NR 506NP Week 5 Discussion, Orig Post, Responses; Ethical and Legal Implications

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Contributor

Bethenny Frankel

Category

Nursing

Course

NR 506NP Healthcare Policy and Leadership

Institute

Chamberlain

Pages

7

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NR 506 Week 5 Discussion: Ethical and Legal Implications You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. Case Study Responses: Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: Medical assistant Nurse Practitioner Medical Director Practice What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? CULTURE OF SAFETY, quality improvement What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice. A scholarly resource must be used for EACH discussion question each week. Hello Professor and class, Unfortunately, improper behaviors in the workplace occur frequently and it negatively affects the workplace, staff, patients, and your job. Having heated arguments can cause a toxic workplace that is not pleasant for anyone, it can also cause a decrease in quality of care, decrease in motivation, decrease productivity, as well as an increase in stress (Graf et al., 2017). In this scenario the medical assistant was too distracted by the argument to notify the nurse practitioner (NP) of the very low blood pressure of a patient. The medical assistant (MA) took a patient’s blood pressure and should have notified the nurse practitioner (NP) right away with the results. First, the MA was taking a part of disruptive behavior. Disruptive behavior could be anything from yelling, fighting physically, throwing different objects, or any type of aggression (White-Williams et al., 2016). By not telling the NP that the patient had a very low blood pressure the MA was acting negligent. Negligence is the failure to properly take care of a patient (Buppert, 2012). By not acting on the blood pressure and reporting it to the NP right away, the MA was being negligent because she was not taking care of her patient and engaging in disruptive behavior instead. By not informing the NP of the low blood pressure the MA could be potentially putting the patient at harm. We do not know anything about the patient, how low the blood pressure is, or causes of a low blood pressure. But because the patient is experiencing a low blood pressure, that puts the patient at risk for fainting, a fall, confusion, could be a sign of an infection, or something serious that needs to be taken care of right away. Depending how low the blood pressure is and how the patient is doing will decide the next course of action if the patient is ok to stay at the clin

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