2023 Abstract As the range of practice for advanced practice nurses continues to expand new and complicated

Abstract

As the range of practice for advanced practice nurses continues to expand, new and complicated ethical issues in clinical environments will frequently arise. Advanced practitioners will consider a patient therapy plan that includes prescribing suitable medicine (Arcangelo and Peterson, 2013). The following article examines ethical and legal consequences as well as evaluate how to correctly react to the Situation: As a nurse attendant, one recommends medications for their patients. They make a mistake when recommending the medicine to a 5-year old sick person. Instead of dosing the patient correctly, they recommend a dosage that applies to a grown-up patient.

Ethical and Legal Implications of Prescribing Drugs

In evaluating this specific situation that has been raised, medication mistakes can lead to negative results to all players associated with the transaction. At the point when a medication mistake is made, the probability of damage going to the patient is something the expert ought to consider. Restorative expert’s guide their training around non-wrathfulness and a “do no damage” attitude. This paper will investigate moral and legitimate ramifications as well as review how to properly react to the situation in which as an attendant specialist, one recommends treatment for their patients. They make a mistake when recommending the drug to a 5-year-old victim. Instead of dosing him properly, they recommend a portion appropriate for a grown-up. 

As a consequent, revelation to the victim ought to happen, not just as a moral commitment, but also in an endeavor to forestall any harm that could happen, upgrade patient trust as well as steer off litigation, and further as a prospect for procedure improvement (Ghazal, Saleem, and Amlani, 2014). The pharmacist additionally has moral and legitimate commitments in regards to medication satisfaction, and ought to act as a second line of protection for recommending experts. As the customer, the victim and, since this is a pediatric scenario, the family likewise have obligations, as well as moral and lawful contemplations. If enough harm is done, or by bad luck, the victim dies, and a claim is looked in to, It could bring about massive time, finances, and perhaps conviction and serious punishment of an individual whose purpose was to “do no damage”. The truth of the matter is, a prescription mistake is expensive, not just financially, but perhaps lives and medicine apportioning benefits are accompanied with extraordinary duties that require satisfaction.

Ethical and Legal Implications

               With the medication authority, it is indispensable for advanced practice medical caretakers to know about contemporary professional, lawful, and moral principles. Regardless of how unimportant a drug mistake may appear, one ought to consider the moral and legitimate ramifications. Ramification fears may debilitate one from unveiling a drug mistake. For instance, In the State of Michigan, nurse attendants may recommend non-controlled medications as a designated duty of a doctor, and controlled substances with express approval in writing. Authority to recommend schedule II medications is restricted to an emergency clinic (or surgical centers, oncology practice, or hospice) for less than or equal to 7-day supply (Bryn, 2011).

Nurse Practitioner-When a medical caretaker recommends medicine for a pediatric patient they have to ascertain the portion and compose the right portion (Arcangelo and Peterson, 2013). It is the requisite of the professional code of morals to work nicely and not to hurt their patients. 

Pharmacist– The drug store should countercheck for medication dosing interactions (Arcangelo and Peterson, 2013). The drug specialist has a corresponding obligation also to guarantee that the recommendation itself is the right medicine and dose for a patient (Drug Enforcement Administration, 2006). 

Patient and Family-According to the standard of self-governance it is the patient’s entitlement to have full data about the treatment and any mistake whenever happened. There could be legitimate ramifications to the attendant professional, expedited by family if damage happens from the prescription blunder.

Safe Medication Prescribing Strategies

           In nursing school, the five “rights” are bored into the trainee’s heads during their Pharmacology class, and as it should be. Being careful about continually performing out these five rights: right patient, right drug, right dosage, perfect time, and right course, can help with wiping out prescription mistakes. Furthermore, the moral basics on arriving at decisions can manage your training by Massaging the quandary, or investigating the suggestions to all players involved, Outlining potential choices for fruitful amendment, Review criteria for a moral goals, Act out their goals, and Look back to assess the circumstance and gain from the experience (Ghazal, Saleem, and Amlani, 2014).

1st Strategy-The principle strategy that would be utilized, is to gather precise and update any statistic data preceding prescribing. Exact statistic data is crucial in drug administration. Required patient data incorporates the name, age, birth date, weight, hypersensitivities, conclusion, current lab results, and crucial signs (Anderson and Townsend, 2010). 

2nd Strategy-The subsequent technique is consistently knowing about uncommon populace contemplations. Arcangelo and Peterson (2013) revealed portions for kids are generally founded on weight in kilograms and the prescriber has to compute the portion and compose the right medicine.

Conclusion

Medication mistakes can lead to unfavorable results to all players involved with the transaction. If a medication mistake happens, the probability of harm or danger going to the patient is something the specialist ought to consider. Therefore, medical experts must demand the significance of advanced practice attendants to know about contemporary professional, legitimate, and moral models.

References

Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for advanced 

​practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.

Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you.

American Nurse Today, 5(3), 23-28. Retrieved from 

https://www.americannursetoday.com/medication-errors-dont-let-them-happen-to-you/

Bryne, W. (2011). U.S. nurse practitioner prescribing law: A state-by-state summary. Medscape

​Nurses. Retrieved from http://www.medscape.com/viewarticle/440315

Drug Enforcement Administration. (2006.). Practitioner’s manual. Retrieved from 

 http://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html.

Ghazal L, Saleem Z, & Amlani G (2014) A Medical Error: To Disclose or Not to Disclose. Journal of Clinical Research and Bioethics, 5(174). doi:10.4172/2155-9627.1000174

Philipsen, N. C., & Soeken, D. (2011). Preparing to Blow the Whistle: A Survival Guide for 

​Nurses. Journal for Nurse Practitioners, 7(9), 740-746. doi:10.1-016/j.nurpra.2011.07.006