AMA Code Of Medical Ethics: Clinical Challenges For The NP

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Clinical Challenges for the NP
“Noncompliance is major health problem accounting for 10% of all hospital stays and causes about 125,000 deaths per year” (Stelmach, 2015). As health care providers we run into troublesome patients all time in our different clinical areas. As a nurse, I have seen and continue to receive long lists of the same non-compliant patients come through our unit because they did not taking their blood pressure medicines and now in hypertensive crisis, or did not show up for hemodialysis now overloaded have to have emergent dialysis, or the diabetics not eating right nor taking their insulin now in DKA needing Endotool (insulin drip) and ventilator support for severe metabolic acidosis. Taking care of noncompliant patients
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But there are some patients that providers will like to dismiss from their practices due to their continued noncompliance but fail do so because of fear of been accuse of patient abandonment, medical malpractice, professional misconduct, or a third-party payer alleging that you breached its participating provider agreement (Cepelewicz, 2014). As also discussed in the AMA code of Medical Ethics-opinion 8.115, the provider have the option to terminate the patient-physician relationship, but must give sufficient notice of withdrawal to the patient, relatives, or responsible guardians or responsible friends to allow another physician to be secured (AMA, …show more content…
The physician can dismiss the patients from his/her practice when it is in the interest of the patient or the physician to terminate the patient-physician relationship. But for the physician to withdraw from the case, the physician should give the patient sufficient and advance notice to the patient to secure another provider to ensure continuity of care;
2. The patient or the patient’s legal representative (relative, responsible friend) should be notified in written notice, sent via certified mail, to the patient’s or his or her legal representative’s last known address, return receipt requested;
3. The physician must provide emergency care to the patient for up to thirty (30) days to allow the patient to establish with another provider;
4. Provide resources for referral to group of providers of similar specialty within the patient’s geographic location;
5. Offer to transfer records to the new provider upon receipt of patient’s signed authorization to do so as indicated by S.C. Physician’s Patient Records Act (44-115-30) which states that “A patient or his legal representative has a right to receive a copy of his/her medical record, or have the record transferred to another physician, upon request, when accompanied by a written authorization from the patient or legal representative to release the record” (SCL, 1992, 2014).
Key Components of a Malpractice

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