A registered nurse is transcribing a verbal telephone order from an on-call physician for a critical medication. According to JCI and UAE patient safety standards, what process is mandatory to verify the accuracy of verbal or telephone orders?

Answer and explanation

Correct answer: A. The Read-Back process: write down order, read back to prescriber, obtain confirmation

  1. Step 1: JCI International Patient Safety Goal 2 (IPSG 2) mandates that for verbal or telephone orders and critical laboratory results, the recipient must: (1) Write down the complete order, (2) Read back the order to the prescriber, and (3) Receive explicit confirmation that the order is correct.
  2. Step 2: Consequently, the correct clinical answer is The 'Read-Back' process: writing down the complete order, reading it back to the prescriber, and receiving verbal confirmation.
Answer
The 'Read-Back' process: writing down the complete order, reading it back to the prescriber, and receiving verbal confirmation.
Why not the others: 'Recording on mobile phone' violates hospital communication security and patient privacy; 'Asking junior colleague to sign' is illegal delegation of order transcription; 'Carrying out without read-back' is the leading cause of telephone medication transcription errors.

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