...Prescription Refills HCS/335 October 7, 2013 It is important make patients the top priorities, by keeping their best interest but most importantly by providing the best care possible while still adhering to laws and regulations. Jerry McCall is not the exception to this; he is facing the dilemma of doing the right thing or keeping the patient happy by doing him a favor that could cost Jerry his job among severe legal issues. A patient calling Dr. Williams office and asking for a prescription while he is not there is not the issue. The issue is if Jerry authorizes the refill, this is not within Jerry’s scope. As a Medical Assistant there are many functions that a person is allowed to perform, therefore it is very important for Jerry to understand his job description, and especially his limitations. As a Medical Assistant Jerry can perform many duties including, escorting patients to exam room, prepare them for an exam, change wound dressings, drawing blood (depending on state laws) obtain wound cultures, remove sutures or staples from superficial incisions or lacerations, provide patient information and instructions; among many more duties (Buppert, 2008). There are some other duties that Jerry can perform, which are “administering medications topically, sublingually, vaginally rectally and by injection” and also providing the patient with a single dose of oral medication only when ordered by the physician, to a patient for immediate self-administration under observation...
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...Effects of Changes in Population Demographics: Obesity HCS/490 February 24, 2013 Obesity Did you know that 30 years ago, only one in ten people were overweight? Those numbers are long gone. Today, a staggering 65% of American adults, 78 million people, are overweight and 31% of these are obese (Healy, 2012). Americans are even fatter than they think they are, especially women. Over one-third of women are obese and the majority of these women are African American or Mexican American. Over the past two decades, obesity has doubled and is continually rising. What does all this mean for the health care industry? How do we help to reduce these costs? Demographics The numbers are astounding. This phenomenon has increased at an acceptable, rapid pace right in front of our eyes. Obesity is the # 2 cause of preventable death in the United States. The numbers of the severely obese, those who carry 80 pounds more than the normal weight for their height, is expected to grow by 130%. Over 9 million children and teens ages 6 to 19 years are overweight. With more and more pre-packaged food and less and less activity, the number of obese people in America has steadily increased since the 1960's. Some contributing factors to this epidemic can be credited largely to the progression from a rural lifestyle into a highly technological urban existence, and the alluring ability of our environment to promote us to eat more and move less. daily life. When people eat too many calories...
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...Running Head: PATIENT PRIVACY Patient Privacy By: University of phoenix Patient privacy has been a major concern for patients and medical staff for many years. Patient privacy goes hand in hand with HIPPA and the privacy rule. This protects the privacy of any person of all health information (U.S. Department of Health and Human Services, 2010). Even with this a concern for many, a study conducted by Zogby Internation studies more than 2000 adults to obtain their views on patient privacy. This studied determined that individuals would rather have individual choice and control over personal health information instead of others (Patient Privacy Rights, 2010). In the article written by Profacgillies, the issue is what really constitutes confidential information and access to sensitive data. These issues are very serious for many individuals. These issues affect the entire population that is identifiable. Even though there is no specific population that is affected, I believe that there are individuals who are more concerned about these issues. The population that has many medical records and medical information are more concerned about their confidentiality than others who have less information on their medical records (Profacgillies, 2009). There are legal and ethical responsibilities to keep personal patient information private. When its concerning legal issues, they are different from place to place; they are not the same at every facility...
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...Ethics Case Study XXXXXXXXXX HCS/335 May 2, 2011 Beryl Keegan, RN, BSN, MSN/HCE, CCRN, CLNC Ethics Case Study "Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do" (Fremgen, 2009, p. 85)? Medical ethics is a subject open to much interpretation and is prone to many grey area's without definite answers. In the case of Jerry McCall, Medical Assistant, Licensed Practical Nurse and Office Assistant the rationale, ethical and legal, for not refilling a prescription without physician consent are justified. If Mr. McCall chooses to refill the unauthorized prescription and the patient has an adverse reaction, his employer, Dr. William's can be held legally responsible for the committed tort even though he is personally without fault (Regan & Regan, 2002). Ethical and legal ramifications are at stake; using effective problem-solving methods to assist with decision making can help to avert a problematic outcome. Qualifications Required for Authorizing Prescriptions ...
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...What are some ethical dilemmas in selling organs and organ donations? To me this subject is very interesting coming in the wake of dealing with this with my father in law. There was nothing in his file about what his wishes were if he ever passed away so my mother in law who he is/was legally married to at his time of death had to make the decision to donate his organs. Some people may think that it is unethical to donate the organs of those that do not wish it or don’t have it in their will to donate but in my opinion I think in the time of shock to the family over something happening too fast they make on the spot decisions to do so. There have been times where I have seen on the news about people selling organs on the black market to those that can afford it and leave those that are poor or in poverty to miss out. Selling organs for profit is very unethical. There have also been times where I have gone into a grocery store or the gas stations and seen coffee cans with someone picture and a story about them on why they are asking for donations, the one that is up at my local gas station right now is for a 4 month old little girl who needs not only a heart transplant but a kidney donation. This 4 year old was apparently born with a hole in her heart and only one kidney that is only working at 30% as the sign says. This is another way families try to get money to help those that are in need of transplants but are not financially able to afford the cost of the...
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...Ethical Case Study- Jerry McCall HCS/335 Ethical Case Study: Jerry McCall Jerry McCall is a Medical Assistant for Dr. Williams. One afternoon Jerry was covering the front office while the receptionist was out to lunch. He received a phone call from a patient who requested a refill for Valium. The patient had stated that he and Dr. Williams are personal friends and Dr. Williams always gives him “a small supply of Valium before he leaves on a trip” (Fremgen, 2009 p. 85). Jerry was the only person in the office at the time of the phone call. Should Jerry refill the medication? No Jerry should not and I will explain why this is not ethically right. Valium also known as Diazepam is a “benzodiazepine, it affects chemicals in the brain that may become unbalanced and cause anxiety” (drugs.com, 2013) Benzodiazepine is drugs that, “affect gamma-aminobutyric acid (GABA), a neurotransmitter chemical that nerves use to communicate with one another” (rxlist.com, 2013). Valium is used to treat anxiety, seizures, insomnia, and at times light sedation for medical procedures. Jerry works for Dr. Williams as a Certified Medical Assistant (CMA) not a Licensed Practical Nurse so he must follow the Certified Medical Assistant Scope of Practice. In the State of California “Medical assistants are unlicensed individuals who perform non-invasive routine technical support services under the supervision of a licensed physician and surgeon or podiatrist in a medical office or clinic setting. The...
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...Ethics Case Study March 26, 2012 HCS 335 Ethics Case Study: Jerry McCall Introduction Ethics are an important aspect of an individual’s personal and professional life, as ethics help people determine whether their actions are right or wrong, good or bad, just or unjust, and fair or unfair (Fremgen, 2009). Strong workplace and interpersonal ethics are essential to any career, but especially so in health care wherein professionals encounter people from all lifestyles, life and death situations, and further circumstances people in other professions do not face. One such situation is the case study involving Dr. William’s office assistant, Jerry McCall. While sitting in for the receptionist, Jerry receives a phone call from a long-time patient needing a last-minute refill called in for his antidepressant, Valium, before taking a flight. The patient tells Jerry Dr. Williams is a close friend. Jerry has some professional medical assistant and LPN training, but has no certification in either field, and no one else is available to fill the patient’s prescription. This study will examine if Jerry is qualified to call in the refill, bearing on the situation if the patient had critical need for the medication, and the ethical and legal stipulations and consequences concerned depending on Jerry’s possible choices. Qualifications A health care professional must have specific qualifications and certifications to order medication refills for patients (Fremgen, 2009). While...
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..."A fellow student says, "Sure, I stole this book from the bookstore, but the tuition is so high that I figured the school owed me at least one book." 1. Do you agree with his rationalization? Why or why not? 2. What do you say to him? 3. What ethical principles discussed in this week's readings helped you with your answer? Source: Chapter 1, Introduction to Medical Law, Ethics and Bioethics, p. 3 of text. I don't agree with the rationalization because to me this is ethically wrong to steal anything regardless of how expensive it is. As a student and consumer it is our obligation to pay for things within the market of each industry we use. A fellow student may think that the school owes him or her a book but in all reality if that student is attending the college or university then there would probably be a code of conduct that he or she must abide by. The stealing criteria would probably fit in this area. The stealing of a book is illegal and therefore unethical to do so. I would tell him although you may think that the school owes you a free book think about what you are doing and how others would feel if you were doing this kind of thing. Do you steal from other places that you go such as grocery stores or Wal-Mart? If you don't, then think about what you are doing and be respectful of other people's products. It is our obligation as student to abide by all rules and regulations and this includes paying for all supplies and materials. They are giving...
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...“Jerry McCall is Dr. Williams’s office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time” (Fremgen, Chapter 4, 2009). A prescription can be prepared by a nurse, secretary, or any other agent in the office for the physician’s signature but cannot be called in or dispensed by no one other than the physician. There are certain rules and regulations that control issues like the one Jerry is faced with. The United States along with each state individual have set for rules and regulations for situations as this. By not following the guidelines it could cause many risks and it also goes against the code of ethics. There are code of ethics set forth not only for doctors but also nurses, physician assistants, and even medical assistants. If I were Jerry I would tell the patient that legally I cannot call in any prescriptions or medications without the authority of Dr. Williams. Calling in the prescription would put me at great risk for many legally issues because I do not have the permission of the physician to call...
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...Laws and regulations are a solution that needs to be addressed with ethical problems. Individuals need to follow the law and they also need a set of regulations when considering the ethical problems. When not following the laws and not setting up any regulations can lead to prosecution. There is no solution when there is too many laws and regulation they are the problem. All the books on law should be re-evaluated before it is passed or revised. When the law is being re-evaluated it needs to correspond with the Constitution by giving the individual freedom and if the law does not correspond with the Constitution then it should not be validated. A number of factors prevent us from recognizing ethical issues. We may not factor ethical considerations into out typical ways of thinking or mental models (Werhane, 1999). To me, the laws and regulations is two sided, one needs to be flexible and it needs room for interpretation that covers a lot of areas. On the other hand, if there is too much flexibility, you will have unethical people who can manipulate the laws and regulations. I do not think there is an alternative without system today that is going to violate any of the ideas that our country was built on. In my opinion the system needs a complete evaluation and not leaving any room for unethical people and giving them no choice to be but ethical. Reference: Werhane, P. (1999). Moral imagination and management decision making. New York: Oxford University...
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...Is there a social responsibility for the organization in the community? Explain and provide examples. “If there are no contributions to society, there is nothing to distribute; that is, no society produces anything without the effort of its people” (Garrett, Bailey, & Barrett, 2009, p. 91, para 5). Social responsibility is an ethical theory in which organizations, entities, and individuals carry a responsibility to do greater good that benefits the society. Organizations and entities need support from the community in order for the company to thrive and prosper; therefore there are numerous reasons to encourage the significance of social responsibility in the community. The American Red Cross’ vision statement is based on the principle of always being there in times of need. They are compassionate champions who assist all people affected by disaster across the United States and around the world by providing shelter, medical attention, and lifesaving blood products. As an example of American Red Cross commitment to social responsibility, fundamental principles comprises of humanity, impartiality, neutrality, independence, voluntary service, unity and universality. Humanity The principle of humanity is based on the desire to deliver assistance, with no discrimination, to those in need on both national and international levels to prevent and heal human suffering where it’s found. Impartiality The American Red Cross does not discriminate again any nationality, race...
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...Fortune, the saying goes, favors the bold. Were that truly the case, the Tucker Model 48 would have been an uncontested success for Tucker Corporation and Preston Thomas Tucker, the visionary jack-of-all-trades inventor behind its creation. Instead, just as production of one of the 20th century’s most innovative automobiles was about to start, the government (as some believe, pressured by Detroit’s Big Three automakers) stepped in and effectively shut Tucker down. Preston Tucker was not an automotive engineer by trade, though few would argue that he possessed the ability to comprehend and advise on technical matters. With a background that included everything from automotive sales through race car and even armored car design (with partner Harry Miller), it was almost inevitable that Tucker would someday turn his attention towards constructing a production automobile that carried his own name. As originally envisioned by Tucker, the Tucker Model 48 (named for its debut year of 1948) featured some truly groundbreaking designs. Alex Tremulis George Lawson penned the streamlined coupe bodywork, featuring the driver in a central position instead of offset to the left (a design that would much later be embraced by McLaren on its F1 supercar). Located in the rear of the car, the proposed 589-cu.in. aluminum flat-six engine was so under-stressed that an overhaul would not be required for the first 180,000 miles. Tucker’s original design lacked a conventional transmission, too, and in...
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...vanek-140512-620-thumb-620xauto-370865 Capitals forward Alex Ovechkin skates amid a drill at the group's preparation camp on Friday in Arlington, Va. In the first place year Capitals mentor Barry Trotz needs Ovechkin to turn into a more finish player and the initial phase, in the seat manager's eyes, is to recover the Russian objective scorer on the left wing. (Scratch Wass/Associated Press) Alex Ovechkin moved again to left wing by new mentor Barry Trotz As though he knew the inquiry was impending, Alex Ovechkin grinned when asked what his new mentor needs him to take a shot at. "On backcheck?" Ovechkin said from Arlington, Va. An alternate season, an alternate opportunity to discover whether one of the class' most gifted objective scorers can genuinely assist some all the more on resistance. The Washington Capitals opened preparing camp Friday with new mentor Barry Trotz, who says he'll work, as different mentors have before him, to make the three-time group MVP into a more finish player. On the off chance that Day 1 is any evidence, Ovechkin sounds prepared to be a co-agent understudy. "On the off chance that you need to be great," he said, "you need to chip away at everything." Step No. 1, as Trotz had shown at one time, is moving Ovechkin once more to left wing, turning around a seismic movement under past mentor Adam Oates. Ovechkin headed the NHL with 51 objectives keep going season playing generally on the right, however his in addition to short was less 35, and...
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...Weekly Overview Week One Overview Selecting a degree program is an important step in guiding your career. This week, you will look at the focus of the bachelor’s degree and how all the pieces fit together for your learning experience. A bachelor’s degree is comprised of 120 credits that include general education courses that provide a general foundation of learning. Courses in this area can include English, mathematics, history, and science. The remaining credits focus on coursework related to building your knowledge and skills in the business side of health care. In addition, you’ll look at how you can select a curriculum track or certificate to expand your career opportunities. What you will cover 1. BSHA Program Overview a. Describe the purpose of the BSHA program. 1) Program Description a) The Bachelor of Science in Health Administration (BSHA) Program is designed to integrate a framework of general education courses with a health care curriculum that prepares the graduate with the foundational knowledge needed to enter today's challenging health industry. The BSHA curriculum addresses the basic body of knowledge, understanding, and skills identified as relevant to an ever expanding and diverse health care arena. Coursework includes content in some of the following areas- management, finance, legal and ethical parameters, risk and quality management, human resources, and information systems. Upon completion of the core curriculum health care students...
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...------------------------------------------------- Ethical Decision Tanisha Ellis July 18, 2016 HCS/335 William Bross July 18, 2016 HCS/335 William Bross Ethical Decision As a hospice nurse I have had to make several ethical decisions when it comes to my patients. I can remember a particular patient that was living at an independent senior living facility and she had a gun. It was myself and the CNA doing our visit with her and she begins to tell us that she has a gun. She pulls a gun from her drawer to show us and then proceeds to another drawer where she had a second gun. In her drawer was a pack of 100 bullets. The patient stated that she needed to protect herself from the man next door. This particular patient had a history of wandering through the building late at night with hammers and knives. She always said she was looking for the man that kidnapped her niece and tied her up next door. The apartment next door was vacant and no one was in there. I had to make an ethical decision not only for the safety of the patient but also the other residents. I took the necessary steps to ensure the safety of everyone by talking to the family, social worker, chaplain, our medical director/physician, and my clinical director. We collaborated together and decided that the guns needed to be removed from her possession. This of course upset the patient and she began making threats to the residents in the building. Long story short, the patient was removed from the independent...
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