You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.
Case Study Responses:
- Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
- Medical assistant
- Nurse Practitioner
- Medical Director
- What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
- What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
- A scholarly resource must be used for EACH discussion question each week.
When going into a practice as a new team member it will take time to get use to the different dynamics and personalities. Many people with different views can have conflict. However, in this setting it is important that the safety and care of the patient comes above all. Many implications can happen individually and for the overall practice when mistakes are made. In this scenario the patient’s safety was directly affected and this could lead to bad consequences for all involved. The medical assistant failed to report a low blood pressure. This could have caused a miss on a medical problem arising for this patient. The medical assistant could be sued, fired, and possibly never work in the medical field again. Ethically, this medical assistant has a duty to report directly to the practitioner when things are wrong. She was too involved in her own issues and made a mistake….Kindly click the purchase icon to purchase the full solution at $5