Scenarios

1. 1

   Informed refusal: leaving during infection treatment

   Explore reasons for leaving, explain treatment risks and alternatives, assess informed decision-making, and coordinate follow-up and a practical safety plan.

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2. 2

   Patient advocacy: discharge without confirmed home support

   Explain a new supervision gap, request a pause in discharge arrangements, and coordinate patient-inclusive alternatives, responsibilities, and escalation with case management.

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3. 3

   Consult: alternative for an unavailable antibiotic

   Explain the infection and medication shortage, discuss patient-specific alternatives with pharmacy, and confirm responsibilities for safe prescribing and timely administration.

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4. 4

   Patient advocacy: appealing a medication denial

   Present the patient-specific reason for a coverage exception, respond professionally to pushback, and confirm the review decision, documentation, responsibilities, and timing.

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5. 5

   De-escalation: livestreaming from a hospital room

   Request a pause in recording, protect patient privacy, listen to the underlying complaint, and arrange a private discussion and concrete follow-up.

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