1.3 Assignment
Nashaly Alverio
Florida Technical College
1.3 Assignment: Case Studies
Case 1:
Jerry McCall is Dr. William’s office assistant. He has received professional training as both a medical assistant and an 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 30 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, 2016, p. 96).
a. What should he do? Jerry should call or message Dr. Williams and
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Is there an ethical or legal problem with Dr. Williams’ action?
This is an ethical problem with Dr. Williams actions, Dr. Williams told the patient that he would not prescribe her the medication based on his moral beliefs and conscience.
Case 3:
Dennis tells his father that he wishes to study to be a Physician Assistant (PA). He says, “It’s a great field. I can work independently and do almost everything the doctor does without having the high cost of malpractice insurance” (Fremgen, 2016, p. 97).
a. Is Dennis’ statement to his father correct?
PA are supervised by physicians, they can and do make errors for which their supervising physicians aren’t responsible for. This occurs when the PA consults with the physician who provides satisfactory supervision, but the PA then fails to carry it out properly. When a patient is medically hurt they sometimes sue everyone who could possibly have been involved.
b. What does a PA do? Will Dennis work independently of a physician if he becomes a PA? PA are state license medical professionals and certified nationally they practice medicine with physicians and prescribe medication in every state, U.S territories, the District of Columbia, and the uniformed
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When he entered the emergency room (ER) he was placed in a wheelchair and briefly seen by an ER doctor. He was told that he could not be admitted because he was a veteran and had to go to a VA hospital, which was 90 minutes away, for treatment. David was wheeled into the hallway to wait for transportation to a VA hospital. The night shift was very busy. After sitting in the hall for five hours, David complained that he needed to lie down. The ER staff, who had been trying to move him to a VA hospital with no luck, finally transferred him by ambulance to a local nursing home. David had a massive stroke shortly after being admitted to the nursing home and died six weeks later (Fremgen, 2016, p. 161).
a. Does there appear to be negligence in this case?
Yes in this case there appears to be negligence, David was told after being seen by the doctor that he could not be admitted because he was a veteran and had to go to a VA hospital for treatment which was 90 minutes away. David was sitting at the hall way for five hours and he complained that he needed to lie down. Afterwards David was taken to a nursing home because the VA hospital couldn’t been reached and later David had a stroke after being admitted to the nursing home. David pass away weeks later.
b. In your opinion, who might have acted on behalf of
On April 3, 2015, Tammy Cleveland sued Gregory C. Perry, a doctor at Buffalo General and Kaleida Health the company that owns both hospitals involved in the death of her husband, Michael Cleveland. Tammy is accusing them of “negligent” care resulting in her husband’s death. The law suit claims that the “defendants’ alleged actions and/or inactions were morally culpable, actuated by evil and reprehensible motives, malicious, reckless, gross, wanton and/or in reckless disregard for her husband’s rights and her family’s rights.” (Dudzik, 2015) The defendants are contesting the case. Michael Cleveland had a heart attack on October 10, 2014, and was transported to the emergency room of DeGraff Memorial Hospital.
SO EMT Perez performed a lift assist safely and without further injury. SO EMT Perez witnessed Mrs. Barbara Murtishaw walk to her bedsides with the assistance of her walker. After insuring that there was nothing that
Medication issue: The CP addressed with Mrs. Navarro about the CP conversation with Dr. Freddie Marton with regards to Tyler’s medication regimen. The CP asked Mrs. Navarro if she is providing Tyler’s with his medication and her response was that she needs to do a refill and then she says, “Oh, I cannot find them since we are packing.” However, Tyler intervenes and stated that he knows where the medication is and based on Mrs. Navarro reaction, she appeared stunned. Tyler left the living room and returned with the bottle at which appears to be full. The CP glazed at Mrs. Navarro reaction and she immediately stated that she will start giving him his medication and will also considered the school nurse providing Tyler with his medication at the school.
It is the most influential source of insight for PA’s practicing in MI. Its purpose is to “encourage its members to abide by the AAPA code of ethical conduct”, “serve as a public information center with respect to its members, health professions, governments agencies, and the general public”, and “ represent its members in matters of legislation in order to maintain and further develop the practice of the profession” 2. Since the mid 1970s, MAPA has been an important advocator for its members and has not only worked on the improvement of working environments for physician assistants but is also involved in politicizing for enhancements in the scope of practice as well as raising a voice on actions that may impose a threat on the Physician Assistant occupation. At the turn of the century, the ‘Barriers to PA Practice’ list was created by MAPA in order to “overturn all of the antiquated laws disallowing PAs to practice in aspects of care or allowing negative interpretation by administrators of health plans and State agencies” 3. Since this list was created, many new public acts have been passed allowing physician assistants in Michigan to gain more independence. Some important advancements that occurred during this time included MAPA’s involvement in overturning office supervision guidelines insurances such as Blue Cross Blue Shield of Michigan imposed on physician assistants as well as overturning the insurances refusal to pay surgical PAs, Public Act 281 which allowed referrals from physician assistant to a physical therapist, and Public Acts 124-126 which approved Physician Assistants to be added to a “list of professionals able to form professional corporations (PC) and professional limited liability corporations (PLLC) and clarifies that physicians and
Candace Newmaker, a bright girl trying to find a home until she met her terrible fate of being murdered. One of the worst things you can inflict upon another human, is to steal their lives. People who take another’s life are sentenced harshly. But when it comes to doctors, they receive a free pass. Why should doctors and medical physicians not be as harshly punished compared to others?
They are educated to diagnose injuries and illnesses, provide treatment and examine patients. Typical responsibilities of a physician assistant include: reviewing patients’ medical histories, conducting physician exams, order and interpret diagnostic tests, give treatment, evaluate and counsel patients, and prescribe medicines (Bureau of Labor Statistics, U.S. Department of Labor). PA’s work in all areas of medicine including primary care,
A physician assistant is a highly skilled healthcare professional
Physician assistants work under the supervision of a physician. The service provided by a PA is contingent upon their education, experience, the state laws, facility policies and the needs of the patients at the practice. The standards which defines the service that PAs provide allow for faster, effective and specialized health care. Physician Assistants are licensed to obtain patient medical histories, conduct physical exams, diagnose and treat illnesses, order and interpret test, develop treatment plans, assist in surgery, write prescriptions for controlled substances, and educate and counsel patients.
Blaire Kennon Mrs. Adams English 9 Pre-Ap 13 April 2017 Physician Assistant The medical field is my dream job. Any time I step into a doctor’s office, hospital, or nursing home I feel comfortable and totally interested.
A case where Collins mentioned about a lawyer that the lawyer had kidney disease and his days
It seems like most the time when entering our primary care physician’s office, it is not the doctor we get to see. Due to the physician shortages, most of the time, we mainly see the physician assistant. Physician assistants have all the qualifications for diagnosing illnesses and developing treatment plans. According to Smith-Barrow, Physicians Assistants can do many of the same things that a general practice physician can.
The Physician Assistant (PA) is an essential component of a medical staff. Their duties include, Examining and treating patients, ordering and interpreting diagnostics, educating patients, and promoting overall health and wellness (“Physicians Assistants”. (2015, December 17). Retrieved May 26, 2016, from http://www.bls.gov/ooh/healthcare/physician-assistants.htm). Physician Assistants work in many different areas of medicine under the direct supervision of a primary care physician.
Calvin Neal Exploring a Health Career: Physician Assistant Ever since my cousin Paul, whom I’ve always looked up to, went to college and became a PA, I’ve wanted to follow in his footsteps. The definition of a physician assistant is “someone qualified to assist a physician and carry out routine clinical procedures under the supervision of a physician.” However, physician assistants can be so much more than that. They work in numerous fields such as pediatrics, obstetrics, orthopaedics, and with several health care providers such as nurses, surgeons, and physicians.
Review with nurse Gilbert why valium and morphine are contraindicated in shock and her duty to identify this and speak up 5. Review with nurse Gilbert her duty to speak up regarding a need for a transfer of patient to Dr. Dick 1. Complete a root cause analysis identifying breakdowns in processes that directly resulted in the negligent acts by nursing, if any. Implement action plans to correct any process issues identified. Complete any additional individual nurse follow up identified, as needed, outside of short-term action
Ethics in health care play a vital role every day. The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to patient’s life. For the purpose of this paper, I want to explain the occurrence and some of the ethical concerns found in a case of an elderly patient, who believed in Curanderos and didn’t realize the harm she was doing in regards to her health by not taking her medications. This was a case I found in the book Ethics in Administration a Practical Approach for Decision Makers. The case is the following, Porter Sanders was the assistant administrator at a home health program.