Overview
There is definitely many issues that will come from the situation at hand, such as the following. Macro: ethically if puts the patient in harms way by bypassing the medical provider. Legally, the medical assistant can face legal action for medical practice without the proper credentials to do so. Meso: ethically there is no proper supervision for the staff at this medical providers office. Legally, this practice can face the loss of the ability to practice by losing the licensing to entities like CMS. Micro: ethically other patients will lose the trust of the medical providers in general. Legally, it opens up that practice to a thorough investigation into all of its activities. I also think that the staff needs to have an in-service of the incident at hand. They should also have an in-service regarding all three macro, meso, and micro implications that come with the aforementioned situation. The best change model that could be used in my opinion would be the Lewins theory of planned change. This change model is based on changing old ways and customs of doing things, and learning and implementing the new change. In this case the change would be to stop handing out prescriptions without properly going through the consultation. One barrier to the implementation to the change is that sometimes the older staff are very hesitant to change. They will be very insubordinate and continue the unacceptable behavior. One factor that can ease the new policy into place would be the simple fact that they have good work ethic.