prepare for this Discussion: 

• Complete the readings in your Learning Resources. 
• Review the profiles of the various healthcare managers who work in a healthcare setting in this week’s Required Media. (Click on the organizational charts to learn more about the healthcare professionals in direct, nondirect, and physician practice settings.

References:
Buchbinder, S. B., & Thompson, J. M. (2010). Career opportunities in health care management: Perspectives from the field. Sudbury, MA: Jones and Bartlett

Post a comprehensive response to the following:

• Explain the roles and functions of healthcare managers and leaders in direct and nondirect service healthcare settings. 
• Select one individual from a direct care setting and one individual from a nondirect setting in either the Welcome to Waldenville or the Good Samaritan Hospital’s Organization Chart—Week 1 media, and describe their core competencies. 
  • How are these core competencies of the featured leaders similar and different? 
  • In which setting would you prefer to work, and why? 

Please be sure to cite your resources using APA style within your post. Please try to select specific public health examples that are different from those posted by your classmates for this discussion.

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

• Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
• Review the scenario assigned by your Instructor for this Assignment.
• Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
• Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

By Day 7 of Week 1

Write a 2- to 3-page paper that addresses the following:

• Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
• Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
• Explain the process of writing prescriptions, including strategies to minimize medication errors.

Review and reflect on the knowledge you have gained from this course. Based on your review and reflection, write at least 3 paragraphs on the following:

• What were the most compelling topics learned in this course?
• How did participating in discussions help your understanding of the subject matter? Is anything still unclear that could be clarified?
• What approaches could have yielded additional valuable information?

To prepare for this Discussion, complete the readings in your Learning Resources. Think of a project or program (e.g. creating a new geriatric health center, purchasing a piece of expensive diagnostic equipment, or adding an employee benefit) in a health care setting. Identify all of the primary and secondary benefits of the program. Also identify the direct and indirect costs.

Post a comprehensive response to the following:

• Provide a brief description of the project or program you selected.
• Highlight the primary and secondary benefits of this project. Briefly explain the direct and indirect costs. Are there costs that cannot be quantified? Are there any benefits that cannot be quantified? Why?
• As a decision maker, how would you use the CBA and CEA for this project?

In this assignment, you will examine a news report on scientific studies of the Colorado River water crisis. We will follow the same approach and the same questions that you learned to use in the Science Tool Kit activities in previous modules. In this assignment, you will take these questions and create an essay in which you can show your ability to more deeply examine the problem and the reporting, as well as the science behind the news story.

Completing this activity will assist you in mastering Module Level Outcome 3 and 4.

First, read:

• Davis, T. (2015, September 13). Study: Colorado River shortage could hit Arizona hard (Links to an external site.). Arizona Daily Star (Tucson, AZ).
• Katel, P. (2011, December 9). Water crisis in the west (Links to an external site.). CQ Researcher, 21, 1025-1048.
• Zielinski, S. (2010) The Colorado River Runs Dry (Links to an external site.). Smithsonian Magazine

View:

• Smithsonian Institute Climate Change and the Colorado River (Links to an external site.) [Video, 03:08 mins]
• Liquid assets: The big business of water (Links to an external site.) [Video, 42:49 mins]. (2010). In Films On Demand. Retrieved June 13, 2016

Next, submit the following:

You will write an essay of 1000+ words (4 pages), not including a title page and a reference page. Each of the following questions should be addressed in your essay and supported with both quotations and paraphrasing from multiple sources you have been given in the module on this topic and that you locate through the EC Library.

1. What is the source of the scientific information in the Arizona Daily Star article by Tony Davis?
2. Discuss the expertise of the scientists (and others) involved in the study discussed by Davis.
3. What alternative views does Mr. Davis discuss? What do these viewpoints say in contrast to the initial study he examined in his article? Would you say, based on this information, that the study examined by Mr. Davis is accurate, reliable, and unbiased?
4. Compare and contrast the information in this Arizona Daily Star article with the information in the module readings and any additional material you may have found about this complex issue. Where does the Daily Star article agree and disagree with your other sources, and why?
5. Who are the major stakeholders in the conflicting demands on the Colorado River source? Does Mr. Davis discuss them all fairly? Is one group overlooked; if so, who, and what is their interest in the Colorado River water?
6. What possible solutions to this problem are discussed in Mr. Davis’ article? Are there other solutions you have found? Describe these possible solutions.