Malpractice Case
In the malpractice case, the NP failed to take several steps that could have prevented the negative outcome. First, the NP should have obtained the patients complete medical and cardiac history, as this is always a key variable in making health care decisions. Second, the NP should have identified that the biopsy did not require medical clearance; this is another key variable that if addressed properly would have prevented confusion on the part of the patient. Third, the NP did not communicate with the referring physician to gain understanding of the request for medical clearance; communication would have prevented a negative outcome as well, which is why it is yet another key variable in this case.
There were also several improper steps taken by the NP regarding the patients anticoagulant therapy, delivery of instructions, and documentation. The NP neglected, first of all, to properly manage the patients drug therapy. Then the NP communicated instructions in a hand-written note that was very informal and not appropriate for the kind of care that was being considered; again, this was an outcome of the NPs confusion on the matter, but a simple conversation with the doctor would have cleared this up, and the fact that the NP used this type of informality suggests a lack of prudence and considerationperhaps even some burnout, which can happen, but is not indicated in this particular case (Corbridge & Melander, 2019).
Finally, documentation is a key variable and is necessary for ensuring patient safety and quality care (McCarthy et al., 2019). The NP failed to document everything according to standard protocols. Had the NP taken the time to document more carefully, negative outcomes could have been prevented.
References
Corbridge, S. J., & Melander, S. (2019). Burnout: Going beyond mindfulness to NP-led
interprofessional teams.The Nurse Practitioner,44(5), 10-12.
McCarthy, B., Fitzgerald, S., OShea, M., Condon, C., Hartnett?Collins, G., Clancy, M., ... &
Savage, E. (2019). Electronic nursing documentation interventions to promote or improve patient safety and quality care: A systematic review.Journal of nursing management,27(3), 491-501.
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