A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make?
Explanation & Rationale
Rationale A. "I will sign my name now and leave a space for you to sign your name.": The nurse cannot pre-sign a prescription or leave a space for the provider, as this is legally and ethically inappropriate. All prescriptions must be verified and signed by the prescribing provider. B. "Let me clarify that you want the medication given gid, correct?": The abbreviation "qid" (four times daily) is on The Joint Commission's (TJC) "Do Not Use" list due to its potential confusion with "qd" (daily) or "qod" (every other day). The nurse should instead ask the provider to clarify by stating the full term: "Do you mean four times a day?" C. "Will you please spell the name of that medication for me?": Requesting the provider to spell the medication name ensures accuracy and prevents errors, particularly for medications with similar names or unfamiliar drugs. This is a critical safety step in telephone prescriptions. D. "Let me provide you with the client's medical record number for identification.": Providing the client’s medical record number is important for identification but does not address the immediate need to verify the exact medication. Confirming the drug name takes priority in preventing medication errors.