ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS ESSAY

ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS ESSAY

ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS ESSAY

Ethical and Legal Implications of Prescribing Drugs

Don't use plagiarized sources. Get Your Custom Essay on
ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS ESSAY
Just from $13/Page
Order Essay

Ethical and Legal Implications of Prescribing Drugs
Disclosure of medical errors (MEs) is considered a fundamental part of patients’ care. The case provides a scenario where an NP makes an error when prescribing medication to a 5-year-old. The NP prescribes the wrong dose to the child, which should be prescribed to an adult. The purpose of this paper is to explore the associated legal and ethical implications in the case and discuss disclosure and nondisclosure.

ORDER A CUSTOM PAPER NOW

Ethical and Legal Implications of the Scenario
The ME may result in ethical implications for the NP and pharmacist. The ethical principles involved are beneficence (duty to do good) and nonmaleficence (duty to prevent harm). The NP prescribed a wrong dose that may harm the patient from severe adverse events rather than treating the patient’s condition, failing to uphold beneficence and nonmaleficence (Varkey, 2021). The NP risks facing legal action for prescribing a dose that may cause adverse effects to the patient. The pharmacist has a role in ensuring the drug and dose prescribed are appropriate for a patient’s diagnosis and age. Thus, ethical consequences may arise for the pharmacist for failing to cross-check if the dose was appropriate for the child before dispensing. The pharmacist may face lawsuits for dispensing an incorrect dose, especially if the patient experiences adverse drug effects.
Strategies to Address Disclosure and Nondisclosure
Disclosure of MEs is endorsed and governed by ethical and professional guidelines and legislation. Most patients also desire the acknowledgment of MEs by providers, even if those errors are minor or insignificant. Buletsa et al. (2018) explain that detailed disclosure of minimal-harm or near-miss errors strengthens the patient-provider relationship, creates an open atmosphere of dialogue, and fosters patient participation in making medical decisions. Under Florida law (Fla. Stat. § 456.0575), every licensed health care practitioner must inform each patient, or the patient’s proxy, in person about adverse incidents that cause adverse harm to the patient.
Strategies to Use as an Advanced Practice Nurse to Guide Decision-Making
As an APN, I would follow the organization’s policy on disclosing MEs and review the state’s law on disclosure. I would follow the steps outlined in our organization’s policy on disclosing MEs. Besides, I would follow our state’s law on disclosure. The FL law would require that I disclose the ME to the child’s caregiver in person and document it in the medical record. When disclosing the ME, I would provide the caregiver with correct information about adverse outcomes related to the error (Mansour et al., 2020). Furthermore, I would follow the “Five A’s” of disclosure: Acknowledgment, Apology, All the facts, Assurance, and Appropriate compensation.
Process of Writing Prescriptions and Strategies to Minimize Medication Errors
When writing a prescription, the clinician should include the following information about them: Full name; Address, Telephone, and Contact number; Consultation Time and Date; Educational qualifications; Registration number. The details that should be written by the prescriber related to the patient include: Full name, age, weight, sex, address, and telephone number (Imran et al., 2020). In addition, the prescriber should write the following information About the drug: Full name in Generic, Full name in Capital letters, Strength, Dosage, and dosing instructions. MEs can be minimized by using technology like E-Prescribing, which enables the prescriber to electronically send an accurate, error-free, and understandable prescription directly to the pharmacy from the point of care. Clinicians can also reduce MEs by taking a thorough medication history for the patient to identify current and past medications and drug allergies.
Conclusion
The NP and pharmacists failed to uphold beneficence and nonmaleficence for prescribing and dispensing the wrong dose to a patient. They risk facing litigations if adverse drug events occur. Immediate disclosure of all MEs is the best approach to address disclosure. As an NP, I would address disclosure by following the organization’s policy and state law on disclosing MEs to patients.

References
Buletsa, S., Drozd, O., Yunin, O., & Mohilevskyi, L. (2018). Medical error: civil and legal aspect. Georgian Med News, 276, 161-166.
Imran, M., Doshi, C., & Kharadi, D. (2020). Time to teach basic and regulatory aspects of art of prescription writing for better doctor-patient safety and keeping communication accessible and straight. Daru: Journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 28(1), 25–32. https://doi.org/10.1007/s40199-018-00236-1
Mansour, R., Ammar, K., Al-Tabba, A., Arawi, T., Mansour, A., & Al-Hussaini, M. (2020). Disclosure of medical errors: physicians’ knowledge, attitudes and practices (KAP) in an oncology center. BMC Medical Ethics, 21, 1-8. https://doi.org/10.1186/s12910-020-00513-2
Varkey, B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical Principles and Practice: international journal of the Kuwait University, Health Science Centre, 30(1), 17–28. https://doi.org/10.1159/000509119

ORDER A PLAGIARISM-FREE PAPER HERE

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 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 decisdecision-makinghis 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.

Scenario: As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.

Course resources: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=1300

https://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

https://www.ismp.org/recommendations/error-prone-abbreviations-list

ORDER A PLAGIARISM-FREE PAPER HERE

Criteria Ratings Pts
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.  

25 to >22.25 pts Excellent

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.

 

22.25 to >19.75 pts Good

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.

 

19.75 to >17.25 pts Fair

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.

 

17.25 to >0 pts Poor

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.

 

 

 

 

 

 

 

 

 

 

 

 

25 pts

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

20 to >17.8 pts Excellent

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.

 

17.8 to >15.8 pts Good

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.

 

15.8 to >13.8 pts Fair

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.

 

13.8 to >0 pts Poor

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.

 

 

 

 

 

 

 

 

 

 

20 pts

 

Criteria Ratings Pts
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.  

20 to >17.8 pts Excellent

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.

 

17.8 to >15.8 pts Good

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.

 

15.8 to >13.8 pts Fair

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.

 

13.8 to >0 pts Poor

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.

 

 

 

 

 

 

 

 

 

 

 

20 pts

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

20 to >17.8 pts Excellent

The response provides an accurate, detailed, and thorough explanation of the process of writing prescriptions, including detailed strategies to minimize medication errors.

 

17.8 to >15.8 pts Good

The response provides an accurate explanation of the process of writing prescriptions, including some strategies to minimize medication errors.

 

15.8 to >13.8 pts Fair

The response provides an inaccurate or vague explanation of the process of writing prescriptions, including inaccurate or vague strategies to minimize medication errors.

 

13.8 to >0 pts Poor

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.

 

 

 

 

 

 

 

20 pts

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well 5 to >4.45 pts Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4.45 to >3.95 pts Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3.95 to >3.45 pts Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

3.45 to >0 pts Poor

Paragraphs and sentences follow writing standards for flow, continuity, and

5 pts

 

Criteria Ratings Pts
developed ideas, clarity less than
flow logically, and 60% of the time.
demonstrate
continuity of
ideas. Sentences
are carefully
focused–neither
long and rambling
nor short and
lacking
substance.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation  

5 to >4.45 pts Excellent

Uses correct grammar, spelling, and punctuation with no errors

 

4.45 to >3.95 pts Good

Contains a few (1– 2) grammar, spelling, and punctuation errors

 

3.95 to >3.45 pts Fair

Contains several (3–4) grammar, spelling, and punctuation errors

 

3.45 to >0 pts Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding

 

 

 

 

5 pts

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font,

spacing, margins, indentations, page numbers, running head, parenthetical/in- text citations, and reference list.

 

5 to >4.45 pts Excellent

Uses correct APA format with no errors

 

4.45 to >3.95 pts Good

Contains a few (1– 2) APA format errors

 

3.95 to >3.45 pts Fair

Contains several (3–4) APA format errors

 

3.45 to >0 pts Poor

Contains many (≥ 5) APA format errors

 

 

 

 

 

 

 

 

5 pts

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Proscholarly
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
DESIGN AND IMPLEMENTATION OF NURSE ADVOCATE HEALTHCARE PROGRAM
The absolute best ! Thanks for great communication, quality papers, and amazing time delivery!
Customer 452467, November 14th, 2022
Medicine
Great work, Thank you, will come back with more work
Customer 452441, November 11th, 2022
Medicine
Well researched paper. Excellent work
Customer 452441, November 11th, 2022
Medicine
Good work. Will be placing another order tomorrow
Customer 452441, November 11th, 2022
Medicine
Very fond of the paper written. The topic chosen is defiantly trending at this time
Customer 452495, July 27th, 2023
Medicine
This was done very well. Thank you!
Customer 452441, November 11th, 2022
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat