Before administering a chemical support medication, which professional must be contacted for permission?

• A. Physician
• B. The patient
• C. The nurse's supervisor
• D. The pharmacist

Answer: (A)

Medications used for chemical support or restraint require a physician’s authorization because they carry significant risks and need careful assessment, dosing, and monitoring. The physician evaluates the patient’s condition, checks for contraindications and interactions, determines the appropriate drug, dose, and route, and issues a formal order. Without that medical order, administration would be unsafe and often against policy. The patient’s assent is important, but it does not substitute for a prescriber's approval. The nurse’s supervisor oversees care, and the pharmacist dispenses the medication, but neither can grant the permission to administer without a physician’s order.