After the healthcare provider’s phone response to an unsafe order, what is the appropriate next step?

• A. Notify the charge nurse and activate the chain of command.
• B. Document both phone calls and prescriptions.
• C. Hold the potassium chloride.
• D. Proceed with the order as written.

Answer: (A)

When a nurse identifies an unsafe order, patient safety comes first and the issue must be escalated through the proper channels. After receiving the provider’s phone response, the appropriate next step is to notify the charge nurse and activate the chain of command. This ensures that a supervisor can verify the order, implement corrective action, and document the safety concern. Escalation helps prevent harm, especially with high-risk medications like potassium chloride, and provides accountability within the care team. Documentation of the calls and actions is important, but the immediate priority is to elevate the issue through the chain of command to ensure safe resolution.