databases.

Drug Enforcement Administration. (n.d.). Mid-level practitioners authorization by state. Retrieved from August 23, 2012, http://www.deadiversion.usdoj.gov/drugreg/praction…
This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.

Drug Enforcement Administration. (2006.). Practitioner’s manual. Retrieved from http://www.deadiversion.usdoj.gov/pubs/manuals/pra…
This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.

Institute for Safe Medication Practices. (2012). ISMP’s list of error-prone abbreviations, symbols, and dose designations. Retrieved fromhttp://www.ismp.org/Tools/errorproneabbreviations….
This website provides a list of prescription writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.

OPTIONAL RESOURCES

Drug Enforcement Administration. (n.d.). Code of federal regulations. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1…

Drug Enforcement Administration. (n.d.). Registration. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/Registration.htm…

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ANALYZE THE EIGHT MAJOR STEPS IN DELIVERING EFFECTIVE COMMUNICATIONS FOR A HEALTH CARE PROVIDER IN YOUR COMMUNITY

Discussion Question for Healthcare Marketing 150-200 words must cite work.

Select a health care provider of your choice and discuss the major elements making up their marketing communications process. Provide specific examples to support your response.

Analyze the eight major steps in delivering effective communications for a health care provider in your community and make at least one recommendation for improvement. Explain your rationale.

Q2

From the e-Activity, determine the best method of setting the health care provider’s communications budget. Explain your rationale. From the e-Activity, outline the basics of an effective integrated communications program for the health care provider you chose.

The e-activity was:

  • Select a health care provider of your choice and use the Internet to research that provider’s communication strategy and approximate budget.
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DESCRIBE THE PUBLIC HEALTH ORGANIZATIONS INVOLVED IN THE RESPONSE TO THE PUBLIC HEALTH ISSUE AT THE NATIONAL AND LOCAL LEVELS.

Public Health Intervention

You will examine and summarize the public health responses to your selected issue/topic which is HIV//AIDS…by identifying who is involved and what actions they are taking (the “who” and the “how”). Specifically, the following critical elements must be addressed: IV. Public Health Response: In this section, you will inspect the public health landscape to identify who is involved in responding to your public health issue and what actions they are taking. A. Describe the public health organizations involved in the response to the public health issue at the national and local levels. Use examples that show which entities are working on the issue and what they are doing. For example, what federal and local agencies and/or not-for-profit entities are involved, and what are their roles in the response? B. Explain the specific public health subdisciplines involved in understanding and responding to the issue, including what their roles are. Examples of public health subdisciplines include biostatistics, epidemiology, maternal and child health, and disaster-response planning. C. Explain the public health services involved in the response to the issue. What types of services, programs, or campaigns have been offered by organizations in response to the problem?

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American history homework help

After viewing the film Jonestown: The Life and Death of Peoples’ Temple (If the link does not open for you on click, here is the URL: <https://www.youtube.com/watch?v=llLBM58JXB0>) write an essay of 500-1200 words in length that analyzes the Jonestown tragedy according to the historical and cultural influences of the 1970s.
What is going on historically in the 1950s-1970s that creates so much social upheaval in America?  Why are so many people in the 1970s hungry for new religious answers to their problems and how does Jim Jones offer them an answer?  While it is an extreme example, how is Peoples’ Temple part of the religious cultural trend of the 1970s and how does it compare to other religious movements of the time?

Paper Requirements:

  • Write in 3rd person voice.  DO NOT use 1st person voice.
  • Use Arial or Helvetica font, 12 point size
  • Margins should be 1″ on all four sides of your essay
  • Name block is single-spaced.  The rest of the essay is double-spaced.
  • Do not add extra space after carriage returns or any other paper stretching method.  Remember, the word count (500-1200 words) is the requirement, so trying to stretch paper is pointless.  When you turn a paper in electronically, it gives a word count.  Short papers will receive a significant point deduction.
  • Grammar, punctuation, spelling and proper essay formatting count.  You should be able to write a well organized essay, which includes an introduction with a solid thesis, a well-organized and cohesive body, and a proper conclusion.
  • No outside sources are necessary or desired for this assignment.  If you make the choice to use outside sources, you will likely receive a bit of a penalty.  Failure to cite the source properly will constitute academic dishonesty, so if you do use outside sources, make sure you cite!
  • Double-check that you have properly cited your sources (including reference to the movie).  You must include both the proper in-text citation notes and the bibliography (works cited page) in either MLA, APA, or Chicago-Turabian style.
  • Put your NAME, STUDENT ID, AND CLASS (History 146) on your paper in the top left corner.  No cover sheet is necessary or desired.
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>World history homework help

Read each of the two documents linked to below.  Each one provides reasons as to why they, the French and then the Germans, need to have colonies.
On French colonial expansion
https://sourcebooks.fordham.edu/mod/1884ferry.asp
Program of The Pan-German League
https://sourcebooks.fordham.edu/mod/1890pangerman.asp
Write two paragraphs that put these documents into the context of Europeans’ views on imperialism in the late nineteenth century.
Consider addressing the following questions in your response:
What are their shared goals?   Which goals are different? Why?  What is the tone of these documents? What do these documents tell us about Europeans’ mentalities regarding imperial conquest?
Remember to use quotes from the sources in your responses as evidence and to add color to your descriptions.
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IN WHAT WAYS MIGHT HEALTH PROMOTION ACTIVITIES FOR RURAL POPULATIONS DIFFER FROM THOSE DESIGNED FOR URBAN POPULATIONS?

Urban and Rural Health Issues
Instructions:

Choose one of topic below and post your response. 

In what ways might health promotion activities for rural populations differ from those designed for urban populations?
Assume you are a community health nurse in a rural community. Describe your own approach to problem solve overuse of the emergency room for minor childhood illnesses by the population groups.
Interview a classmate who was raised in a rural community about his or her family and school life. Determine what he or she considers to be his or her best experiences growing up. Compare the classmate’s best experience with your own.

Please respond a 1 page around 250-300 words. Double spaced. APA format.

Q@

Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.  

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>Management homework help

Apply different management and leadership styles for different situations (Lo 3.1)
We expect you to answer each question as per instructions in the assignment. You will find it useful to keep the following points in mind. The assignment with be evaluated in terms of your planning, organization and the way you present your assignment. All the three section will carry equal weightage
Kindly read the instruction carefully and prepare your assignment accordingly.
1) Planning: Read the assignments carefully, go through the Units on which they are based. Make some points regarding each question and then rearrange them in a logical order.
2) Organisation: Be a little selective and analytical before drawing up a rough outline of your answer. Give adequate attention to question’s introduction and conclusion.
Make sure that:
a) The answer is logical and coherent
b) It has clear connections between sentences and paragraphs
c) The presentation is correct in your own expression and style.
3) Presentation: Once you are satisfied with your answer, you can write down the final version for submission. If you so desire, you may underline the points you wish to emphasize. Make sure that the answer is within the stipulated word limit.
 
NO Plagiarism / 1000 words
Write an essay in about 1000 words on the following topic.
“Success of any organization depends upon leadership skill in the organisation”.
In line with this statement briefly discuss the role of leadership in the success story of any organization of your choice. With an example, critically analyse the leadership style which is suitable for the smooth decision making and effectively resolving business issues.
Important: You are required to present at least three scholarly journals to support your answers
  • attachment

    MGT324Assignment22020-21-11.docx
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Exploring Evidence-Based Solutions

Exploring Evidence-Based Solutions

Evidence-based solutions are typically well researched and published in respected journals. Evidence does not necessarily mean that a solution will reduce or improve every community’s public health problems, however. Conversely, a lack of evidence does not necessarily mean that a solution will not work for a particular community or population. In each case, additional assessment might be needed to decide whether this solution is appropriate. A community health assessment can be used to find out whether, and how, an evidence-based solution might work in a community or for a particular population, and how that solution might need to be adapted.

For this week’s Discussion, consider the different criteria discussed in the Resources used to judge the relevancy of evidence-based solutions to public health problems. Use the Walden Library and the Resources to investigate and select one article related to an evidence-based solution to a public health problem. Consider how this evidence-based solution can be generalized to other populations or within several communities.

With these thoughts in mind:

Post  3 pages of a description of a community health problem and an evidence-based solution to the problem in the resource you selected. Then, explain how successfully it might be generalized to a larger population. Justify your response. Finally, explain what might limit the use of this solution with several communities or other populations. Justify your response

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Does satisfaction among patients in a med-surge unit improve when treated by nurses and physicians who’ve participated in communication training, compared to those patients treated by nurses and physicians who have not completed communication training?

My PICOT question for this assignment is “Does satisfaction among patients in a med-surge unit improve when treated by nurses and physicians who’ve participated in communication training, compared to those patients treated by nurses and physicians who have not completed communication training?”

The paper will include the following.
Clinical Question
Describe problem
Significance of problem in terms of outcomes or statistics
Your PICOT question in support of the group topic
Purpose of your paper
Levels of Evidence
Type of question asked
Best evidence found to answer question
Search Strategy
Search terms
Databases used (you may use Google Scholar in addition to the library databases; start with the Library)
Refinement decisions made
Identification of two most relevant articles
Format
Correct grammar and spelling
Use of headings for each section
Use of APA format (sixth edition)
Page length: three to four pages
Please make sure you do not duplicate articles within your group.
Paper should include a title page and a reference page.

1. Problem is described. What is the focus of your group’s work?
2. Significance of the problem is described. What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.
What is your PICOT question?
Purpose of your paper. What will your paper do or describe? This is similar to a problem statement. “The purpose of this paper is to . . .”
What type of question are you asking (therapy, prognosis, meaning, etc.)?
What is the best type of evidence to be found to answer that question ?
Search topic(s) provided. What did you use for search terms?
What database(s) did you use? Link your search with the PICOT question described above.

As you did your search, what decisions did you make in refinement to get your required articles down to a reasonable number for review? Were any limits used? If so, what?
Identify the two most relevant and helpful articles that will provide guidance for your next paper and the group’s work. Why were these two selected?
1. Correct grammar and spelling
Use of headings for each section: Clinical Question, Level of Evidence, Search Strategy, Conclusion
APA format (sixth ed.)
Paper length: three to four pages

= 160 points

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New

 

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