A nurse notices that the controlled-drug count is lower than the amount recorded in the medication register. What should the nurse do first?
Correct answer: A. Recount the medication with another authorised nurse
- A. Recount the medication with another authorised nurse
- B. Change the previous entry to match the remaining stock
- C. Wait until the next shift to investigate the difference
- D. Remove the remaining medication from the treatment room
Explanation
The nurse should immediately perform a witnessed recount and compare the register with the medication administration records. The discrepancy must then be reported according to policy, and records must never be altered to hide an error.
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About Documentation, Reporting and Communication
Documentation covers accurate, timely and objective nursing records, charting formats, incident reports, medication records, confidentiality and legal accountability. Communication includes therapeutic listening, questioning, empathy, handover and reporting using a structured method such as SBAR, while distinguishing subjective patient statements from objective observations.
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