What is the correct sequence of actions after identifying an unsafe medication order?

• A. Speak with the HCP to clarify, then escalate if needed.
• B. Document the incident and proceed with the order.
• C. Immediately escalate to the charge nurse without consulting the HCP.
• D. Discontinue the medication and wait for pharmacist override.

Answer: (A)

When a medication order looks unsafe, the first and most important step is to contact the prescriber to clarify the order. This lets you verify intent, correct dosing or route errors, and prevent harm to the patient before anything is given. If the prescriber confirms the issue or cannot be reached and the order still poses risk, escalate the concern through the proper channels—inform the charge nurse or supervisor and involve the pharmacist as needed to resolve the discrepancy quickly. Merely documenting the incident or proceeding without clarification can leave the patient exposed to danger, and waiting for a pharmacist override or discontinuing the medication without guidance can delay care. So the best sequence is to clarify with the prescriber first, then escalate if needed.