Ethical and Legal Implications of Prescribing Drugs Essay

Assignment Ethical and Legal Implications of Prescribing Drugs
2 – 3-page paper due on the ethical and legal implications of the scenario below:
“You see another nurse practitioner writing a prescription for her husband, who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.”
• 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. Ethical and Legal Implications of Prescribing Drugs Essay.
• 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.

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References:
Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.ht m
Institute for Safe Medication Practices. (2017). List of errorprone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/errorprone-abbreviations-list •
Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for nurse practitioners and physician assistants. St. Louis, MO: Elsevier.
Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 29(5), 248–254. doi:10.1002/2327- 6924.12446 Ethical and Legal Implications of Prescribing Drugs Essay

Nurses have varying degrees of prescriptive authority over controlled substances, medications, medical services and medical devices. Ethical obligations also influence their prescriptions. Prescriptive regulations prevent medical errors which have become a major concern in the healthcare system. Approximately, over 250,000 deaths occurring in the United States annually are associated with medical errors. Moreover, the Centers for Disease Control and Prevention (CDC) ranked medical errors as the third top causes of death in 2016 after heart diseases and cancer (Sabatino et al., 2017). In order to understand the ethical and legal issues associated with prescription, this paper examines a case of prescription of a nurse to their husband who is not her patient. Ethical and Legal Implications of Prescribing Drugs Essay

Ethical and legal implications

The ethical and legal implications of this scenario include not documenting an evaluation of the patient as well as not reviewing their past medical history before prescribing. On the other hand, narcotics are controlled drugs whose prescriptions follow the Drug Enforcement Administration (DEA) procedure (DEA, n.d). As such, if the nurse is not authorized by DEA to prescribe controlled substances, she is definitely committing a legal crime. On the other hand, the nurse was not the patient’s nurse practitioner and did not consult before prescribing. Legally, prescribing should involve consultation and communication regarding the evaluation documentation and treatment and hence could cause medical errors Ethical and Legal Implications of Prescribing Drugs Essay. Prescribing controlled drugs such as narcotics to family members or friends risk prosecution for diverting controlled drugs or, at minimum, inappropriate prescribing of controlled drug (Ladd & Hoyt, 2016). Consequently, if the nurse uses the wrong prescription form, they can be accused of fraudulent activities.

Strategies to address disclosure and nondisclosure

Ethically, nurses are obligated to disclose information for informed decision-making of the patient. This supports the autonomy principle of ethics. Legally, the bill of rights advocates for full disclosure of medical errors (Ladd & Hoyt, 2016). In this case, the nurse should employ the ethical principles of beneficence, non-maleficence, justice and autonomy to disclose the situation to other medical workers and the patient. The two strategies that I would employ in this case include autonomy. Here, I would call the patient and explain the legal and ethical procedure involved in my case and acknowledge that it I committed an error that could cause him harm. I would also engage his nurse practitioner to explain the right procedure I should have employed and as well point out the possible implications. Furthermore, I would offer an apology for the medical error and offer to cover for the financial resources associated with the error. Ethical and Legal Implications of Prescribing Drugs Essay

Process of writing prescriptions

Following the process of writing prescriptions is important in eliminating medical errors. Prescriptions are written by qualified healthcare personnel. Notably, controlled substances are prescribed under specific conditions and by DEA certified nurses. The process of writing prescriptions involves filling and picking up prescriptive medications in a clear and legible manner. Prescriptions contain the name and address of the prescriber, the date of prescription, the name of the drug and its strength (Porter, 2017). A label of the administration instructions on the frequency and amount to be taken is also important.

In order to minimize medication errors, clear and complete information should be provided to the patients. The warnings, side effects and allergies should also be noted. The clarity of the prescription ensures that the pharmacist dispenses the correct drugs to patients. It is also essential for a prescriber of controlled drugs to be certified by DEA and follow the prescriptive guidelines provided to ensure safety and minimize the abuse of the drug. Ethical and Legal Implications of Prescribing Drugs Essay

References

Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

Institute for Safe Medication Practices. (2017). List of errorprone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/errorprone-abbreviations-list

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17

Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of Nurse Practitioners, 29(5), 248–254. doi:10.1002/2327- 6924.12446 Ethical and Legal Implications of Prescribing Drugs Essay

Reflective Spirituality Paper

You have been assigned required readings on spirituality in your course. You may choose one or more chapters from each assigned book to read. You will then write a reflection paper regarding your thoughts, meaningful ideas, feelings, and/or reactions, and the application of these to nursing practice or your own spiritual growth and self-care.

1. Paper is typed in at least 3 pages, double spaced and turned in on time via D2L or email to your professor, with coversheet title page in APA format; thoughtful, suitable title
10 Points

2. Introductory paragraph is attention-getting

10 Points

3. Spelling, grammar, mechanics, and usage are correct throughout paper
10 Points Reflective Spirituality Paper

4. Thoughts are expressed in a coherent and logical manner.
20 Points

5. Viewpoints and interpretations are insightful, demonstrating an in-depth reflection.
20 Points

6. Concluding paragraph sums up information, reiterates ideas and opinions, and leaves reader with a call to action or something meaningful to remember
10 Points

7. Pertinent reference sources are skillfully woven throughout paper without over use of quotations but, rather, attempt to paraphrase
10 Points

8. References are properly cited in APA format with no plagiarism. Reflective Spirituality Paper
5 Points

9. At least 3 references are cited in paper, including a reference from current class assigned chapter readings in Mauk, a reading in an assigned chapter in White, and one journal article of your own choice.
5 Points

Total
100 Possible Points
Actual Points =
References:

Reflective Spirituality Paper

This paper reflects on Readings in E. G. White, The Ministry of Healing. The selected chapters include Helping the Tempted; Mind Cure; Extremes in Diet; Stimulants and Narcotics; and lastly Liquor Traffic and Prohibition.

For the mind-cure, the body and the mind are closely connected. Therefore, when the body is affected, the mind also is affected and vice versa. This means that human beings should strive to take care of their mind because the mind can eventually lead to numerous physical conditions. Similarly, the mental state can affect the recovery process (White et al., 2018). From this reading, I have learned the importance of taking care of the patients’ mind and mental health conditions during their treatment. Ensuring that patients are in a good mood and their right mind condition can go a long way in facilitating patients’ recovery. Similarly, improving the mental condition of my patients can go a long way in giving patients the strength and will to fight the disease process. For example, when a patient is has a positive mind, they are more willing to adhere to the prescribed treatment. Reflective Spirituality Paper

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The second chapter is “helping the tempted”. This chapter encourages people to be sympathetic and empathic towards each other (White et al., 2018). The nursing profession is a calling that requires nurses to show compassion and empathy towards the patients. Therefore, from this chapter, we learn how to provide compassionate care to patients without judging them and regardless of how difficult the patient is. Also, this chapter has strongly improved my ability to collaborate and partner with other healthcare providers. Even when facing difficult colleagues, I will endeavor to try to understand them and overlook their shortcomings. This will significantly improve my relationship with my peers and nurse leaders and thus improve care delivery.

The third chapter is “Extremes in Diet”. From this chapter, I have learned the importance of feeding the body with the right diet without starving or overfeeding. Human beings should ensure that the body is fed with the right nutrients (White et al., 2018). Reflective Spirituality Paper. From this chapter, I learned that the diet should contain all the essential nutrients. This is in line with my belief that a healthy diet not only prevents people from diseases but also improves immunity. Moving forward, I plan to advocate for a proper and healthy diet for my patients and at the same time educate my patients regarding the importance of consuming the appropriate diet.

Lastly, chapters “stimulants and narcotics” and “liquor traffic and prohibition” emphasize the importance of staying away from drugs and liquor. Generally, evidence has shown that drugs such as narcotics have harmful effects on the body. Some drugs are even associated with numerous mental disorders (Tsai et al., 2019). Therefore, these two chapters have significantly impacted my personal growth. It was enlightening to discover that even stimulants such as coffee can be addictive. From now on, I plan to reduce the amount of stimulants that I take because stimulants such as coffee can also be addictive. I also plan to actively educate my friend, community members, and my patients about the risks and dangers associated with taking narcotics. I also plan to encourage my friends and patients to always uphold the laws that prohibit things such as driving while drunk. Reflective Spirituality Paper.

References

Tsai A, Alegría M & Strathdee A. (2019). Addressing the context and consequences of substance use, misuse, and dependence: A global imperative. PLoS Med, 16(11).

White, E. G., & Writings, E. G. W. (2018). The Ministry of Healing. 1905. http://www. centrowhite. org. br/files/ebooks/egw-English/books/The% 20Ministry% 20of% 20Healing. pdf Acesso em, 5, 127. Reflective Spirituality Paper

Electronic Health Record (EHR)

Go to the Discussion Area and post responses to one discussion question as assigned by the facilitator. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

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Discussion Questions:

Review the Centers for Medicare and Medicaid Innovation. Identfiy the massive innovation funded by the Affordable Care Act and discuss a model that relies on technology to promote optimal patient centered outcomes.

Review the National Quality Forum measures that can be accessed and used in the Electronic Health Record (EHR) to ensure quality metrics from an EHR endorsed by the Centers for Medicare and Medicaid Services.

By Wednesday, September 27, 2017, comment on at least two of your peers’ responses. You can ask technical questions or respond generally to the overall experience of attempting the question. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

Pharmacotherapy Of ADHD Essay Paper

Formal recommendations, requirements – size: 50,000 – 100,000 characters (without spaces) = 30-40 pages (max. 50 pages with  title page and references) – Times New Roman 12 point, 1.5-line spacing, justified.  – Margins: 2 cm everywhere, excluding left (margin in book-binding): 3 cm. – Page numbering – Structure of the thesis: o title page (see above) o table of content o list of abbreviations o introduction o discussion (separate chapters, decimal numbering of the headings, e.g. 1.1.1) o summary o bibliography o declaration of originality and defense note (see below) – Figures: should be numbered and supplied with explaining legends and  references under the figure, with referring to the figure in the text. – Tables: should be numbered and supplied with title and references above the  table, with referring to the table in the text. Interpretation, if necessary, in the  footnotes. – Bibliography Referring in the text, numbering according to the occurrence or in alphabetic order of  the authors.  At most 25 references are allowed to cite. Primarily, the thesis should be based on  recent reviews, although citation of certain research articles may occasionally be  necessary.Pharmacotherapy Of ADHD Essay Paper.

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The style of citation should be prepared in a uniform manner; the use of a software  for reference listing (EndNote, Reference Manager) is recommended. Recommended format: Vancouver Style o article:  Russell FD, Coopell AL, Davenport AP. In vitro enzymatic processing of  radiolabelled big ET-1 in human kidney as a food ingredient. Biochem  Pharmacol 1998; 55: 679-701. o book:  DEPARTMENT OF  PHARMACODYNAMICS,  SEMMELWEIS UNIVERSITY 3 Lodish H, Baltimore D, Berk A, Zipursky SL, Matsudaira P, Darnell J.  Molecular cell biology. 3rd ed. New York: Scientific American; 1995. o book chapter:  Porter RJ, Meldrum BS. Antiepileptic drugs. In: Katzung BG, editor. Basic and  clinical pharmacology. 6th ed. Norwalk (CN): Appleton and Lange; 1995. p.  361-80. o internet: National Organization of Rare Diseases [online]. 1999 Aug 16 [cited 1999 Aug  21]; available from: URL:http://www.rarediseases.org/ Literature research Useful home pages: – Central Library of Semmelweis University: http://www.lib.sote.hu/ – PubMed: http://www.ncbi.nlm.nih.gov/pubmed/ – EMA and FDA pharmaceutical databases: http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/landing/epar_search.j sp&mid=WC0b01ac058001d124 http://www.fda.gov/Drugs/default.htm – Medscape Pharmacist: http://www.medscape.com/pharmacists – Wikipedia: http://en.wikipedia.org/wiki/Main_Page – Google (to find figures and images as well – in appropriate resolution) Schedule of thesis preparation – The student is obligated to consult 3 times in both the 8 th and 9 th semester.  – Until the end of the 8 th semester, the student should come to know and study literature  on the subject intensively and on this basis should structure the thesis. – Until the end of the 9 th semester, the main parts of the thesis should be prepared.  – Thesis preparation must be signed in the index by the head of the department if work  on the thesis is verified by the tutor, although it can be rejected in case of  unaccomplished obligation.  – Deadline of thesis submission: 1 st March (covered, in two copies).  – Defense of thesis is in front of a three-member committee, until the 20th, March DEPARTMENT OF  PHARMACODYNAMICS,  SEMMELWEIS UNIVERSITY 4 Declaration of originality should be included into the diploma work and signed by the  author: DECLARATION I, name of the student hereby declare that this piece of written work is the result of my own  independent scholarly work, and that in all cases material from the work of others (in books,  articles, essays, dissertations, and on the internet) is acknowledged, and quotations and  paraphrases are clearly indicated. No material other than that listed has been used.  Budapest, Date  signature Appendix for defense should be included: DEFENSE OF DIPLOMA WORK This diploma work, entitled „Title” is prepared by student’s name (ID #: …) in the  Pharmacist Master Program of Faculty of Pharmacy, Semmelweis University. The student defended the thesis Pharmacotherapy Of ADHD Essay Paper.

Tina Jones Neurological shadow health assessment Lifespan & Review Questions

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