A nurse receives a telephone order for medication. Which action is most appropriate ?
Explanation & Rationale
Choice A reason: Waiting until the end of the shift to document a telephone order is a violation of safety protocols and increases the risk of medication errors. Orders must be entered into the medical record immediately to ensure the medication is administered at the correct time and to maintain an accurate clinical record. Choice B reason: The nurse who receives the telephone order is legally and professionally responsible for transcribing it accurately. Delegating the documentation of a verbal or telephone order to another nurse who did not hear the original instruction introduces significant risk for communication errors and transcription inaccuracies. Choice C reason: Allergy verification is a critical safety step that must be performed by the nurse before any medication administration. Relying on the assumption that the provider "already knows" bypasses a vital redundant safety check intended to prevent life-threatening anaphylactic reactions or adverse drug events. Choice D reason: The Joint Commission and facility safety standards require a "read-back" process for telephone orders. The nurse must write the order down, read it back to the provider verbatim to confirm accuracy, and receive verbal confirmation from the provider before the order is considered valid and safe to implement.