The nurse believes that a physician's order written at the end of a shift is contrary to the accepted standard of care and could potentially harm the patient. What should the nurse do?
A) Ask the nurse manager what to do.
B) Question the physician regarding the order.
C) Let the next shift make the decision regarding implementation of the order.
D) Complete the order as directed.

Question

Quizplus · Accepted Answer

Rationale 1: The nurse should not have to rely on the nurse manager for direction in this situation. The nurse might inform the manager of the situation and the intended action, but would not need to ask for permission or direction.
Rationale 2: Nurses should be aware of hospital policy and procedures, as well as standards of care. If an order appears to violate either of these types of standards or appears dangerous to the patient, the nurse should question the physician about the order.
Rationale 3: Deferring the implementation to the next shift does not protect patient safety.
Rationale 4: Following orders without question is dangerous for the patient and legally dangerous for the nurse.

The Nurse Believes That a Physician's Order Written at the End