Nurse Q has contacted Dr. H regarding Mrs. C's condition. No orders were given and Dr. H responded rather inappropriately to Nurse Q's inquiry. According to the guidelines provided by Calfee (1998), how should Nurse Q document this interaction?
a. Document the call in the chart, the information relayed, and the fact that no orders were given.
b. Contact the supervisor and complete a peer review committee report.
c. Complete an incident report and route the report to the chief of the medical staff and medical ethics committee.
d. Complete a physician's order and send the patient to the emergency room physician to obtain the needed orders.
A
Calfee (1998) provides some useful communication recommendations for handling telephone miscommunication. Some of these recommendations are: 1) if the physician gives an inappropriate answer or no orders, document the call, the information relayed, and the fact that no orders were given. Contacting the supervisor can also be correct, but completing a peer review report in this situation would not be appropriate since the nurse is not a "peer" of the physician. Completing an incident report would be appropriate only if the physician hangs up/terminates the call. Completing a physician's order is illegal without the physician's dictation of orders to the nurse.
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