Quote from Olivia Ann
If a nurse determines that a prescribed medication wasn't administered as ordered on the previous shift, what action should that nurse take?
Should she administer it immediately?
Complete an incident report,
Notify the nurse responsible for that error?
Or just record it in the nurses notes .
I would record it in the notes but shouldn't I administer it too?
This is an Nclex style priority question. They are are kind of like if you could only bring one item to a island, what would you take. In this case it is more like if you could do only one thing for the patent, what do you have to do.
At first glance I would say, "Notify the nurse responsible for that error?" or "Complete an incident report"
Here is why.
"Should she administer it immediately?" Depends on the medication and you don't know if the Nurse gave the med but didn't document, was there a reason the med wasn't given, (low BP for hypertensive medications or heart rate below 60 for dioxin). Does this medication need to be given at a particular time of day. So this is wrong.
"Complete an incident report" This is defiantly high on the list, whether the medication was given or not, no documentation is considered a medication error and an incident report must be filled out. The major concern here is double dosing.
"Notify the nurse responsible for that error?" In the real world, the first thing you would do is talk to the nurse and get clarification of why the medication wasn't given or recorded. But, while this looks good it doesn't actually address the situation. This answer doesn't say you are seeking more information or talking action. You are simply telling the nurse she messed up.
"record it in the nurses notes" Errors are not documented in the nurses notes.
So I would agree with the OP in that an incident report must be done, but the medication should not be given.