Outpatient primary care office of an extensive hospital system
You are a family nurse practitioner working in an outpatient primary care office of an extensive hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes inpatient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a shallow blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she would report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, impede patient flow through the office, and impact patient safety.
Case Study Responses:
Analyze the case study for potential issues for healthcare team members from office conflict. Contrast the potential effects for each healthcare team member based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
Medical assistant
Nurse Practitioner
Medical Director
Practice
What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
Introduction:
