In order to improve the quality of care and patients safety, the employee should operate within their scope of practice. Due to the incident which took place earlier, I would make sure the correct policy and procedure are put in place to eliminate any unauthorized staff from prescribing any form of medication. Medical assistants (MAs), are not license to prescribe medication (American association of medical assistants, 2017). The MAs administrative duties and clinical duties will be clearly outlined in the policy and procedure book. As the nurse practitioner, I would initiate a telephone triage line, which will give the patient access to a licensed personnel after hours. All calls taken by the MAs about medication, prescribing and refill will