When an unsafe medication order is identified, which action should the nurse take?

• A. Call and speak directly with the healthcare provider (HCP).
• B. Document the phone call and prescriptions.
• C. Hold the medication.
• D. Notify the charge nurse and activate the chain of command.

Answer: (A)

When an unsafe medication order is identified, the priority is to verify the order directly with the prescriber. Speaking with the healthcare provider allows immediate assessment of what’s unsafe—whether it’s the dose, route, frequency, or the medication itself—and to obtain a corrected order or clear instructions. This direct communication helps prevent potential harm to the patient and demonstrates professional responsibility. Documentation and escalation are important, but they don’t resolve the safety issue on their own; if the prescriber isn’t reachable, follow your facility’s protocol for escalation, but the first step is to contact the prescriber to discuss the concern.