Ethical and Legal implications of Prescribing Drugs As nurse Practitioners who h

Admin/ July 12, 2022/ Other

Ethical and Legal implications of Prescribing Drugs
As nurse
Practitioners who have the right to prescribe medications to patients, a
legitimate and ethical reflection should be carefully considered and taken
prior to prescribing medications to patients. The capacity to prescribe
medication gives medical providers the opportunity to patients’ health,
however, a level of accountability is levied once medication is prescribed to
patients. In the United States, each state is governed by rules, regulations,
and standard of practice by which practitioners abide by, and take into
consideration prior to giving prescriptions to patients.
This paper seeks to explain the ethical and implications of
prescribing medications, describe strategies to address disclosure and
nondisclosure of errors as a State of Missouri health care provider, explain
two strategies that the practitioner would use in the decision-making process,
and to explain the process of writing prescription with strategies for
minimizing medication errors.
Legal and Ethical Implications
Considering the legal regulations governing the nursing
industry, it is not ethical for a healthcare practitioner to prescribe medications
to family, and friends without a complete physical assessment, medication
sensitization, and a clear sense of medical history of the individual. Doing
this will be considered as a breach of the legal regulations that govern and
protect the stakeholders that are involved. An act of such could considered
illegal for practitioners to prescribe medications without having an inner
consideration of the drug name, dosage, route, time, documentation, and its
frequency. According to Gold et al (2014), there are lots of ethical issues
involved while prescribing medications to family, and friends. A practitioner
might think they are trying to help their loved ones, but in actual sense, they
are putting them and other stakeholders at risk.
Furthermore, an assessment of the patient will give the
healthcare practitioner a greater strength to accurately prescribe medication
for patients. A lack of patient’s assessment doesn’t not give the prescriber
guarantee that the medication will perform its desired purpose, instead it will
put the practitioner’s license at risk and will also place their friend in
danger of encountering adverse medication effects which might lead to death.
Regardless the situation, providers should not allow family members to tuck
them into prescribing medications without a thorough assessment, medical
history, and a follow up. In the given scenario, if the any adverse reaction
occurs on the friend after taking the medication, then the prescriber will be
held accountable for his/her action.
Missouri nurse practitioners (NPs) do not have the full
authority and cannot prescribe controlled medications without the supervision
and collaborative effort of a physician. They can independently prescribe all
other medication, except narcotics. The power to fully prescribe medications
ascribes the legal rights to prescribe any medications independently without
limitations (Rosenthal & Burchum, 2018). They take full responsibility for
the medications that they choose to prescribe, as such they are answerable to
any outcome that these medications produce. Medical practitioners are
encouraged to keep their personal and professional limitations so as to
ascertain that, lines do not interfere with each other in their nursing care
Disclosing and Nondisclosure Strategies
The interactions and
care activities of all patients should be centered toward the framework of
ethical and legal standard pf practices. Advanced practice nurses have the
legal and ethical obligation of safeguarding patients from harm and work toward
the improvement of their health and well-being. They should not seek their
personal interest, but must sensitize and educate patients on every available
medical information relevant for their health and well-being. In the event a
nurse prescribes a medication for their friend without doing a thorough
assessment, they didn’t provide the individual with adequate care within the
nursing scope and care activity (Wittich et al., 2014). Majority of healthcare
organizations have incorporated the notion of disclosure as patient centered
care and this has decreased the malpractices litigation costs. The setting up
of medication error disclosure policies and guideline are some of the methods
that healthcare organizations should implement as a form of disclosure and a
way to minimize medication errors.
There are also diverse ethical virtues that can support
healthcare providers in the event of a medical error disclosure. The principle
of autonomy is one way that will guide the practitioners to disclose medical
errors to patients. The patients have the right to know what is happening about
their care activity, because this will give them the zest to fully participate
in their care process. Notwithstanding this, medical professionals understand
the principle of maleficence, and they took an oath of “do no harm” to
patients. The principle of beneficence on the other hand, helps medical professionals
to do the right thing such as disclosing errors even if that decision forces
them to lose their job and licenses. All nurses should be able to disclose to
all stakeholders involved about when, what, where, and how the medical errors
occurred. It is relevant that the nurse places the patient’s needs above their
own needs regardless of the consequences they will have to face as a result of
their actions. Also, the nurse is required to disclose the incident at the
state licensing level depending on the gravity of the patient’s condition.
Prescription Writing Process and Minimizing Error
As nurse
practitioners, the act of writing prescription for patients should be
accompanied by a great responsibility and accountability. After a thorough
assessment of the patients and the appropriate testing is done, the provider
should be able to choose the right medication that will remedy the condition
presented by their patients. They also need to bear in mind about any
supporting medications or health factors that can influence the effect of the
medication as a means to appropriately, and accurately prescribe the
medication. There are diverse elements required to bring about a complete and
accurate prescription (Rosenthal & Burchum, 2018). In order to support the
prescriber’s demographic and licensing information, the prescription should
include the patient’s name, fate of birth, and their reported allergies. Also,
the prescription should include the name of the medication, the indication or
medical reason for the order, the desired strength, the dose, and the
frequency, the number of tablets/capsules being dispensed, and the number of
refills that is allowed. Once the prescription is written, the prescriber
should follow up with the patient to ascertain that, the medication was
effective and that additional intervention are is not needed (Kothari et al.,
2018). Moreover, prescription script needs to include the name of the
prescriber, DEA number, and the practice address; this should help to minimize
medical and medication errors.
This paper should focus on the state of Minnesota instead of Missouri. Please use different research articles for the purpose of avoiding plagirism.

Share this Post