Evaluate ethical and legal implications related to prescribing drugs

Ethical and Legal Implications of Prescribing Drugs

Ethical and Legal Aspects of Prescribing Responsibilities are given to him on whom trust rests. Responsibility is always a sign of trust. —James Cash Penney Nurses have been rated the most trusted professionals in the United States (CDC, 2012). With this trust comes a critical responsibility to maintain ethical and legal practices in order to preserve patient safety when treating patients and prescribing drugs. Since the scope of practice for advanced practice nurses is broadening, you will likely encounter new and complex ethical challenges in your clinical settings. This week, you explore ethical and legal implications of prescribing drugs including disclosure, nondisclosure, and prescriptive authority. You also examine the process of writing prescriptions to avoid prescription drug errors. Learning Objectives By the end of this week, students will: • Evaluate ethical and legal implications related to prescribing drugs • Analyze ethical and legal practices of prescribing drugs • Evaluate ethical and legal implications of disclosure and nondisclosure • Analyze the process of writing prescriptions to avoid medication errors • Understand and apply key terms, concepts, and principles related to ethical and legal aspects of prescribing ________________________________________ Learning Resources This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below. Required Readings Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. • Chapter 1, “Issues for the Practitioner in Drug Therapy” (pp. 3–14) This chapter introduces issues relating to drug therapy such as adverse drug events and medication adherence. It also explores drug safety, the practitioner’s role and responsibilities in prescribing, and prescription writing. • Chapter 59, “The Economics of Pharmacotherapeutics” (pp. 1009-1018) This chapter analyzes the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care. • Chapter 60, “Integrative Approaches to Pharmacotherapy—A Look at Complex Cases” (pp. 1021-1036) This chapter examines issues in individual patient cases. It explores concepts relating to evaluation, drug selection, patient education, and alternative treatment options. Due to the importance of ethical and legal considerations in advanced practice nursing, several resources have been provided for your reference. Sabatino, J.A., Pruchnicki, M.C., Sevin, A.M., Barker, E., & Green, C.G. (2017). Improving prescribing practices: A pharmacist‐led educational intervention for nurse practitioner students. 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. American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursing World. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html This article outlines ethical standards in the nursing profession and identifies nine provisions of care that must be adhered to by all nurses. Ladd, E., and Hoyt, A. (2016).Shedding Light on Nurse Practitioner Prescribing. The Journal For Nurse Practitioners. 12(3). 166-173. This article provides NP’s with information regarding state based laws for NP prescribing. Drug Enforcement Administration. (n.d.). Mid-level practitioners authorization by state. Retrieved from August 23, 2012, 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.deadiversion.usdoj.gov/pubs/manuals/pract/index.html

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