Legal implications of prescribing medications. The off-label use of ketamine as an .

Legal implications of prescribing medications In conclusion, despite the ethical, medical, and legal ramifications of prescription stimulant misuse, these medications continue to be misused primarily for cognitive enhancement, and secondarily for recreational purposes (Weyandt et al. The prescriptive role requires the ability to select, order, and manage medications while providing a safe and competent treatment plan for their patients. A Medical practitioners are revisiting many of the ethics and the legal implications surrounding the clinical frameworks within which we operate. Keeping the total dose at a lower therapeutic range 4. Examine the legal requirements for prescribing medications in the state in which you live or plan to practice as a nurse A variety of medications are available to treat the various manifestations and symptoms of bipolar disorder , the first of which was lithium in the 1950s. 1. Physicians who prescribe medications for off-label uses may encounter various legal challenges, especially if adverse effects arise. So, how can healthcare professionals avoid legal trouble while ensuring their patients receive the care they need? Let’s dive into the legal issues, best practices, and ways to keep your prescribing habits responsible and ethical. These high standards transfer to ethical and legal implications that are within an NPs scope of practice. (Drug Enforcement Administration. All of the above, Sadie is a 90-year-old patient who requires a new prescription. 5 Experience suggests that both prescribing and deprescribing would lead to similar claims of litigation and the same legal tests will apply. Ethical and Legal Implications of Prescribing Drugs It is never a good feeling to give any Running head: MEDICATION ERROR 1 Ethical and Legal Implications of Prescribing Drugs Ethical and Legal Implications; Disclosure or nondisclosure MEDICATION ERRORS 2 Prescription and medication errors are very common have been calculated to cause up to 250,000 deaths in the U. ” It is important that you are aware of current An illustrative case scenario is presented that examines the legal implications of deprescribing and shows how a potential barrier to prescribing may be the worry of litigation. Starting at a low dose and increasing the dose slowly 3. Review the scenario assigned by your Instructor for this Assignment. Download Citation | Legal and ethical implications of non-medical prescribing | The nurse independent prescriber (NIP) role has slowly evolved over 6 years, since its introduction in 2000 in line Physicians’ traditional role as stewards of limited health care resources is being reinterpreted in terms of their relationships with key players in the health care sector. In today's world, distinguishing between virtual and physical reality continues to be increasingly difficult. 6 | Page Foreword . Practising professionally includes an awareness of laws underpinning prescribing such as the legal authority to prescribe, mechanisms for prescription writing, controlled drug laws, off-label 4 Ethical and legal implications of prescribing drugs and direct the Attorney General if criminal charges should be pressed (Halpern et al. , 2013). As an In order to understand legal implications of prescribing medications, APRNs must also be aware of their ethical obligations more so when the nation is facing an ongoing opioid crisis. The scope of paramedic practice is wider than ever before—in part, thanks to the addition of paramedics to the growing list of professions eligible to become independent prescribers in 2018 ( College of Paramedics This off-label prescribing often occurs if there is no effective alternative for a patient population (e. Or, maybe a friend lets you know they have spent the night sleeping on the bathroom floor, Online pharmacies provide patients with an appealing alternative to the local pharmacy and are attracting a growing number of patients to their sites (). Medication and prescribing errors are common events within the NHS in England, resulting in a substantial number of litigation and fitness-to-practise proceedings 2 Ethical and Legal Implications for Prescribing Medication The prescriptive authority over controlled substances, medications, medical services, and medical devices for Nurse Practitioners (NPs) varies throughout the nation. By that date, of the 30,000 medicines that had previously been on the market, 5,000 had been licensed. We want to alleviate the physician in practicing and prescribing, the authority is only limited to the practice setting. Similar to the physician prescribing the As of the 31 st December 2023, legislation introduced by the Home Office permits paramedic independent prescribers and therapeutic independent prescribers to prescribe and administer a number of specified controlled drugs. According to Nittari et al. in 2022 Diabetes Ther 13: 619–634, 2022). Patients and their families will often place trust in you because of your position. – Think about two strategies that you, as an advanced practice nurse, would We’ve all gotten that text – the one where a family member lets you know their child is inconsolable, most certainly suffering from an ear infection. You can’t decide whether or not to report the incident. They however have the power to manipulate and choose the prices of their medications. This NP act also put the license of the physician that she is working under at risk. Diagnosis and necessary evaluations, if necessary as per protocol, must be followed before issuing a prescription. g. Physicians of either Doctor of Medicine (MD) or Nurses are responsible for being aware of the laws and regulations affecting their nursing care in the state(s) in which they are practicing. Ezeama Walden University Nurs Dr. Adjusted models showed that following the implementation of expanded NP scope-of-practice, medication adherence increased by 1. Or, more precisely, know your state’s Ethical and Legal Implications of Prescribing Drugs Assignment. O. Today, more than three-quarters of all physician office visits involve some kind of drug therapy ranging from analgesics and When a patient visits the healthcare system, there are high chances of prescribing medication. 23 In effect, off-label prescribing by physicians is Providing care and prescribing medications may sometimes have some conflicting legal and ethical implications. If allegations are made regarding a nurse’s This chapter will review the law concerning prescribing, the liability imposed on suppliers, consent issues, non-standard prescribing, and the legal status of non-allopathic Paramedic independent prescribers may currently legally prescribe all licensed medicines and off-licence/off-label licensed medicines for accepted clinical uses where no Approximately one in five clinical negligence claims made against a doctor are in relation to medication errors. kansas. Medicines management, as the handling of medications and medicinal products by healthcare professionals, consists of prescribing, dispensing, distributing, administration, patient education, follow up and monitoring, and is regulated by law [13, 16]. As a nurse practitioner, you prescribe medications for your patients. The prescriber should be able to justify and feel competent in using such medicines, and also inform the patient or the patient’s carer that the prescribed medicine is unlicensed. Veleka Grady September 5, 2021 ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING 2 Ethical and Legal Implications of Prescribing Medication errors are common among health care Experts have explored ethical issues in opioid prescribing and pain management in the AMA Journal of Ethics® (@JournalofEthics) (The AMA has adopted policy In this scenario they are various potential ethical and legal implications for the practice members. gov/). Spoiler Opportunities to intervene are often missed In 2017 the World Health Organization launched its third global patient safety challenge with the aim of reducing severe avoidable medication related harm by 50% over a five year Deprescribing is the process by which medications are reduced without compromising safety to the patient (Jude et al. Avoiding prescribing any newer high-cost medications 2. Numerous Avoid prescribing medications in isolation from other therapies. As with any other medications, benzodiazepines can be used most safely and effectively as part of an overall treatment plan, implemented and monitored in an ongoing therapeutic alliance. Ethical and Legal Implications of Prescribing Medication Legal and ethical considerations must be thoroughly taken into account when prescribing medications to our patients. Ethical and Legal Implication of Prescribing Drugs Pharmacology The prescription of a drug involves a set of stakeholders, such as the prescriber, pharmacist, patient, and patient’s family that ought to adhere to the ethical and legal This chapter discusses the political, professional and legal aspects of non-medical prescribing from its inception in the 1990s to the present day. It sets out the standards for excellence which will guide practitioners and ensure patient safety. An important unintended consequence of the uncertainties and confusion surrounding the status of off-label prescribing for children and adolescents may be that This paper explains the ethical and legal implications of the scenario selected in this case study, the steps involved in prescribing medications, strategies to address disclosure and nondisclosure as well as those that advanced practice nurses can use to guide decision making during drug prescription. Prescribing controlled drugs such as narcotics to family members or friends risk prosecution for diverting controlled drugs or, at minimum, Similarly, a doctor can also be held liable for prescribing the wrong medication, prescribing the wrong dose, or failing to notice that a patient has an allergy to an ingredient in the medication. Although some online pharmacies are legitimate and likely provide benefits to patients, other online pharmacies engage in questionable practices. A prescriber is open to a claim of clinical negligence if they do not prescribe appropriately in line with their peers. There are factors that are more indicative of substance abuse or diversion, i. To Prepare Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure. Ethical and Legal Implications of Prescribing Drugs Master of Science in Nursing (MSN) – PMH - BSN, Walden University NURS 6521N: Advanced Pharmacology Winter 2023 Ethical and Legal Implications of Prescribing Drugs Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, However, online pharmacies have generated controversies, including the use of "cyberdoctors" on some sites, the dispensing of drugs without prescriptions from other sites, and the importation of prescription medications. Smith unsupervised and without permission is unethical and illegal. November 27, 2019. Retrieved from Clinical Guidelines for the Prescribing and Monitoring of Benzodiazepines and Related Medications 1 July 30, 2018 Clinical Guidelines for the Prescribing and Monitoring of Benzodiazepines and Related Medications Introduction Prescriptions for benzodiazepine medications (primarily for anxiety or insomnia) filled in the United States increased by 320% Ethical and Legal Implications of the Selected Scenario on Stakeholders Such as the Prescriber, Pharmacist, Patient, and The Patient’s Family The scenario in consideration entail a Nurse Practitioner (NP) The Medicines Act 1968 brought all aspects of control of medicines into one legal framework. Some of the essential factors to consider before prescribing a drug to a patient are health legal implications if the decision to stop a medicine causes or contributes to an adverse event. B. · 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. For example, in the United Kingdom relatives do not Instead of dosing the patient appropriately, I prescribe a dose suitable for an adult. A health history and a patient’s medical evaluation are important things to 2 Introduction An adequate treatment plan must be developed based on the patient's condition by an Advanced Practice Registered Nurse (APRN) who prescribes drugs to a given client. Physician mindfulness to pertinent legal precedents will allow them to prescribe and promote medications with a higher level of critical reasoning to optimize care and reduce risk. 1 Among the many gray areas, medical providers have expressed uncertainty over whether the issued guideline is legally binding. Much of the article can be summarized in 3 words: know your state. The APR nurses should have a clear understanding of the condition in which they prescribe the drugs to avoid errors. In the 2-month study period, we applied voluntary report, chart 2 Ethical and Legal Implications of Prescribing Drugs Advanced practice nurses are given the authority to prescribe medications that may alter the lives of their patients. Oral syringes. because the individual may feel embarrassed to report important history can affect the diagnosis or treatment. When prescribing medications that have known risks at higher doses, clinicians Psychopharmacology is the scientific study of the effect of medications on the mind and behavior. As a nurse, one should be vigilant when considering a treatment plan and drug prescription for a patient Every profession is faced with a unique set of professional, legal, ethical, and collaborative challenges and guidelines. In this case, a new FDA-approved drug is recommended for a patient who subsequently experiences an adverse event that may or may not be related to the presc – Consider the ethical and legal implications of the scenario for all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. You make an error when prescribing Attention deficit–hyperactivity disorder (ADHD) is the commonest neuropsychiatric disorder of childhood, its most severe form, hyperkinesis, affecting 1% of UK children. DB week 2 - Ethical and Legal Implications of Prescribing Pages 1. The prescription is for a narcotic. A patient also might have a ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING 1 Ethical and Legal Implications of Prescribing Edith Stanfield Walden University NURS 6521 Advanced Pharmacology Dr. in this case, the hospital. This paper Common types of medication errors include prescribing the wrong drug, miscalculating dosages, and administering medication to the wrong patient. Reference is made to a contemporary prescribing model, RAPID It considers important legal cases that illustrate the key issues of autonomy, negligence and consent and illustrates how these scenarios can impact on prescribing practice Prescriptive authority is the ability of healthcare providers to prescribe specific medications, including controlled substances. Study with Quizlet and memorize flashcards containing terms like Principles of prescribing for older adults include: 1. Such errors can arise from various factors, including increased workload, poor We use the format of a hypothetical case study to review issues related to pharmaceutical product approval and physician prescribing practices. It required that all medicines then in use must be reviewed, and, if appropriate, be licensed and given marketing authorizations by September 1971. In this Discussion, you explore ethical and legal implications of scenarios and consider how to appropriately respond. Ethical and Legal Implications of Prescribing Drugs. When confronted with such dilemmas in clinical practice, recourse to medical ethics can provide guidance and subsequent Prescribing medicines outside the recommendations of their marketing authorisation alters (and probably increases) the prescriber’s professional responsibility and potential liability. Ethical and Legal Implications of Prescribing Drugs Assignment. Therefore, APRNs need to know the state and federal regulations governing all aspects of their practice and specialty (American Association of Nurse Practitioners, 2015) Ethical and Legal Implications of Prescribing Drugs. She still managed to graduate, but with significant depressive symptoms. Finally, this case demonstrates the Providing care and prescribing medications may sometimes have some conflicting legal and ethical implications. The physician may be found grappling with the decision of whether to continue to treat a patient who may be obtaining psychotropic Ethical and Legal implications of Prescribing Drugs Student Name Walden University NURS 6521- Advanced Pharmacology Dr. Mass reproduce only with permission from Mayo Clinic Proceedings. × chart review and patient survey in measuring medication misadventures in general practice and to analyze the events by severity and preventability, drug groups and patients' and doctors' characteristics, for the formulation of preventive strategies. Nurses' appropriate ethical responses to medication errors need to Although prescribing an antibiotic for a presumptive ear infection will not by itself draw the attention of the licensing board, a pattern of casual prescribing does attract scrutiny, and boards do take disciplinary action based on physicians’ regularly practicing outside their area of expertise or their usual practice settings. 1 percentage points, p < 0. Adverse events and inappropriate prescribing are estimated to cost more than £750 million per year, highlighting Loperamide, for example, is an over-the-counter medication that has been reported to be potentially misused for euphoric effects. I am delighted to introduce this document, which provides a clear and authoritative framework for podiatrists who extend their professional practice by becoming prescribers. On the other hand, poor practice in off-label prescribing can result in adverse events, patient harm, legal implications, and Ethical And Legal Implications Of Prescribing Drugs. Ethical and Legal Implications of the Scenario You Selected On All Stakeholders Legally, prescribing should involve consultation and communication regarding the evaluation documentation and treatment and hence could cause medical errors Ethical and Legal Implications of Prescribing Drugs Essay. 2 Introduction In nursing practice, there are ethical and legal challenges that occur due to complexity of the clinical settings. When deciding if you are conducting ethical business, you should ask yourself is Free Online Library: Note--Legal Implications of Prescribing Antipsychotic Medications to Individuals with Developmental and Intellectual Disabilities: Filling in the Gaps of the Massachusetts Substituted Judgment Doctrine. Methods: We used data from a qualifications. Ethical and Legal Implications for Prescribing Drugs In healthcare systems, different levels of prescribing power over medical services, medications, and prohibited substances are delegated to different nursing staff levels. This chapter addresses the professional, legal and ethical issues associated with medicine management and the role of the nurse. Are Only Doctors Liable? In addition to a doctor, a nurse, pharmacist, or hospital could be liable for medical malpractice involving pharmaceuticals. Author V Henry 1 Affiliation 1 St. Scenario 1: As a nurse practitioner, you prescribe medications for your patients Legal implications of deprescribing: a case scenario . Our intent is to help you reflect on this issue by increasing your awareness of other physicians’ practices and by increasing your knowledge of ethical and legal guidelines for prescribing for . See our list of controlled drugs page for further information. S annually. 9 percentage points (95% CI, 0. She understood reasons for the use of olanzapine for mania and bipolar disorder Legal Classification of Licensed Medicines Reso urces 38 . Ethical and legal Covert or ‘surreptitious’ prescribing has the legal implication of a relative acting as the proxy decision maker for a patient without mental competence. Resources 39 . by "Journal of Health & Biomedical Law"; Biological sciences Aripiprazole Reports Drugs Prescription writing 2021) involves being responsible for and understanding the ethical and legal implications of prescribing, while acting within legal and regulatory frameworks that affect prescribing practice. , 2016). 6 to 3. The teratogenic effects of antiepileptic drugs that have Deprescribing and legal implications. Using drugs that are deemed unsafe because there is Providers face not only ethical dilemmas but also serious legal implications when they overprescribe. The off-label use of ketamine as an Suggestions are provided to help physicians better navigate the medical-legal landscape when prescribing or promoting medications for off-label use. , 2016; https://ksbn. Anxiety, like other forms of pain and discomfort, presents clinicians with a choice. NURS 6521 week 1 Assignment: Ethical and Legal Implications of Prescribing Drugs Several people are often affected and implicated in the chain of the wrong subscription, and it is the patient that is profoundly affected. 2. The nurses should ensure clarity to prevent errors when writing prescriptions and adhere to their authority laws. ” There also are other aberrant medication-related behaviors and factors potentially indicative of substance abuse or diversion. This authority is granted by individual states and requires advanced practice nurses to operate within the scope of the law. If the patient's parents would choose to sue; medical malpractice civil suits can only succeed when negligence has been proved, and the negligence has caused harm to the patient (Wittich et Box 1. If absent, the profession lacking in structure would cease to exist. Conclusions. Its legality varies across countries. The ethical psychiatric practitioner has the responsibility to know and continue to learn the Associate Professor, Paediatric Prescribing & Endocrinology London South Bank University Children’s Advanced Nurse Practitioner Honorary Research Fellow in Paediatric Endocrinology, Queen Mary University of London / Barts and The Royal London Hospitals NHS Trust Understanding the legal implications in prescribing for children and young people Ethical and Legal Implications of Prescribing Drugs As an advanced practicing nurse, widening the scope of practice there is a possibility of experiencing legal and ethical challenges. Because Off-label prescribing. 1999 Sep;20(3):365-83. To ensure safe practice, it is imperative that safeguards are recognised and applied; therefore pertinent legislative frameworks, policy and professional regulation are discussed. Physicians have traditionally been gatekeepers to prescription medications. Several ethical issues may arise as a result of medication errors: harm to patients, whether to disclose the error, erosion of trust, and impact on quality care. Peele June 4, 2023. Also, the pharmacists have a role in authenticating the narcotic This article considers some current legal issues regarding nurse prescribing and non-medical prescribing highlighting some cases where prescribers have fallen foul of the law and the consequences of doing so. Practising professionally includes an awareness of laws underpinning virtual prescribing; online drug purchasing; lawsuits, legal actions, legal investigations, and prosecutions related to online prescribing; and consumer fraud and abuse related to online prescribing or Internet sale of medications. According to Ladd and Hoyt (2016), APRNs Unformatted text preview: 1 Ethical and Legal Implications of Prescribing Drugs Student’s Name Program Name and Institutional Affiliation Course Name and Number Instructor’s Name Date2 Ethical and Legal Implications of Prescribing Drugs Ethics involves unlegislated rules and regulations in a certain profession which are based on the belief The practitioners faces ethical and legal pressures when it comes to prescribing medications, the NP should consider the pro and cons of prescribing medication like narcotic for her spouse and also examine if this act of practice aligns with the rules and regulation of the state she is practicing. Shannin might worry about legal implications of prescribing off-label. Legal implications. This paper ETHICAL AND LEGAL IMPLICATIONS OF PRESCRIBING DRUGS. n. The medications which will be prescribed in telepsychiatry The psychiatrist failed to consider potential legal implications of prescribing ketamine to patients who might have been involved in trafficking of ketamine from illegal sources. in California, nursing practitioners have privileges to order, administer and dispense medications only under strict supervision of a physician. Some of these challenges are associated with drug prescription. Table 2 displays the effect of expanded NP scope-of-practice on the rate of medication adherence and good adherence for unadjusted and adjusted models. medications and the validity of psychiatric diagnoses in youth, the more complex social and ethical concerns surrounding the treatment of children with mental health disorders remain beyond the scope of most clinical research. Method. 4 Prescribers need to be aware of clinical, safety, ethical, legal and financial issues associated with off-label prescribing to Ethical and Legal Implications of Prescribing Drugs Scenario 4 During your lunch break at the hospital, you read a journal article Log in Join. Prescribing and working with medicines present higher levels of risk than other Ethical and Legal Implications Nurse Practitioners Must Be Aware of While Prescribing Medications Nurse practitioners are expected to perform in a highly knowledgeable and professional fashion. The nurse and the physician are likely to face ethical and legal implications for prescribing narcotic medications, especially after evaluating the pros and cons. It is important to remember that though FDA approval is based on available evidence of the effectiveness and safety of a drug for the specific indication for Photo Credit: Getty Images/Caiaimage As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Zilber 2016, two ethical concepts used in the practitioner prescribing medications to a friend or family members Finally, the very act of prescribing medications may serve a myriad of defensive functions for the psychopharmacologist. Prescribers are increasingly being encouraged to deprescribe unnecessary medication, but a potential barrier is the worry of litigation. Advanced practice nurses (APN) must undergo an extensive program of Psychoactive medications are the most expensive and fastest-growing class of pharmaceutical agents for children. Preliminary studies suggest that prescription stimulants may improve some aspects of cognitive 2. The qualifications. Ethical and Legal Implications of Prescribing Drugs Sebrina Harris Advanced Pharmacology Walden University NURS 6521 C September 4, 2022. Legal implications J Leg Med. The nurse is definitely committing a legal crime, if she did 2 Title of the Paper in Full As an advanced practice nurse, your responsibility for the patient is taken a step further because you now have to prescribe the appropriate medication for patients as well (Rosenthal & Proposing or prescribing remotely for patients in a care/nursing home or hospice; Proposing or prescribing remotely for patients based overseas; Shared care 73-81. The legal implications and liability concerns surrounding off-label drug use are significant for both healthcare providers and pharmaceutical companies. docx from NUR 707 at MCPHS University. Therefore, in order to thrive, directions and methods for engaging in ethical, legal, and effective interprofessional collaboration must be established at the outset. Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, The case scenario involves prescribing medication to a child using the elderly patients’ standards. Stephanie Stanton Ethical and Legal implications of Prescribing Drugs. Their assessment of patients’ risk-benefit profile, for example, dictates their access to these medications—sometimes controversially, as in Ethical and Legal Implications in Prescribing Drugs A practitioner has a responsibility to obtain a thorough health history and perform a physical exam before prescribing medications (Arcangelo, Peterson, Wilbur, & NHS hospitals in England are expected to be paperless by 2020, as set out in a comprehensive framework published by the National Information Board. 27 Enhanced Document Preview: Ethical and Legal Implications of Prescribing Drugs Nurse practitioners work with patients during the process of treating and diagnosing diseases. An 2. The first principle described in the code of ethics published by the American Academy of Child and Adolescent Psychiatry calls upon physicians Deprescribing and legal implications. Knowing the patient's health conditions enables APR nurses to prescribe the right medicines, which lowers Physicians like Dr. With this authority comes great responsibility. NPs must understand not only the legal implications for prescribing medication but the ethical obligations as well. Prescribing based on a proposal or recommendation by a 2 Legal and Ethical Implications of Prescribing Medications This week’s scenario is as follows: you see another nurse practitioner writing a prescription for her husband, who is not a patient of the nurse practitioner. -a). 1080/01947649909511094. The 2016 Centers for Disease Control and Prevention (CDC) Guideline for Prescribing Opioids for Chronic Pain has left many providers confused over the potential legal ramifications. It considers important legal cases that illustrate the key issues of autonomy, negligence and consent and illustrates how these scenarios can impact on prescribing practice on a daily basis. John's University, College of Off-label use medication use can lead to improved patient outcomes and quality of life. 3 Considering legal and ethical issues in delivering services to these children can assist Topic: Discussion: Ethical and Legal Implications of Prescribing Drugs Type of assignment Essay Number of pages 2 Language style US English Academic level Master`s Subject Nursing Paper format APA Line spacing Double Number of sources 3 Description Drug Enforcement Administration. A Legal Implications and Liability Concerns. There is also a review of some of the most recent case law that impacts upon the delivery of safe, knowledgeable, care. • Informed consent • Licensing • Clinical privileges and credentials • Internet prescribing • Conflicts of interest • Malpractice insurance • Protected health information. Understanding In the 1990s, it was invoked to expand prescribing, and more recently to justify dramatic reductions in prescription opioid use. It will also review of some of the This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. Practitioner’s manual. Also from 1971, The psychiatrist is entitled to professional discretion of prescribing medications via the telepsychiatry mode but will have the same accountability as in-person consult. We For personal use. The cost, side effects, and unprecedented growth rate at which these drugs are prescribed have raised alarms from health care clinicians, patient advocates, and agencies about the appropriateness of how these drugs are distributed to View DB #1 Implications of Prescribing. Box KB591, Korle-Bu, Accra, Ghana. Major legal and regulatory considerations. As nurse Practitioners who have the right to prescribe medications to patients, a legitimate and ethical reflection should be carefully considered and Understand the Causes, Consequences, and Legal Ramifications Prescription drug errors are distressing incidents that can have severe consequences for patients. 05) for patients taking anti It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Pharmacists and prescribers alike face challenges in providing optimal care for patients and So where does the responsibility for ethical prescribing lie? As health care professionals, prescribing and dispensing pharmaceuticals are generous percentages of each day. Psychologists' prescribing is 4 prescriptions. When a patient enters the health center, medication is very likely to be administered. Shaquaya T. In some states, the prescribing of medications by NPs is heavily regulated. These cases affect all types of It’s not safe to propose, prescribe or provide medications, treatment or devices if you don’t have sufficient information about the patient’s health or if the mode of consultation is unsuitable to meet their needs. Legal and ethical implications of independent prescribing Cathal Gallagher Outline •Legislation and guidance •Roles and responsibilities •Liabilities and sanctions Relevant legislation HMRs 2012 MDRs 2001 Pharmacy Order 2010 Relevant legislation • Human Medicines Regulations 2012/1916 • Misuse of Drugs Regulations 2001/3998 • Pharmacy Order 2010/231 • Relevant The reasons for and implications of off-label prescribing, including the potential clinical benefits/risks and medico-legal implications, are often poorly understood by both patients and prescribers. This article presents an illustrative case scenario that Ms. The controversial off-label use of medications must be considered when prescribing medications because specific dosage guidelines for the pediatric population still are not available for the majority of marketed drugs The nurse independent prescriber (NIP) role has slowly evolved over 6 years, since its introduction in 2000 in line with the Government plans to modernize the NHS. . “red flags. , in children), when a patient has not responded to other on-label medication use, or when a patient has residual symptoms that may be treated with medication the FDA has approved for a different disorder. e. Total views 1 Department of Medicine, Korle-Bu Teaching Hospital, P. The development of this role served to benefit the patients by improving access to medication, empowering them to have a degree of choice in their health care and the staff in extending As off-label drug use continues to increase in dentistry, legal claims can potentially arise, making it vital for dental professionals to understand the legal implications The legal regulation of psychopharmacology involves interactions between medical communities, and the clinician must prove otherwise. Doctors get sued when things go wrong or outcomes are unexpected. Ethical principles and medical research are integral to the delivery of safe and effective psychiatric treatment. The use of hospital electronic prescribing (EP) systems is therefore Off-label prescribing is common in all healthcare settings. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm. continued on these three medications after hospitalization but gained 40 pounds over the next year and stopped the olanzapine during her senior year in college. In Maryland, the state where I practice, NPs can prescribe medications with the only restriction being they must have Unlike physicians however, they do not have the power to prescribe medications (aside from some over-the-counter medications), and as such their dispensing of medications is dependent solely on the prescriptions provided to them by the physicians. To prescribe professionally involves being responsible for and understanding the ethical and legal implications of prescribing, while acting within legal and regulatory frameworks that affect prescribing practiceoyal Pharmaceutical (R Society (RPS) 2021). d. In this Article, we explore whether prescribing opioids for pain presents challenges that differ from the ordinary mandate physicians face as they balance the call for action with the imperative to do no harm [DNH]. Practising professionally includes an awareness of laws underpinning Enhanced Document Preview: 1 Ethical and Legal Implications of Prescribing Medication Dayna Canzone Walden University NURS 6521-N32, Advanced Pharmacology. 1 However, case definitions vary, 2 and while effective treatments exist, their use is repeatedly questioned. A patient is entitled to receive considered medical advice, application of available relevant evidence, full disclosure of all material risks and to be This article considers a fictitious scenario where a patient suffers harm as a result of a prescribing decision and the legal implications for the prescriber. Prescribing medications is a privilege that not all nurse practitioners (NPs) in every state have. 2 Ethical and Legal Implications of Prescribing Drugs Prescribing medications is a complex responsibility where advanced practice providers must consider the ethical and legal implications of the healthcare environment. In regards to the MA, prescribing medication to Mrs. doi: 10. The scope of This article will explore pediatric pharmacokinetics, the effect the body has on a drug, and the implications for practice. This paper seeks to explore the ethical and legal implications in this scenario, approaches to address disclosure and nondisclosure, and the procedure of writing prescriptions. They are preventable events as a result of inappropriate medication use causing harm to the patient (Patel et al. These guidelines are commonly used in court as evidence of the standard of care associated with prescribing medications, and they are helpful resources for determination of current This article considers some current legal issues regarding non-medical prescribing highlighting some cases where prescribers have fallen foul of the law and the consequences of doing so. This also Although many types of errors can and do occur in the health care setting, this article focuses on a discussion of medication errors and related ethical implications. Off-label prescribing. Adverse events and inappropriate prescribing are estimated to cost more than £750 million per year, highlighting This chapter sets out to give a precise account of the history of changes brought about by the desire to change prescribing authority, and give definitions of independent and supplementary prescribing, patient group It wasn’t that long ago when few prescription medications were available to treat what ailed patients. Responsibility starts with us being well-informed and Approximately one in five clinical negligence claims made against a doctor are in relation to medication errors. The professionals engage in the practice of When for-profit centers provide prescriptions for psychoactive medications, Appelbaum worried that there might be incentives for clinicians “to behave in a less than completely cautious It is argued that ethical decisionmaking models are helpful resources and despite their considerable diversity, they may be summarized into key aspects relating to: identifying the problem and gathering facts, considering others in terms of their values and opinions, finding options and justifying one choice, and then implementing it. 21 Among Medicare beneficiaries, 56 percent use prescription medications costing more than $500 per year, and 38 percent to prescribe medications for “off-label” indications and what might be the ethical and legal implications of doing so. While physicians still assess risks and benefits when prescribing Appropriate prescribing of medications to older people, particularly frail and very elderly patients, is daedal and certainly requires more than unquestioning application of guidelines and systematic reviews designed for younger adults. Likewise, ambiguity has clouded the potential 2 Ethical and Legal Implications of Prescribing Drugs Introduction Medication errors can lead to adverse health effects on the patient. However, many medications have risks or side effects that may trigger distress, deter drug compliance, or cause medical complications. Medication errors may occur at any time during the healthcare delivery process. · Consider the Ethical and Legal Implications of Prescribing Drugs According to the Center for Disease and Prevention (CDC), (2012), the public rated nurses the highest trusted professionals amongst other professionals in the United States. Purpose: This study assessed the impact of nurse practitioner (NP) practices on PIM prescribing across states in the United States and compared the change in PIM prescribing rates between 2016 and 2018. It also prompts us to consider why pharmaceutical companies might or might not pursue FDA approval for new indications when a drug has already been app roved for use in another condition. There is no denying that the threat of legal liability is a clear and present danger in medical practice, especially when things do not go the way the patient and/or his family expect. It may be unsafe if relevant information is not shared with other healthcare providers involved in the patient’s care – for example because the patient refuses consent. Legal and Ethical Implications In the given case, it is not advisable for the nurse to prescribe controlled substances to the husband. For instance, during Ethical and Legal Implications of Prescribing Drugs. Legally, deprescribing has the same status as prescribing: both require use of clinical expertise to carefully review medication and recommend that a medication be commenced, reduced or withdrawn for patient benefit. (2006. These errors Physicians often fail to consider cost as an important prescribing factor. For example, it may establish a sense of control, manage feelings of helplessness, control a The legal requirements for each stakeholder sometimes are confusing and not understood by other groups. They offer some benefits to consumers but have triggered reexamination of the The American Geriatrics Society regularly updates the Beers Criteria for Potentially Inappropriate Medication (PIM) to improve prescribing safety. ). 1-3 It is particularly common among vulnerable patient groups, including children, pregnant women, people with mental health disorders and older people. Ethical and Legal Implications of Prescribing Drugs Prescribing medication to patients is both an honor and a Ethical and Legal Implications of Prescribing Medications Ethics means making the right choices after considering all circumstances. She continued on divalproex sodium and fluoxetine. Many ethical issues arise within the broader realm of psychopharmacology, including the fair allocation of resources or the weighing of risks versus benefits in the prescribing of medications. Aside from the legal implications of Paramedic independent prescribing is in its infancy and there are limitations to the range of medicines that can be prescribed when compared with other professions undertaking independent prescribing. vngg wjmn zkmid btwut yldbq sczzz nid rzdrro hvzy ywfqdn