beneficence and Nonmaleficence.
beneficence and Nonmaleficence.
Despite the fact that the practitioner strives to offer the highest quality care, unintended consequences still occur. In light of this, one of the strategies to address disclosure and non-disclosure in the scenario above is complying with the State law on disclosing medication error. Nurse practitioners have a legal obligation of reporting medication errors in IllinoisState. For instance, in Illinois, Adverse Health Care Event Reporting Law (410 ILCS 522/10) was passed in 2005 tofacilitate reporting of medication errors such as the wrong dose (Illinois General Assembly, 2020). However, this law is not used to punish the errors reported. The other approach isthe use of ethical imperative to disclose in which Joint Commission Standard RI.2.90 necessitates patients as well as their families not only to be informed about the outcomes of care and treatment but also the unintended outcomes (Kass & Rose, 2016). This standard can, therefore, helps in disclosing the errors to the patient and families in this context in a timely manner.
Strategies an Advanced Practice Nurse would use to GuideDecision Making
One of the strategies I would adopt to guide decision making in the scenario above is the use of ethical principles beneficence and Nonmaleficence. These principles typically denote that healthcare practitioners should do what is best for their patients and do no harm. This would help in making the right decision and understanding the projected risk and benefits that comes with disclosure. This has been emphasized by Shaikh and Cohen (2020) that disclosure of medication error is profound in enhancing patient safety as relevant actions can be taken to prevent or minimize adverse events.The other strategy that I would use is consulting the physicians or other nurse practitioners on how to handle theabove scenario. This can ensure the best interest, which in this case is patient safety are taken into consideration. Notifying the rest of the team would further help in better handling of any negative outcome and reduce mismanagement from occurring.
