طبيب كتب جرعة مورفين لطفل تساوي عشرة أضعاف الجرعة الآمنة. اتصلت الممرضة به وأصرّ على الأمر. ما التصرف الصحيح؟

A provider prescribes a paediatric morphine dose ten times the safe dose. The nurse calls, and the provider insists. What should the nurse do?

1. Withhold it and escalate through the chain of command
2. Give half the dose as a compromise
3. Ask pharmacy to change the order on its own
4. Give it and document that the provider insisted

Answer: A) Withhold it and escalate through the chain of command. The nurse is legally accountable for any drug she gives. If an unsafe order is insisted on, withhold it and escalate through the chain of command.