Professional Documents
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Ethics Case Study
Ethics Case Study
Karin Landon
HCS 335
April 4, 2011
Terry Matherne
Ethics Case Study
Jerry McCall is an office assistant for Dr. William’s. Jerry has received training as both a
medical assistant and Licensed practical nurses (LPN). During the time the receptionist is out to
lunch Jerry is covering for her. Jerry is faced with a common problem in the health care field
today. Jerry has been asked to call in a refill for Valium to a pharmacy for a patient. This paper
will address why Jerry is not qualified to refill any prescription medication. If Jerry is protected
if a lawsuit is filled. Jerry’s decision is a tough one, legal and ethical issues and advice will be
Jerry has received training as a medical assistant and a LPN and has gained knowledge
about prescription drugs. Jerry knows that with his training he is not allowed to refill a
prescription medication. Jerry knows that Valium is an addictive drug. Jerry is not allowed to
refill this prescription because he is not a medical doctor, dentist, or a psychologist. Jerry has
training for a LPN and knows that no matter what type of medication a patient is asking him to
refill he is not allowed to. If there are no more refills on the prescription bottle the only thing
Jerry can do in this position is to schedule the patient for an appointment with the physician. The
patient is asking for a refill for Valium but could also ask for a refill for high blood pressure
medication. If the patient has to call because he or she is out of refills on the prescription bottle
needs to renew the prescription which can only be done by a medical doctor.
The doctrine of respondent superior is defined that the employer is liable for the
employee’s actions (Farlex, INC, 2011). If a lawsuit is filled Jerry may possibly be protected.
The reading did not state if Jerry carried his own malpractice insurance or just relayed on his
employer’s insurance. If Jerry does have his own malpractice insurance he would know that his
insurance will pay an attorney to represent him before the Board of Nursing (Mackay, 2006).
Jerry could have a lawsuit filed on him if he does refill the Valium and possible even if he does
not refill it. Knowing more about the choice Jerry made and what type of malpractice insurance
he carried would help to answer the question (if a lawsuit is filed would Jerry be protected?).
For anyone in Jerry’s shoes it is hard to take advice and feel that the outcome would be
for the best interest of the organization. Jerry needs to understand that he could lose his job and
nursing license. Jerry should explain to the patient that he is not allowed to refill prescription
medication and he should explain to the patient that he is also that the aware of the situation that
he is flying out of town. Jerry should tell the patient that by making sure that he or she was
prepared for travels ahead of time. After Jerry gets off the phone with the patient, he should go
see Dr. Williams and explain to Dr. Williams what happened between the patient and himself.
In conclusion if more health care professionals put into practice the concept of non-
maleficence which is embodied by the phrase, to "first, do no harm," or in the Latin, phrase
“primum non nocere (McGraw Hill Science and Technology Dictionary2011).” If more health
care facilities considered non-maleficence to be the main or primary consideration (“to done
harm”) taking in consideration that it is more important to protect all patients for their safety and
wellbeing instead of enthusiastic practitioners being more prone to using treatments that they
believe will do the most good, without first conducting an adequately evaluation on the patient to
ensure they do no harm to the patient (McGraw Hill Science and Technology Dictionary2011).
Therefore, it would be more important to do no harm to a patient than it would to do good so,
my advice to Jerry would be to tell the patient that he cannot call in the prescription and assure
the patient that he will let the physician know of the patient’s needs and the physician can take
care of them as soon as possible (McGraw Hill Science and Technology Dictionary2011).
References
Davis, T. (8/30/05). Prescription Writing and the PDR Retrieved Friday March 1, 2011from
http://www.sh.lsuhsc.edu/fammed/OutpatientManual/PrescripWriting-PDR.htm
Farlex, INC. (2011). Respondent superior, Retrieved Friday March 1, 2011 from http://legal-
dictionary.thefreedictionary.com/Respondeat+superior
Mackay, T. (2006-2009). Worried About a Malpractice Lawsuit? The Board of Nurses Should Worry
http://www.healthlicensedefense.com/WorriedAboutaMalpractice
McGraw Hill Science and Technology Dictionary:(2011) Medical ethics, Non-Maleficence, primum non