Ethical And Legal Implications Of Prescribing Drugs Assignment

March 6, 2022

Ethical And Legal Implications Of Prescribing Drugs Assignment

Ethical And Legal Implications Of Prescribing Drugs Assignment

Ethical And Legal Implications Of Prescribing Drugs Assignment

https://www.allnursingessays.com/ethical-and-legal-implications-of-prescribing-drugs-assignment/

Ethical and Legal Implications of Prescribing Drugs

Health care delivery is sometimes associated with medical errors, which often pose danger to the recovery of the patient and sometimes it leads fatalities. Therefore, nurses should be cautious when prescribing drugs. The right use of medicine is crucial in realizing positive patient outcomes.

NURS 6521 Week 1 Ethical And Legal Implications Of Prescribing Drugs Assignment

NURS 6521 Week 1 Ethical And Legal Implications Of Prescribing Drugs Assignment

However, unsafe usage of drugs can harm the patient, lead to poor patient satisfaction, and prompt unwarranted legal consequences (Rehan & Bhargava, 2015). Whenever nurses prescribe drugs, they should do it in accordance with the legal and ethical standards. As such, it is imperative for nurses to understand the legal and ethical implications for drug prescription for the given patients and specific conditions. Therefore, this paper will explore the issue of wrong medical prescription by using a scenario where a nurse mistakenly prescribed an adult dose for a child aged five years. Specifically, the paper will use this scenario to discuss the legal and ethical implications of errors in writing prescriptions. Moreover, the paper will address the suitable legal and ethical strategies to address such errors.

Ethical and Legal Implications

In this scenario, the medical error poses remarkable ethical implications for the nurse, pharmacist, patient, and patient’s family. To begin with, the nurse had an obligation to disclose the mistake to both the facility and the patient’s family. Ethical requirement is that the nurse to ensure beneficence in care provision, which was violated by occurrence of the error. Moreover, the nurse should uphold justice in practice. However, declining to follow the due procedure to address the error negated this obligation of seeking justice for the patient. Moreover, nurses should apply the principle of fidelity by being faithful to the patient. As such, refusal to confess the medication error is a violation of principle of fidelity. From the legal perspective on the other hand, the error should be reported through appropriate channels, which is an expression of professional conduct. However, the reaction of the nurse in this scenario amounts to legal basis to handle the matter. On the other side, the pharmacist had both legal and ethical obligation to educate patient’s family on the best suitable use of the drug and possible side effects prior to giving them the drug. As such, patient’s family can institute legal actions against pharmacist for failing to educate them. The patient’s family had a responsibility of report adverse reaction to medication and discontinuation of medication. Moreover, they could institute legal action against the nurse and the health facility for negligence.

Strategies to Address Disclosure and Nondisclosure

In this case scenario, it is advisable for the nurse to report the issue to the physician and find the best solution. In the state of Illinois, a nurse practitioner is expected to collaborate with physician through collaboration agreement to foster consultation and referrals. However, most of the nurses are reluctant to take this initiative for fear of probable job loss. The other strategy is to use the nursing code of ethics, which may entail relying on the state apology law. According to Westrick & Jacob (2016), this law provides an opportunity for the nurse to seek pardon for the wrong doings and be guaranteed that the confession cannot be used against him or her in the court of law. As a result, the nurse can easily indicate remorse for the actions and seek pardon without fear of legal action. However, failure of disclosure hinders the involvement of patients in their care, injure the patient, and lead to mistrust between the nurses and the patient.

Strategies to Guide Decision Making

If I were the nurse in this scenario, the first strategy is to get in touch with the family of the patient soon after realizing the medical error committed. This action is appropriate in ensuring that the family of the patient stops using the drug. Consequently, I would advise the family to bring the patient back to the clinic for examination and correction of the dose (Lavan, Gallagher & O’Mahony, 2016). The second strategy involves resorting to utilize the Illinois laws and regulations regarding medicine prescription to guide decision making. It is possible to work collaboratively with physician to find the best solution for the patient.

The Process of Writing Prescriptions Including Strategies to Minimize Medication Errors

According to World Health Organization (2016), prior to initiating the process of writing prescription, the nurse should conduct patient examination and diagnosis to recognize the real medical condition that a patient suffers from and consequently, prescribe the correct medication for the condition. To help in reducing the errors, the nurse should include crucial information such as patient name, date, address, and date of birth while providing written prescription. Similarly, the prescribing nurse should also indicate personal details such as name, address, and contacts. Moreover, nurses may also resort to electronic prescription to help in eradicating medication errors (Puaar & Franklin, 2018). In addition, the name of the drug and related details such as dosage and means of administration should be clearly indicated.

Conclusion

Mistake is to human beings and nurses can sometimes make errors in medical prescriptions. However, these errors are often costly and result in dangerous outcomes and even fatalities. As such, nurses should understand the ethical and legal environment and exercise due diligence while prescribing medications. Moreover, they need to perform thorough medical reviews before starting prescription process.

 

 

 

 

References

Lavan, A. H., Gallagher, P. F., & O’Mahony, D. (2016). Methods to reduce prescribing errors in elderly patients with multimorbidity. Clinical interventions in aging, 11, 857.

Puaar, S. J., & Franklin, B. D. (2018). Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. BMJ quality & safety, 27(7), 529-538.

Rehan, H. S., & Bhargava, S. (2015). Medication Errors Are Preventable. J Pharmacovigilance S, 2, 2.

Westrick, S. J., & Jacob, N. (2016). Disclosure of errors and apology: Law and ethics. The Journal for Nurse Practitioners, 12(2), 120-126.

World Health Organization. (2016). Medication errors. World Health Organization.

 

 

Ethical And Legal Implications Of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

· Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

· Review the scenario assigned by your Instructor for this Assignment.

· Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.

· Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 3-page paper that addresses the following:

· Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

· Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

· Explain the process of writing prescriptions, including strategies to minimize medication errors.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

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By Day 7 of Week 1

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

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The College of Nursing Writing Template with Instructions provided at the Walden Writing Center offers an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Week 1 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 1 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 1

To participate in this Assignment:

Week 1 Assignment

Learning Resources

Required Readings (click to expand/reduce)

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

  • Chapter 1, “Prescriptive Authority” (pp. 1–3)
  • Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 4–7)
  • Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 8–12)
  • Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 13–33)
  • Chapter 5, “Adverse Drug Reactions and Medication Errors” (pp. 34–42)
  • Chapter 6, “Individual Variation in Drug Response” (pp. 43–45)

This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.

This article provides NPs with information regarding state-based laws for NP prescribing.

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.

Required Media (click to expand/reduce)

Introduction to Advanced Pharmacology

Meet Dr. Terry Buttaro, associate professor of practice at Simmons College of Nursing and Health Sciences as she discusses the importance of pharmacology for the advanced practice nurse. (8m)


What’s Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In the next module, you will examine the impact of changes in pharmacokinetic and pharmacodynamic processes on patient drug therapy for cardiovascular disorders and the types of drugs prescribed to patients with respiratory disorders.

Looking Ahead: Week 2 Assignment

In Week 2, your Instructor will assign you a case study related to Assignment 1 by Day 1 of the week. Please make sure to review the “Course Announcements” area of the course to verify your assigned case study. Please plan ahead to ensure you have time to review your case study and Learning Resources in order to complete your Assignment on time.

Photo Credit: Getty Images/iStockphoto

Next Week

Rubric Detail

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Content
Name: NURS_6521_Week1_Assignment_Rubric

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Excellent Good Fair Poor
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family.
Points Range: 23 (23%) – 25 (25%)
The response accurately and thoroughly explains in detail the ethical and legal implications of the scenario selected on all stakeholders involved.

The response includes accurate, clear, and detailed explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

Points Range: 20 (20%) – 22 (22%)
The response explains the ethical and legal implications of the scenario selected on all stakeholders involved.

The response includes accurate explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

Points Range: 18 (18%) – 19 (19%)
The response inaccurately or vaguely explains the ethical and legal implications of the scenario selected for all stakeholders involved.

The response includes vague explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

Points Range: 0 (0%) – 17 (17%)
The response vaguely and inaccurately explains the ethical and legal implications of the scenario selected for all stakeholders involved, or the response is missing.

The response vaguely and inaccurately explains how these implications affect the prescriber, pharmacist, patient, and the patient’s family, or is missing.
Describe strategies to address disclosure and nondisclosure as identified in the scenario selected. Be sure to reference laws specific to your state.
Points Range: 18 (18%) – 20 (20%)
An accurate, detailed, and clear description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided.

The response includes specific, detailed, and accurate reference to state laws related to the scenario.

Points Range: 16 (16%) – 17 (17%)
An accurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided.

The response includes accurate reference to state laws related to the scenario.

Points Range: 14 (14%) – 15 (15%)
A vague or inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided.

The response includes inaccurate or vague reference to state laws related to the scenario.

Points Range: 0 (0%) – 13 (13%)
A vague and inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided, or is missing.

The response includes vague and inaccurate reference to state laws related to the scenario, or is missing.
Explain two strategies that you, as an advanced practice nurse would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
Points Range: 18 (18%) – 20 (20%)
The response accurately and thoroughly explains in detail at least two strategies that an advanced practice nurse would use to guide decision making in the scenario.

The response accurately and completely explains whether they would disclose the error, including an accurate, detailed, and clear justification for the explanation provided.

Points Range: 16 (16%) – 17 (17%)
The response accurately explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario.

The response accurately explains whether they would disclose the error, including an accurate justification for the explanation provided.

Points Range: 14 (14%) – 15 (15%)
The response inaccurately or vaguely explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario, or only explains one strategy.

The response inaccurately or vaguely explains whether they would disclose the error, including a justification that is vague, inaccurate, or misaligned to the explanation provided.

Points Range: 0 (0%) – 13 (13%)
The response inaccurately and vaguely explains only one strategy that an advanced practice nurse would use to guide decision making in the scenario, or is missing.

The response inaccurately and vaguely explains whether they would disclose the error, with no justification provided, or is missing.
Explain the process of writing prescriptions including strategies to minimize medication errors.
Points Range: 18 (18%) – 20 (20%)
The response provides an accurate, detailed, and thorough explanation of the process of writing prescriptions, including detailed strategies to minimize medication errors.

Points Range: 16 (16%) – 17 (17%)
The response provides an accurate explanation of the process of writing prescriptions, including some strategies to minimize medication errors.

Points Range: 14 (14%) – 15 (15%)
The response provides an inaccurate or vague explanation of the process of writing prescriptions, including inaccurate or vague strategies to minimize medication errors.

Points Range: 0 (0%) – 13 (13%)
The response provides an inaccurate and vague explanation of the process of writing prescriptions, including inaccurate and vague strategies to minimize medication errors, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors

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Posted in nursing by Clarissa