Pearl is a 64-year-old caucasian female cancer survivor. By not reviewing her medical history, they cannot determine if her current
She lives outside of Chicago in a fixed income household. symptoms are a sign of a larger problem. This will likely cause the underlying issue
Because she has Medicare, she has to travel over an hour to become worse and increase her cost of care. This suggests follow-up visits and
to see a primary care provider. Lately, she's been feeling the addition of melatonin would increase out-of-pocket costs for the patient.
exhausted and not like herself. Her healthcare team does
a routine exam, checks her height and weight, but does
not review her medical and medication history and past
cancer treatment. The PCP suggests she takes melatonin,
provides healthy diet recommendations, and asks that
she returns in two weeks.
Given Pearl's situation, describe the implications of not
providing value-based care. List all cost considerations
you think the doctor should have made before
recommending melatonin and a two-week follow up.
Explain how considering patients' SDOH could influence It doesn't grade this question so you can make something up
the care you provide to them.
What does equity mean in the context of organizational (C) Health equity seeks to resolve the disparities that contribute to the social
ethics principles? determinants of health.
How does a nurse's documentation justify inpatient care (D) It verifies the quality of care, explains how a patient will tolerate their care, and
expenses? justifies billing and reimbursement.
Which aspects of patient care are NOT impacted by their (D) providing emotional support and empathy
SDOH?
What are common side effects of Xinfil? (A) hair loss and fatigue
What are common side effects of Cantaflex? (C) nausea and hair loss
Nurse Mills noticed something was going on at Windsor Type anything in
and decided to speak up. Is Nurse Mills at risk of being
fired or reprimanded for speaking up? Describe how
organizational ethics principles support you further
advocating for your patients
Which red flag has Nurse Mills identified as it relates to (B) Pearl and Jett are not exhibiting typical side effects.
patient symptoms?
According to the info sheets, what are the benefits of (A) Cantaflex is the #1 pharmaceutical drug on the market, is a more cost-effective
prescribing Cantaflex over Xinfil? treatment, and broadly demonstrates more promising results than Xinfil.
What category of SDOH is most relevant to the case at C) healthcare access and quality
Windsor Oncology?
Consider the documents selected and notes taken above. The information provided from patient's notes and pharmaceutical company
Justify your choices. What case are you presenting to Dr. clinical trial reports suggest that the patients present with no sign and symptoms
Bolden? that match expected clinical manifestations of the chemotherapy drug. The case
presented to Dr. Bolden would include tumor growth or unchanged tumor size
and uncharacteristic signs and symptoms.
, According to the red flags you spotted while reviewing Veracity
evidence, what organizational ethics were violated?
Explain the ethical concerns. What impact might this have
on patient outcomes? Refer back to the Organizational
Ethics infographic to help answer this question.
Comparing Pearl's patient file with the Cantaflex info (B) hair loss, vomiting, and weight loss
sheet, what expected side effects did she not
experience?
What is a key red flag presented on the Brightway (A) The account order report shows a steady decline in Cantaflex orders.
Cantaflex Order Report?
What role does a nurse play in delivering ethical, cost- (C) confirming safety of patient treatments, providing patient education to reduce
effective patient care? complications, and making referrals to support services to assist with cost
What connections are there between the drug usage and anything
order reports?
What key information is presented in the Shipping and anything
Receiving Log?
Consider the documents reviewed and notes taken The case presented to Dr. Bolden would include tumor growth or unchanged
before. Justify your choices. What case are you building tumor size and uncharacteristic signs and symptoms. After the meeting with Dr.
with Dr.Bolden and bringing to the FBI? Bolden, she would add information that showed her writing the orders for the
Cantaflex, and the patient files that verified tumor growth or unchanged tumor.
The nurse along with Dr. Bolden will present all the evidence to the FBI that shows
that there is possibly a problem with some medication that comes from the
pharmaceutical company. The assumption can not be made that all of the
medication is flawed because some patients have seen positive results.
Reflect on how the fraud occurred. Can you identify a anything
lack of organizational cross checks and safeguards that
allowed the fraud to continue?
What key red flag was found when reviewing the usage (D) The usage and order reports did not match up.
report and confirmed by the sample testing report?
What should a nurse consider when delivering value- (B) A nurse must consider accountability and cross checks for accountability
based care? concerning patient safety and cost across the healthcare continuum.
What role does the interprofessional collaboration (C) It improves equitable, patient-centered care by ensuring shared goals of care.
process play in providing equitable patient-centered
care?
Consider the case at Windsor Oncology. As a reasonably (C) It is a nurse's professional duty to report and document concerns, not
prudent nurse, if Nurse Mills had not spoken up, why speaking up would have increased the number of patients affected, and there
could she have been sued for malpractice? could be a direct connection between not speaking up and increased damages.
She lives outside of Chicago in a fixed income household. symptoms are a sign of a larger problem. This will likely cause the underlying issue
Because she has Medicare, she has to travel over an hour to become worse and increase her cost of care. This suggests follow-up visits and
to see a primary care provider. Lately, she's been feeling the addition of melatonin would increase out-of-pocket costs for the patient.
exhausted and not like herself. Her healthcare team does
a routine exam, checks her height and weight, but does
not review her medical and medication history and past
cancer treatment. The PCP suggests she takes melatonin,
provides healthy diet recommendations, and asks that
she returns in two weeks.
Given Pearl's situation, describe the implications of not
providing value-based care. List all cost considerations
you think the doctor should have made before
recommending melatonin and a two-week follow up.
Explain how considering patients' SDOH could influence It doesn't grade this question so you can make something up
the care you provide to them.
What does equity mean in the context of organizational (C) Health equity seeks to resolve the disparities that contribute to the social
ethics principles? determinants of health.
How does a nurse's documentation justify inpatient care (D) It verifies the quality of care, explains how a patient will tolerate their care, and
expenses? justifies billing and reimbursement.
Which aspects of patient care are NOT impacted by their (D) providing emotional support and empathy
SDOH?
What are common side effects of Xinfil? (A) hair loss and fatigue
What are common side effects of Cantaflex? (C) nausea and hair loss
Nurse Mills noticed something was going on at Windsor Type anything in
and decided to speak up. Is Nurse Mills at risk of being
fired or reprimanded for speaking up? Describe how
organizational ethics principles support you further
advocating for your patients
Which red flag has Nurse Mills identified as it relates to (B) Pearl and Jett are not exhibiting typical side effects.
patient symptoms?
According to the info sheets, what are the benefits of (A) Cantaflex is the #1 pharmaceutical drug on the market, is a more cost-effective
prescribing Cantaflex over Xinfil? treatment, and broadly demonstrates more promising results than Xinfil.
What category of SDOH is most relevant to the case at C) healthcare access and quality
Windsor Oncology?
Consider the documents selected and notes taken above. The information provided from patient's notes and pharmaceutical company
Justify your choices. What case are you presenting to Dr. clinical trial reports suggest that the patients present with no sign and symptoms
Bolden? that match expected clinical manifestations of the chemotherapy drug. The case
presented to Dr. Bolden would include tumor growth or unchanged tumor size
and uncharacteristic signs and symptoms.
, According to the red flags you spotted while reviewing Veracity
evidence, what organizational ethics were violated?
Explain the ethical concerns. What impact might this have
on patient outcomes? Refer back to the Organizational
Ethics infographic to help answer this question.
Comparing Pearl's patient file with the Cantaflex info (B) hair loss, vomiting, and weight loss
sheet, what expected side effects did she not
experience?
What is a key red flag presented on the Brightway (A) The account order report shows a steady decline in Cantaflex orders.
Cantaflex Order Report?
What role does a nurse play in delivering ethical, cost- (C) confirming safety of patient treatments, providing patient education to reduce
effective patient care? complications, and making referrals to support services to assist with cost
What connections are there between the drug usage and anything
order reports?
What key information is presented in the Shipping and anything
Receiving Log?
Consider the documents reviewed and notes taken The case presented to Dr. Bolden would include tumor growth or unchanged
before. Justify your choices. What case are you building tumor size and uncharacteristic signs and symptoms. After the meeting with Dr.
with Dr.Bolden and bringing to the FBI? Bolden, she would add information that showed her writing the orders for the
Cantaflex, and the patient files that verified tumor growth or unchanged tumor.
The nurse along with Dr. Bolden will present all the evidence to the FBI that shows
that there is possibly a problem with some medication that comes from the
pharmaceutical company. The assumption can not be made that all of the
medication is flawed because some patients have seen positive results.
Reflect on how the fraud occurred. Can you identify a anything
lack of organizational cross checks and safeguards that
allowed the fraud to continue?
What key red flag was found when reviewing the usage (D) The usage and order reports did not match up.
report and confirmed by the sample testing report?
What should a nurse consider when delivering value- (B) A nurse must consider accountability and cross checks for accountability
based care? concerning patient safety and cost across the healthcare continuum.
What role does the interprofessional collaboration (C) It improves equitable, patient-centered care by ensuring shared goals of care.
process play in providing equitable patient-centered
care?
Consider the case at Windsor Oncology. As a reasonably (C) It is a nurse's professional duty to report and document concerns, not
prudent nurse, if Nurse Mills had not spoken up, why speaking up would have increased the number of patients affected, and there
could she have been sued for malpractice? could be a direct connection between not speaking up and increased damages.
