The following post has two assignments namely;
1.Medication into the patient’s pharmacy without consulting with a provide
Upon further investigation, you learn that Stephanie spoke with the patient and called the medication into the patient’s pharmacy without consulting with a provider. Stephanie claimed that the patient was insistent about needing a prescription. Because Mrs. Smith was coming into the office the following week for an appointment, she didn’t think you would mind if the patient received the prescription early.
Discussion Question:
What are the ethical-legal concerns associated with this situation? What is your liability in this situation, if any? What is the practice’s liability in this situation? What quality improvement strategies might you implement as an APN in this practice to safeguard your role and assure patient safety? Provide evidence to support your response.
2.The Reporting of Quality Measures
One of the quality measures reported by hospitals to the Centers for Medicare and Medicaid Services which is published on the Hospital Compare website is statistics on “surgery patients who were given an antibiotic at the right time (within one hour of surgery) to help prevent infection.” Answer the following questions to reflect on your understanding of this quality measure.
• Why is it clinically important for patients to receive antibiotics prior to surgery?
• In regards to clinical documentation in the health record that would be reviewed to report on hospital performance of this quality measure, which portion of the record would provide the most accurate details to confirm the administration and time of administration of antibiotics prior to surgery?
• If hospital a consistently scores low on this measure, what does this indicate?
• If a hospital is scoring low on this quality measure, which clinical quality management process could be used to help the hospital understand why the performance is low, formulate a plan to improve its score, implement the plan, and evaluate results of this measure in the future?
