A patient's current medication administration record includes a drug that the nurse recognizes as an Institute for Safe Medication Practices (ISMP) high-alert medication. This designation signals the nurse to what characteristic of the drug?
A) It can only be administered by a physician or advanced practice nurse.
B) Administration must be cosigned by a second registered nurse or practical/vocational nurse.
C) It is currently undergoing Phase IV testing and is pending full FDA approval.
D) Administration errors carry a heightened risk of causing significant patient harm.
D
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The Institute for Safe Medication Practices (ISMP) identifies drugs that when used in error have a heightened risk of causing significant patient harm. Such drugs are not limited to physician or advanced practice nurse administration. The drug would have completed the testing and approval procedure and administration does not necessarily require a cosignature.
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