What action should the applicant take if their supervising MD gives a harmful directive?

The selected action of discussing concerns with the supervising physician and documenting any unresolved issues in the patient chart reflects a thoughtful approach to patient safety and professional ethics. Engaging in dialogue allows the PA to express concerns directly, facilitating communication and potentially leading to a more constructive resolution.

If the directive from the supervising physician poses a risk to patient safety, addressing it directly with them first is crucial for transparency. This conversation also provides the MD an opportunity to explain their rationale, which might help alleviate concerns or clarify any misunderstandings. If discussions do not resolve the matter satisfactorily, documenting the issue in the patient chart serves as an important measure for accountability, ensuring that there is a written record of concerns raised and actions taken, which is essential for both patient safety and legal protection.

Other options, such as ignoring the directive or documenting it and following orders without further discussion, do not adequately prioritize the safety of the patient or the ethical responsibilities of the healthcare provider. Immediately escalating to higher authorities might be necessary in extreme situations, but it is typically more prudent to attempt resolution at the level of direct supervision first when possible. This approach fosters a collaborative environment while still ensuring that patient safety remains the priority.