A nurse receives a handover that a patient has a new allergy, but the information is unclear. What should the nurse do?
Correct answer: A. Clarify the allergy and record the verified information
- A. Clarify the allergy and record the verified information
- B. Assume the allergy is to the most common antibiotic
- C. Leave the allergy field blank until the next ward round
- D. Ask the patient to receive the medication and observe closely
Explanation
Unclear allergy information creates an immediate medication safety risk, so the nurse must clarify and verify it before treatment. The confirmed allergy should then be communicated to the team and documented in the appropriate record.
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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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