hipaa security

 

Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care.

As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. The will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement.

Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include:

  • Meaningful use of electronic health records (EHR).
  • Provision of EHR incentive programs through Medicare and Medicaid.
  • Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules.
  • Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.

Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients.

At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as:

  • Keeping passwords secure.
  • Logging out of public computers.
  • Sharing patient information only with those directly providing care or who have been granted permission to receive this information.

Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account.

Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able distinguish between effective and ineffective uses of social media in health care.

This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team.
    • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information.
    • Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information.
    • Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Follow APA style and formatting guidelines for citations and references.
    • Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.

Preparation

To successfully prepare to complete this assessment, complete the following:

  • Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information. 
    • Analyze these infographics, and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles. Note: In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective.  
  • Select from any of the following options, or a combination of options, the focus of your interprofessional staff update:
    • Social media best practices.
    • What not to do: Social media.
    • Social media risks to patient information.
    • Steps to take if a breach occurs.
  • Conduct independent research on the topic you have selected in addition to reviewing the suggested resources for this assessment. This information will serve as the source(s) of the information contained in your interprofessional staff update. Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.

Instructions

In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action. 

You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.  

Based on this incident’s severity, your organization has established a task force with two main goals:

  • Educate staff on HIPAA and appropriate social media use in health care.
  • Prevent confidentiality, security, and privacy breaches.

The task force has been charged with creating a series of interprofessional staff updates on the following topics:

  • Social media best practices.
  • What not to do: Social media.
  • Social media risks to patient information.
  • Steps to take if a breach occurs.

You are asked to select one of the topics, or a combination of several topics, and create the content for a staff update containing a maximum of two content pages. When distributed to interprofessional team members, the update will consist of one double-sided page.

The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topic(s):

  • What is protected health information (PHI)?
    • Be sure to include essential HIPAA information.
  • What are privacy, security, and confidentiality?
    • Define and provide examples of privacy, security, and confidentiality concerns related to the use of the technology in health care.
    • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
    • How many nurses have been terminated for inappropriate social media usage in the United States?
    • What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
    • What have been the financial penalties assessed against health care organizations for inappropriate social media usage? 
    • What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?
Notes
  • Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so that you are able to meet the page length requirement. Include need-to-know information. Leave out nice-to-know information. 
  • Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.
  • Also supply a separate reference page that includes 2–3 peer-reviewed and 1–2 non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.
Additional Requirements
  • Written communication: Ensure the staff update is free from errors that detract from the overall message.  
  • Submission length: Maximum of two double-spaced content pages.
  • Font and font size: Use Times New Roman, 12-point.
  • Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current mean no older than 5 years.
  • APA format: Be sure your citations and references adhere to APA format. Consult the Evidence and APA page for an APA refresher.

pos

Please answer each of the questions below in short-answer format. Write your responses in complete sentences. Your answers to each question should include 2 – 3 paragraphs minimum and a minimum of 150 – 250 words. 

Be sure to carefully read each question to ensure that each component is answered with the appropriate depth and detail. Your answers should be free of spelling and grammar errors. When using reference material, you must properly cite your sources using in-text citations. You must also include a reference list. All documentation must be rendered in APA citation style (see announcements for details on APA). This includes citing your textbook or course lesson modules. 

Review the Short-Answer Grading Rubric and the Short-Answer Assignment Sample as you prepare to complete this assignment. 

Please include the question along with your response in the textbox. This is to ensure that you have addressed each question. 

Question

1  of 1

  1. Discuss the historical reasoning behind the inclusion of Article V and explain why our founding fathers allowed for the amendment of the Constitution. Identify one amendment made to the Constitution and the impact it has had on citizens. 
  2. Explain why the founding fathers fought to include these rights into the Constitution. Then identify one liberty and explain why you believe this right to be most important. Defend your perspective with facts and case examples (See United States Courts). 
  3. In your own words, explain the free exercise clause and the establishment clause found in the First Amendment. Identify why each clause was thought to be necessary. Provide an example of a current case that has utilized these clauses. (See United States Courts or the Supreme Court Website.) 
  4. Explain the key issues, facts, and significance of the Mapp v Ohio case. Be sure to include in your response an explanation of the 14th amendment and the exclusionary rule. Discuss the impact this case has had on modern day cases. 
  5. Define due process; include each of the two specific types of due process and provide examples. Using examples of specific cases, indicate whether you believe these rights have been increasingly protected or compromised (For examples of cases you can See United States Courts or the Supreme Court Website.)

Reports Discussion

Each thread group has two reports assigned to it provided as links. Review ONE of the two reports assigned to your thread group. You are NOT expected to read the entire report. Just review the report to get a sense of it. (Pretend you are the “executive” who has received many reports. You would not read the entire report, but you should at least read the executive summary, if there is one, and skim the report to get a sense of its main ideas and purpose.)

After reviewing the report, before Thursday midnight, provide your assessment of that report:

  1. What type of report is it: formal or informal? How do you know?
  2. Who is the audience of the report? 
  3. What is the purpose of the report: informational or analytical? Why was it written? Why would the audience need the report? 
  4. Was a report needed to accomplish the purpose? Could the information have been presented in another way, such as multiple shorter memos or a presentation, to accomplish the purpose for the audience? Why or why not? 
  5. Finally, if YOU were the intended audience, what would you do next based on the report? For instance, would you likely invest in the company, support or not a law related to an issue addressed in the report, recommend company changes, provide additional funding, etc.?

Unit VIII Project

 

Marketing Presentation and Video

For this assignment, you will be taking on the role of marketing manager for the organization that you researched in Unit VI. Within that role, you will need to present the marketing plan that you completed in Unit VI to the marketing team. This will require no additional research, but you will be compiling your content into a PowerPoint presentation and subsequent video. The items below should be included in your presentation.

  • Introduction: Include a brief introduction of the company.
  • Competitive Analysis: Provide a comparison of the company against two or three competitors.
  • Marketing Strategies: Include an examination of all four Ps (product, price, place, and promotion). This should include the product and service, pricing, distribution/place, and both traditional and digital marketing strategies.
  • Competitive Advantage: Address whether the company holds a competitive advantage in each of the areas of the four Ps.
  • Ethical Stance of Company: Present the company’s ethical stance, which can include topics such as how they have created an ethical culture, social responsibility or corporate social responsibility (CSR), or any other topics related to ethical behavior within the organization.
  • Conclusion: Provide recommendations for this company with respect to future marketing strategies, remembering to include topics involving all four Ps.

The PowerPoint must meet the criteria below.

  • Must be at least 12 slides in length (not counting the title slide).
  • Include speaker notes in order to further explain the information on each slide.
  • If outside sources are used, please follow APA Style when creating citations and references.

The video portion of this assignment can be completed by choosing one of the options below.

  • Option 1: Using a camera, record yourself presenting your PowerPoint presentation. You can use a smartphone to record, or you can have someone else record you; just make certain that your slides are visible as you present. The video should be professional and must be at least 5 minutes in length.
  • Option 2: Using the “Record Audio” option in PowerPoint, record audio for each slide. With audio added, the presentation must be at least 5 minutes in length. To record audio, select the “Insert” tab, select the “Audio” icon, and then select “Record Audio” from the dropdown to begin recording.

Assignment submission instructions are below.

  • Option 1: If you filmed a video of yourself presenting your PowerPoint, you will upload your video to YouTube. Place the link to your YouTube video in a Word document. You will then submit two separate files to Blackboard: (1) your PowerPoint presentation and (2) the Word document containing the link to your video.
  • Option 2: If you chose to record audio using PowerPoint, you will submit one file, which will be your PowerPoint presentation. Make certain to preview your presentation before submitting to make certain that the audio for each slide is present and understandable.

The following task learning guides (TLGs) may be of assistance as you complete this assignment.

Discussion forum

 

To do and read for this week

Hello! Welcome to week 12. So far, we have discussed interventions at the individual and at the team level. Now, we will look at the organization. As a first step, we will learn what organizational design and what organizational structure is. Therefore, please read chapter 12 starting with the section on “organizational Design and structure” (in Edition 4 that is pages 303-317). The first pages of chapter 12 discuss org. culture but you do not need to read it now, since we will discuss this later. You can also stop reading once the section “directional interventions” starts. This should give you a good overview on what Organizational design and structure is. 

Second, look at the slides this week, where I walk you through the content. NEW: I recorded some audio on the slides, so makes sure to listen to it! 

Third, read the journal article on “The Impact of the Covid-19 Pandemic on Firms’ Organizational Designs”. It is an academic paper, however only 5 pages and written as a commentary. It is very recent and I hope you will like it. 

Last, answer two questions in the discussion forum: 
a. Based on the readings and the videos you read and watched for this week, how would you describe “organizational design” in your own words? 
b. Discuss the journal article. What is the authors view on the potential impact of the Covid-19 pandemic on firms’ organization designs and how will the pandemic may influence organization design research? Do you agree or disagree with his view? 

Module 14: Trends in Strategic Management: Concluding Thoughts

 

Module 14: Discussion Forum

During this course you have learned that the business environment is in a state of constant change and new circumstances will require new strategies and new approaches to implementing those strategies. Apply what you have learned as you discuss the following questions.

  1. Describe the global business environment that is likely to develop in the next ten years.
  2. Based on your scenario, how can companies in Saudi Arabia prepare to engage opportunities and avoid threats?
  3. What strategies will firms need to adopt to prosper in the environment you foresee? Are there companies today whose strategies, structures, and approaches to management you think will provide leading examples for other companies in the future

Embed course material concepts, principles, and theories (require supporting citations) in your initial response along with at least one scholarly, peer-reviewed journal article. Keep in mind that these scholarly references can be found in the Saudi Digital Library by conducting an advanced search specific to scholarly references. Use Saudi Electronic University academic writing standards and APA style guidelines.

You are required to reply to at least two peer discussion question post answers to this weekly discussion question and/or your instructor’s response to your posting. These post replies need to be substantial and constructive in nature. They should add to the content of the post and evaluate/analyze that post answer. Normal course dialogue doesn’t fulfill these two peer replies but is expected throughout the course. Answering all course questions is also required.

Philosophical Essay

  

T‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ask: This 4 – 5 full page (not to exceed 6 pages) Philosophical Essay you will be writing due Week 7 is designed to be a thoughtful, reflective work. The 4 – 5 full pages does not include a cover page or a resource page. It will be your premier writing assignment focused on the integration and assessment relating to the course concepts. Your paper should be written based on the outline you submitted during week 4 combined with your additional thoughts and instructor feedback. You will use at least three scholarly/reliable resources with matching in-text citations and a resource page. All essays are double spaced, 12 New Times Roman font, paper title, along with all paragraphs indented five spaces.

Description: You will pick one of the following topics only to do your paper on: According to Socrates, must one heed popular opinion about moral matters? Does Socrates accept the fairness of the laws under which he was tried and convicted? Would Socrates have been wrong to escape (CO3)? Consider the following philosophical puzzle: “If a tree falls in the forest and there’s no one around to hear it, does it make a sound?” (1) How is this philosophical puzzle an epistemological problem? And (2) how would John‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ Locke answer it (CO1)? https://intellectualessay.com/ Evaluate the movie, The Matrix, in terms of the philosophical issues raised with (1) skepticism and (2) the mind-body problem.

Explain how the movie raises questions similar to those found in Plato’s and Descartes’ philosophy (CO5 & CO6). Do not give a plot summary of the movie – focus on the philosophical issues raised in the movie as they relate to Plato and Descartes. Socrates asks Euthyphro, “Are morally good acts willed by God because they are morally good, or are they morally good because they are willed by God?” (1) How does this question relate to the Divine Command Theory of morality? (2) What are the philosophical implications associated with each option here (CO4)?

Explain (1) the process by which Descartes uses skepticism to refute skepticism, and (2) what first principle does this lead him to? (3) Explain why this project was important for Descartes to accomplish (CO2). http://educatoressay.com Your paper will be written at a college level with an introduction, body paragraphs, a conclusion, along with in-text citations/resource page in proper formatting. Remember – any resource that is listed on the resource page must have an in-text citation in the paper to match or this is considered plagiari‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍sm.

embarrasing problem

 

A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. 

Wk5 6238 discussion Response

 

There are a wide variety of factors that can influence and/or create distortions of memory. In ‘Individual Differences in Susceptibility to False Memory in the Deese-Roediger-McDermott Paradigm’, Watson et al. (2005) note that false memories specific to the DRM paradigm may result from a failure in attention control that help to differentiate the given words from associated but non-presented words. For example, when given a list of related words to recall, participants often recalled related words that were not part of the original list, resulted in false recall (Watson et al., 2005). This could be alleviated through warnings given regarding the likelihood of false recall; this can aid during the encoding stage as the participants focus more aptly on the specific words given to avoid false recall (Watson et al., 2005).

The salience effect is another influence on a person’s memory. This refers to the degree to which memory is affected by a person’s individual processing that results in particular stimuli becoming more obvious -or salient- than other stimuli (Fine & Minnery, 2009). This goes back to attention again; the more likely an individual is to pay close attention to an object (consciously or unconsciously through bottom-up processing), in this case due to its saliency rather than prior warning, the better memory performance they are likely to have (Fine & Minnery, 2009).

Another factor that may influence memory is age. Rhodes et al. (2021) conducted experiments to determine whether age played a role in the effectiveness of working memory, and if so, at what stage. The determination was that even when the tasks were altered to reflect the individuals abilities, there was a drop in recall abilities in the older adults versus the younger adults (Rhodes et al., 2021). They suggest that further research could indicate that it is the disruption of the “active maintenance in working memory” which requires deeper search and retrieval from secondary memory (Rhodes et al., 2021, p. 210).

Trauma can also affect a person’s memory, however, the exact manner in which this can happen is still debated. ‘Traumatic amnesia’ or ‘dissociated memory’ refers to the concept of an individual having supressed or forgotten traumatic memories (often of abuse/sexual abuse) only to recover them later in life (Loftus & Davis, 2006). This is widely debated as to its verifiability due to studies not being able to meet the full three criteria of verifying whether a) abuse did actually happen, b) this memory was actually forgotten and unreachable for some time and c) this memory was later retrieved (Loftus & Davis, 2006).

Loftus and Davis (2006) also go on to discuss the plasticity of autobiographical memory and the research that has been conducted in this field. The power of suggestion – telling individuals that a (false) event occurred and assuring them they have details from family members has led to instances of false autobiographical memory, later ‘recalled’ when interviewed by the researcher. These implanted memories have been shown to have potential lasting effects, including avoidance of foods that a participant was told once made them sick as a child, which demonstrates the strength of suggestion in creating or distorting memories (Loftus & Davis, 2006).

An example of this is a situation that happened in Florida in 1988. In Stuart, Florida law enforcement officers thought they had found a satanic cult operating out of a children’s school. Evidence came from the victims themselves – the children. However, it was suggested that the abuse was so horrific that the children had repressed it and therefore could only remember it under hypnosis. Though the first accounts of their experiences at this school were pleasant, after some sessions the children began to recall oddities including satanic ceremonies, sexual abuse and torture. Arrests were made, namely the school owner and his wife. Later, it was discovered that a psychologist doing the hypnosis of the children was sued for implanting memories. This, along with the nationwide satanic panic of the 1980s-90s resulted in false memories derived from the power of suggestion. (Vance, 2016).

Memory distortions in the context of eyewitness testimony can lead to false arrests and convictions of innocent people, as exemplified in both this week’s reading example and my given example. If there was a crime that occurred, this then results in the person at fault not being arrested and going free. Further, the implications of distorted memories in eyewitness testimony can implicate any other testimony from that eyewitness, if parts of the memories are proven untrue. It is important to realize that all people are affected by imperfect memories, and this does not change when under oath on a witness stand.

Reference:

Fine, M. S. & Minnery, B. S. (2009). Visual Salience Affects Performance in a Working Memory Task. Journal of Neuroscience, 29(25), 8016-8021. DOI: 10.15323/JNEUROSCI.5503-08.2009

Loftus, E. F., & Davis, D. (2006). Recovered memories. Annual Reviews of Clinical Psychology, 2, 469–498.

Rhodes, S., Doherty, J. M., Jaroslawska, A. J., Forsberg, A., Belletier, C., Naveh-Benjamin, M., Cowan, N., Barrouillet, P., Camos, V., & Logie, R. H. (2021). Exploring the influence of temporal factors on age differences in working memory dual task costs. Psychology and Aging36(2), 200–213. https://doi-org.ezp.waldenulibrary.org/10.1037/pag0000531.supp

Vance, E. (2016, November 22). Remembering Childhood Trauma That Never Happened. The Cut. https://www.thecut.com/2016/11/remembering-childhood-trauma-and-abuse-that-never-happened.html.

Watson, J. M., Bunting, M. F., Poole, B. J., & Conway, A. R. (2005). Individual differences in susceptibility to false memory in the Deese-Roediger-McDermott paradigm. Journal of Experimental Psychology: Learning, Memory, and Cognition, 31(1), 76–85.

Ethical and Legal Implications of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.  

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

  • 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 patient’s 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.

Write a 3- to 4-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 patient’s 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.

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

· Chapter 1, “Prescriptive Authority” (pp. 1–3)

· Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 4–7)

· Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 8–12)

· Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 13–33)

· Chapter 5, “Adverse Drug Reactions and Medication Errors” (pp. 34–42)

· Chapter 6, “Individual Variation in Drug Response” (pp. 43–45)

American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767

American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.

This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual’s kidney function and select drug-drug interactions documented to be associated with harms in older adults.

Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

This website outlines the code of federal regulations for prescription drugs.

Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization by state. Retrieved May 13, 2019 from http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.

Drug Enforcement Administration. (2006). Practitioner’s manual. Retrieved from http://www.legalsideofpain.com/uploads/pract_manual090506.pdf
This manual is a resource for practitioners who prescribe, dispense, and administer controlled substances. It provides information on general requirements, security issues, recordkeeping, prescription requirements, and addiction treatment programs.

Drug Enforcement Administration. (n.d.-c). Registration. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/drugreg/index.html

This website details key aspects of drug registration.

Fowler, M. D. M., & American Nurses Association. (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application (2nd ed.). Silver Spring, Maryland: American Nurses Association.

This resource introduces the code of ethics for nurses and highlights critical aspects for ethical guideline development, interpretation, and application in practice.

Institute for Safe Medication Practices. (2017). List of error-prone abbreviations, symbols, and dose designations. Retrieved from https://www.ismp.org/recommendations/error-prone-abbreviations-list

This website provides a list of prescription-writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for Nurse Practitioners, 12(3), 166–173. doi:10.1016/j.nurpra.2015.09.17

This article provides NPs with information regarding state-based laws for NP prescribing.

Sabatino, J. A., Pruchnicki, M. C., Sevin, A. M., Barker, E., Green, C. G., & Porter, K. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. Journal of the American Association of nurse practitioners, 29(5), 248–254. doi:10.1002/2327-6924.12446

The authors of this article assess the impact of a pharmacist‐led educational intervention on family nurse practitioner (FNP) students’ prescribing skills, perception of preparedness to prescribe, and perception of pharmacist as collaborator.

 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. 

State of Florida