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you are a family nurse practitioner working in an outpatient primary care office. the practice has been operating for over 15yrs, and many of the

you are a family nurse practitioner working in an outpatient primary care office. the practice has been operating for over 15yrs, and many of the administrative and clinical staff were hired when the practice opened. you have been in the practice for less than 3months. You witnesses several of the clinical staff engaging in heated arguments with each other, sometimes in patient care areas. You pick up a ptient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. when you confront the MA, she states that she was going to report vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. unfortunately this patern of behavior is not unusual in this practice. working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patiients, can impede the flow of patients through the office, and could impact safety. Discuss the potential ethical and legal implications for each the medical assistant, the nurse practitioner, the medical director and the practice

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