Managed Care Nursing

Category - Patient Issues

If a CMCN becomes aware of a fraudulent organizational decision/plan for a patient’s care, what are the last steps the CMCN should consider if no other steps have influenced a change in the decision?
  1. Report to public officials and/or appropriate outside agency
  2. Refuse to accept the plan or consent to participate
  3. Discuss with peers
  4. Submit your resignation
  5. Report and discuss with highest level of authority within the organization
Explanation
Answer: D - When dealing with an ethical and legal form of misconduct in the organization, the last step to take if things do not get resolved is to submit your resignation.

The initial step you should take after discovery of organizational misconduct includes investigating the facts and review of resources for clarification and understanding is to refuse to accept the plan or consent to participate. This puts you in a position to help influence the decision and remain within the code of ethics. If you submit your resignation at the beginning of the issue, it may not be possible to bring your concerns to anyone.
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