Reply DB4

 

dentify what issues may arise with the prescriptive authority of controlled substances and how you may avoid these situations?

Whenever there is a prescriptive authority of controlled substances, there is likely to be an abuse of the same by drug administrators. This has been demonstrated by the case of Heather Alonso, who was an advanced practice registered nurse (APRN) and used her position to prescribe controlled substances under the Medicare drug program. Nurse practitioners are not supposed to prescribe schedule 2 drugs since there is a high potential that they will be abused. Such issues mainly arise when medical practitioners compromise their practice and administer highly controlled substances contrary to rules and regulations, mainly because they receive hefty payments for the same.

To control the administration of controlled substances, the first step that must be taken is to ensure that a diagnostic workup is conducted (Young, 2018). The diagnostic workup will enable physicians to properly diagnose a patient before administering any drug. In the case of Heather Alonso, many of the patients were not being reviewed hence leading to prescriptions being administered wrongly. The second step that must be taken is to utilize prescription databases and obtain a medical history of the patient. The database will give information on whether the patient has received medication from multiple doctors. Screening for drug seeking is also necessary as it will enable one to establish if the patient is genuine or they are just abusing drugs.  Also, states can revamp their prescription drug monitoring programs (PDMP) which will have better standards for monitoring the administrati0n of controlled drugs (Perrone & Nelson, 2012). All the drugs which fall under schedule 2-5 are monitored. This will enable the states to understand whether stricter control and surveillance is needed. Through the PDMP, surprise audits can be done at the premises of drug administrators to check whether the necessary guidelines are being followed.This will lead to better monitoring and control when it comes to administration of controlled substances.

References

Young, J. (2018).Best Practices When Prescribing Controlled Substances. Retrieved from

Perrone, J., & Nelson, L. S. (2012). Medication reconciliation for controlled substancesan ideal prescription-drug monitoring program. New England Journal of Medicine366(25), 2341-2343.

JFK Assassination

PROFESSOR’S INSTRUCTIONS:

For Week 7, we will discuss the JFK Assassination. (Powerpoint Lecture is attached)

Please answer and discuss the following:

[1] From the course materials, what did you learn about the JFK Assassination that you want to discuss with the class? 

[2] What especially stood out to you about how the Assassination affected US society at that time?

-PLEASE USE SIMPLE LANGUAGE-

Before 9;00). Reflection Paper About Acticle What The Framers Couldn’t Know”

Please submit a one page reflection paper to the article “What the Framers Couldn’t Know” by Robert Dahl. The reflection paper should focus on your response to the ideas in the article. Do you agree or disagree with the author?  Explain why.  What ideas presented do you think are most important or significant? Why? What points may be missing or need further development?

The paper must be one full page, double spaced, 12 inch font with 1 inch margins and submitted as a Word or PDF file.  

Papers submitted late will receive only partial credit. All work submitted must be in your own words. Papers found to be plagiarized will receive a grade of zero. Note that the VeriCite app will check you submission against online sources. 

Keynows

 (8 pages, abstract, cover, and references)

Write a research paper concerning this scenario: You have been charged with the development of a Crisis Management Plan for the real or hypothetical health care organization that you chose earlier in this course.

Your research should be based on the following criteria:

  • Select a real or hypothetical crisis, such as a natural disaster (hurricane, tornado, flooding, or earthquake), a catastrophic building failure, or an act of terrorism.
  • Discuss resource management based on ethical approaches used during crisis management.
    • Consider issues such as patient triage or current as well as incoming patients, supply, and personnel availability.
  • Discuss and develop an authoritative chain of command for crisis management.
    • Include such responsibilities as Incident Commander, Communications Officer, and other members of the chain of command for the incident.
  • Discuss the importance and implementation of community communication, involvement, and coordination.
  • Discuss the necessary policies for personnel management and safety.
    • Include provisions for lock-down status and family communication abilities.
  • Outline the steps for supply chain management, both for personnel and the supplies needed to provide care.