Managed Care Nursing

Category - Patient Issues

During the course of managing a patient with chronic illnesses, you unknowingly refer a patient to an unqualified, non-board certified endocrinologist who does not meet acceptable standards of practice or conduct.

Select the best description of outcomes based on this scenario.
  1. Since the CMCN was unaware there is no legal recourse as long as there was an updated, reissued, and appropriate referral
  2. The CMCN can be held liable even if unknowingly referred an unqualified provider
  3. This is a solid case of malpractice and the CMCN could be held accountable
  4. None of the above
Explanation
Answer: B- The CMCN can be held liable if they unknowingly referred the patient to an unqualified provider.

There is an expectation of due diligence and prudent responsibility to check the provider. The legal recourse could be under negligent referral.
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