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Disease of Many Nerves

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Submitted By ctilton12345
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Ethics case study
Christina McKinney
HCS/335
May 2, 2011
Holly Martinez de Andino, MS, RN, CLNC

Ethics case study
In today’s healthcare industry, dealing with last minute requests is a difficult thing. With all the laws and regulations for each specific career and what you can and cannot do without the presence of a physician is difficult to assess without a previous experience or acknowledgement. When it comes to patients requests, you want to know what you are doing will not get you or the physician you work for into trouble (NET Industries, 2011). In Jerry’s case I will discuss how I would assess the situation, give jerry advice, and address future methods of how Jerry could handle these types of situations. With the facts on hand that Jerry is a certified license practical nurse (LPN) and a certified medical assistant I can easily assess that Jerry has no qualifications to write the patient who is requesting medication at such a short notice with the medication. He has not been given permission by the patients’ physician and does not know the ins and outs of the patient and physicians relationship. Jerry should inform the patient that they would need to call back after the time the physician would be back and have the physician call in the prescription to a location near them. Even if Jerry had the authority to call the medication in, the medication would not be ready in time for the patient to pick up and be on their flight. If the medication was not a narcotic it still would not be ok for Jerry to call in because as stated he has no authority to do so. If the medication was needed for life or death situations many emergency rooms will supply a patient with enough medication to cover the days you need in order to get with your physician to get a refill (Education News, n.d.). If by some chance Jerry did go ahead and give the patient a refill order, he would not be covered by the doctrine of respondent superior because this act is not within his job reasonable job tasks or even skill. Granted, he is there by himself and is acting as the receptionist but even at this station he is not given the authority to act as the physician, physicians assistant (PA) or nurse practitioner (NP) to give the refill. My advice to Jerry would be to inform the patient that the physicians are at lunch at the moment and to call back after lunch hours are over and the receptionist would be happy to connect you with a physician on staff who has the authority to do so (Education News, n.d.). There are many legal and ethical issues that would be violated if Jerry did go through with this. He could lose his job if the physician finds out he went through with this without his authority. Ethically, he is putting the trust of his employer at risk and the risk of his potential employers trusting him should he lose his current position. He should know at this point in his career that this is not the right thing to do (NET Industries, 2011). Some things Jerry needs to weigh are his career, his employers trust, and the potential harm it could cause the patient. Since he does not know the aspects of the patients past history there could be a reaction caused by the medication or the dosage of the medication and could cause the patient harm and put him in the position where he is liable. If he just informs the patient to call back at a better time and the physician can help it would be for the best for all parties involved. The employers trust is one of the most valuable in the position he has and if he destroys that trust the physician may terminate him or watch his every move in which would make him and his employer uncomfortable, lastly he needs to weigh in the facts that if he does get fired for this his career will be greatly affected and his reputation ruined with future employers, he is also running the risk of losing his certification for doing something fraudulently. Jerry should not go through with the patients request and fill the prescription. This can cause major issues in return if it does happen and also his position just does not have the authority to do such a request. To put the best foot forward in this situation would be to inform the patient to call back later and speak with someone who could help him. Jerry does not need to put his career and career reputation on the line and do something that could harm the patient potentially. It is better to be safe than sorry in these type of situations.

Reference
Education News. (n.d.). 2nd career as a nurse. Retrieved from http://education.ednews.org/vocationalnursingcareer.php
NET Industries. (2011). Respondent superior - When Is An Employee On The Job? Retrieved from http://law.jrank.org/pages/9834/Respondeat-Superior.html

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