A registered nurse in the United States is asked by a colleague to cosign the wasting of a controlled medication. The nurse did not see the medication being wasted. What should the nurse do?
Correct answer: A. Refuse to cosign and explain that witnessing is required
- A. Refuse to cosign and explain that witnessing is required
- B. Cosign because the colleague reports that wasting occurred
- C. Ask another nurse to cosign without further discussion
- D. Cosign after documenting that the wasting was reported
Explanation
The nurse must personally witness the controlled medication waste before cosigning the record. Signing without direct observation creates inaccurate documentation and may violate controlled-substance policy and professional standards.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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