A nurse is receiving a telephone prescription from a provider for propranolol 40 mg PO BID. When reading back the information to the provider, which of the following actions should the nurse take?
Remind the provider to countersign the prescription in 72 hr.
Verify the medication name along with its intended purpose.
Verbalize the letters "B-I-D" for the dosing instead of saying "twice per day."
Transcribe the medication name using the trade name.
The Correct Answer is B
A. While the provider may need to countersign the prescription, this does not affect the accuracy of the order at the time of receiving it.
B. Verifying the medication name along with its intended purpose helps ensure clarity and reduces the risk of medication errors, especially during telephone orders where miscommunication is more likely.
C. Verbalizing "B-I-D" rather than "twice per day" could cause confusion; clear language is essential, and "twice per day" is more understandable.
D. Using the generic name rather than the trade name is recommended to avoid confusion with similar brand names.
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Correct Answer is D
Explanation
A. Identifying clients by room number instead of name does not adequately protect client confidentiality, as room numbers can still be linked to specific patients.
B. Logging assistive personnel into unit computers for documentation undermines security measures, as each user should have their unique login credentials.
C. Placing the client's name on the cover sheet when faxing protected health information violates confidentiality and can lead to unauthorized access to sensitive data.
D. Conducting change-of-shift reports in a designated staff-only area ensures that client information is not overheard by unauthorized individuals, maintaining confidentiality.
Correct Answer is B
Explanation
A. While reviewing previous appraisals may provide some context, it is not the most effective way to evaluate current performance.
B. Gathering information from clients provides direct feedback about the AP’s performance and interactions, making it a valuable input for performance appraisals.
C. Examining the job description is helpful for understanding expectations, but it does not provide specific performance insights needed for an appraisal.
D. Peer reviews can be informative, but they may not reflect the full scope of the AP's duties and interactions with clients, which are critical for a comprehensive performance appraisal.