Family Nurse Practitioner employed in a busy primary care office




You are a Family Nuse Practitioner employed in a busy primary care office- The
providers in the group include one physician and three nuse 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

Mrs- Smith was seen today in the office for an annual physical- Her last appointment
was a year ago for the same reason- Duing 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 one week ago- You also
noted you 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

Discussion Question:

What is you next logically sound couse of action? Provide evidence to support you