The nurse is transcribing a physician's handwritten orders, and is uncertain about a word in one of the orders
The nurse shares the order with an experienced nurse, who says, "Oh, lots of people have trouble with his orders because of the way he makes his Ts. That word is 'twice,' and the order reads 'Give Maalox 30 mL twice daily after meals.' " The nurse will: 1. Review the order to see if that interpretation makes sense.
2. Ask the nursing supervisor to interpret the order.
3. Ask another nurse to interpret the order to see if it matches.
4. Accept the nurse's interpretation.
1
Rationale: The nurse was familiar with the doctor's handwriting, and indicates that this is a common problem with this physician's handwriting, which gives validity to the interpretation, but ultimately it is the nurse transcribing the order who is responsible for transcribing the order properly, so the order should be reviewed to see if it makes sense. If it does, the order can be transcribed as indicated. However, if the transcribing nurse has any doubt about the validity of the interpretation, the safest thing to do is to clarify the order with the physician.
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