What is the process of writing prescriptions, and what strategies can be used to minimize medication errors?

  

Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
Review the scenario assigned by your Instructor for this Assignment.
Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patients family.
Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

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Write a 2- to 3-page paper that addresses the following:
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patients family.
Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
Explain the process of writing prescriptions, including strategies to minimize medication errors.

USE THE FOLLOWING SCENARIO FOR YOUR PAPER:

JJ is a 7-year-old male that has been dealing with asthma his entire life. Multiple treatments have been tried, which have helped symptoms, but nothing works completely. You are treating him and know of a study regarding a new asthma medication being developed. This new medication contains a bronchodilator/steroid/antihistamine as an inhalation. None of the drugs being studied have previously been approved for children under the age of 12. The study would last for 16 weeks.

What type of drug should you prescribed

Introduction:

Prescribing prescription drugs comes with an array of ethical and legal considerations that healthcare professionals must adhere to. Failure to do so may lead to severe consequences for all stakeholders involved. As an advanced practice nurse, it is essential to understand the laws and standards governing prescription drugs and medication errors in your state. In this paper, we are going to examine a scenario involving a 7-year-old male dealing with asthma, and we will explore the ethical and legal considerations that come with prescribing a new medication that has not been approved for children under 12 years.

Description:

In this scenario, JJ is a 7-year-old male who has been dealing with asthma his entire life. Despite several treatments, none of them have been fully effective in managing his symptoms. As his healthcare provider, you have significant knowledge about a new asthma medication being developed. This medication includes a bronchodilator, steroid, and antihistamine as an inhalation. However, none of these drugs have been approved for children under 12 years, which presents an ethical dilemma.

Prescribing such medication invokes a lot of legal and ethical implications for all stakeholders involved. As the prescriber, you have the responsibility to follow state-specific laws and standards that govern prescription drugs and medication errors. Failure to do so not only puts JJ at risk but also exposes you to legal consequences.

Furthermore, this scenario requires you, as the prescriber, to weigh the potential benefits of the new asthma medication against its risks. Although the medication may provide treatment to manage his asthma symptoms, it may also pose severe side effects. Therefore, to make an ethically and legally sound decision, two strategies must be employed.

Firstly, healthcare providers must be knowledgeable about their state-specific laws and standards and how they apply to the prescribing of prescription drugs. Secondly, healthcare providers should adopt a patient-centered approach that empowers patients and their families to make informed decisions regarding their treatment options.

In conclusion, prescribing prescription drugs requires healthcare providers to be ethical, knowledgeable about state-specific laws and standards, and put patients’ interests first. As an advanced practice nurse, two strategies to guide your ethical and legal decision-making include following state-specific laws and empowering patients to make informed decisions about their treatment options.

Objectives:
– To understand the ethical and legal implications of prescribing prescription drugs, disclosure, and nondisclosure
– To identify laws and standards related to prescribing prescription drugs and addressing medication errors in the student’s state or region
– To apply ethical and legal considerations to a scenario involving prescription drug prescribing for a pediatric patient with asthma
– To develop strategies to guide ethically and legally responsible decision-making in prescribing prescription drugs

Learning Outcomes:
– Explain the ethical and legal implications of prescribing prescription drugs for all stakeholders involved in a given scenario, such as the prescriber, pharmacist, patient, and patient’s family
– Describe strategies to address disclosure and nondisclosure of medication errors in a given scenario, referring to laws specific to the student’s state
– Identify two strategies that an advanced practice nurse can use to guide their decision-making in a scenario involving prescription drug prescribing and justify their explanation
– Explain the process of writing prescriptions and apply strategies to minimize medication errors

Explanation:
In this module, students will review resources related to the legal and ethical implications of prescribing prescription drugs. They will also research laws and standards specific to their state or region and apply their knowledge to a scenario involving prescription drug prescribing for a pediatric patient with asthma. Students will identify and analyze the ethical and legal implications of their chosen scenario for all stakeholders involved, including the prescriber, pharmacist, patient, and patient’s family. They will also explore strategies for addressing disclosure and nondisclosure of medication errors, drawing on relevant laws in their state. Finally, students will develop two strategies to guide their own ethically and legally responsible decision-making in prescribing prescription drugs, and explain the process of writing prescriptions while considering strategies to minimize medication errors.

Solution 1:

The Ethical and Legal Implications of Prescribing Prescription Drugs to Children

Prescribing prescription drugs to children poses significant ethical and legal implications to all parties involved, including the prescriber, pharmacist, patient, and patient’s family. In the case of JJ, a 7-year-old male with life-long asthma, prescribing a new medication containing a bronchodilator/steroid/antihistamine whose safety and efficacy have not been fully established to children under the age of 12 can raise serious ethical and legal concerns. The prescriber must ensure that the benefits of the medication outweigh its potential risks and that the parents or guardians of the child provide informed consent before administering the medication to the child. The pharmacist must also exercise due diligence in dispensing the medication and following the state’s specific laws and regulations for prescribing prescription drugs to children.

Strategies for Addressing Disclosure and Nondisclosure

One strategy for addressing disclosure and nondisclosure in this scenario is to fully inform the parents or guardians of JJ about the risks and potential benefits of the new medication. As an advanced practice nurse, you can explain to the parents the details of the study, the medication’s safety profile, and its potential side effects. It is essential to reference laws specific to your state in the formulation of disclosures. Another strategy is to ensure that the parents or guardians of JJ provide informed consent before administering the medication to the child. Informed consent provides a legal framework and ensures that all parties involved, including the prescriber, pharmacist, patient, and patient’s family, are fully aware of the medication’s potential benefits and risks.

Strategies for Decision Making

As an advanced practice nurse, two strategies that can guide you in making decisions in this scenario would be to consult with your colleagues and use evidence-based practice guidelines in prescribing a drug. Consultation with colleagues from various disciplines can help you gain a better understanding of the potential benefits and risks of prescribing the new medication to JJ. Evidence-based practice guidelines, on the other hand, can contribute to minimizing medication errors and ensure that the medication you prescribe is effective and safe for JJ’s particular case. If a medication error occurs, it is essential to disclose the error, report it to your supervisor, and implement preventive strategies to avoid the recurrence of medication errors in the future.

Solution 2:

The Process of Writing Prescription and Strategies for minimizing Medication Errors

Prescribing medication involves a process that can contribute to minimizing medication errors. As an advanced practice nurse responsible for prescribing medication to patients, you must have a thorough knowledge of the principles of pharmacology, the patient’s medical history, and the specific medication’s pharmacokinetics and pharmacodynamics. Before writing a prescription, you must perform a thorough assessment of the patient, identify the signs and symptoms of the patient’s medical condition, and select the appropriate medication based on evidence-based practice guidelines.

Strategies for Minimizing Medication Errors

One strategy for minimizing medication errors is to verify the patient’s medical history and ensure that the medication you are prescribing does not interfere with any current medication or underlying medical conditions. You should also check the medication’s dosage, route of administration, and frequency of administration before writing the prescription. Another strategy to minimize medication errors is to use electronic health records (EHRs) to reduce errors related to human factors. EHRs provide a systematic and standardized approach to documenting patient information and medication orders, reducing the likelihood of errors occurring during the prescribing process.

Conclusion

Prescribing medication, especially to children, poses significant ethical and legal implications that should be carefully considered by all parties involved, including the prescriber, pharmacist, patient, and patient’s family. As an advanced practice nurse, you should use evidence-based practice guidelines and consult with colleagues in making ethical and legally responsible decisions in prescribing medication to patients. By following these strategies and guidelines, you can contribute to minimizing medication errors and ensure that your patients receive safe and effective treatment.

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