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NR510: Week 4 discussion 1: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.

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Discussion Question:
What is your next logically sound course of action? Provide evidence to support your response.

DeNisco, S.M., & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Retrieved from https:bookshelf.vitalsource.com
• Part V—The Role of Race, Culture, Ethics, and Advocacy in Advanced Nursing Practice
Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com
• Chapter 2—Legal Scope of Nurse Practitioner Practice
• Chapter 3—State Regulation of Nurse Practitioner Practice
• Chapter 4—Federal Regulation of the Nurse Practitioner Profession
• Chapter 16—Resolving Ethical Dilemmas
Porter-O’Grady, T., & Malloch, K. (2015). Quantum leadership: Building better partnerships for sustainable health (4th ed.). Retrieved from https://bookshelf.vitalsource.com
• Chapter 1—A New Vessel for Leadership: Changing the Health Landscape in an Age of Reform
• Chapter 3—Evidentiary Leadership: An Expanded Lens to Determine Healthcare Value

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