Please respond to Andrea post in one of the following ways Suggest additional ethical and legal implications for all stakeholders in your colleagues’ scenarios.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research

2 days ago Andrea Oakes
Week 1 Initial Post
COLLAPSE
Scenario One:

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.

Ethical Implications of Scenario One

Prescriber

As a nurse practitioner, you are expected to not only comply with but to uphold the Code of Ethics for Nurses (American Nurses Association [ANA], 2001). Provision three describes the nurse’s responsibility to report errors immediately to their organizations and the patient (2001). Additionally, the nurse must participate in problem-solving investigations to identify the cause of the error (2001). In provision four, one can learn that the nurse is “accountable and responsible for the quality of their practice” (ANA, 2001, p. 15). The ethical implication applicable to scenario one is although this mistake was unintentional, the nurse practitioner is responsible for it.

Pharmacist

The Code of Ethics for Pharmacists refers to the responsibility to promote the good of every patient and to be competent in their profession (American Pharmacy Association [APhA], 2018). If in scenario one, the pharmacist did not recognize the error of the dose for the five-year-old then the pharmacist failed to act for the good of the patient or to maintain professional competence.

Patient & Patient’s Family

The ethical implications of scenario one or the results for the patient and patient’s family could be complications to the patient’s health due to the adult medication dose for a child. Additionally, the patient and patient’s family could develop mistrust for health-care providers and choose not to seek medical attention in the future.

Legal Implications of Scenario One

Prescriber and Pharmacist

Legal implications for the nurse practitioner and pharmacist in scenario one could result in loss of employment, disciplinary action by the state board of nursing, criminal charges, and/or the patient or patient’s family seeking civil charges (Anderson & Townsend, 2010).

Patient and Patient’s Family

The patient and patient’s family in scenario one could result in legal implications of obtaining a lawyer and going through the process of filing a civil suit as well as witnessing to possible criminal charges.

Two Strategies to Guide Decision Making

The first strategy I would use as an advanced practice nurse to guide my decision-making process in this scenario would be to implement a double check system when writing prescriptions for pediatric patients (Anderson & Townsend, 2010). This double check would reduce the risk of incorrectly calculating a pediatric dose. The second strategy would be to maintain competency for whatever drug I am prescribing. I would always look up the dose I am prescribing for a pediatric medication and not just think I am right but know that I am right when it comes to correct doses for pediatric patients.

References

American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Retrieved from https://www.nursingworld.org/coe-view-only

American Pharmacy Association. (2018). Code of Ethics. Retrieved from https://www.pharmacist.com/code-ethics

Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you. Retrieved from https://www.americannursetoday.com/medication-errors-best-practices

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