Which practice is NOT appropriate when handling verbal or telephone medication orders?

• A. Write down the order, read back the exact wording to the prescriber, and obtain verification before administration
• B. Obtain verification from the prescriber
• C. Verifying the exact wording before administration
• D. Accepting the order without writing it down

Answer: (D)

Handling verbal or telephone medication orders requires a reliable process to prevent errors. The best approach is to write down the order, read back the exact wording to the prescriber, and obtain verification before administration. Writing it down creates a permanent record and helps ensure the order is captured accurately. Reading back the exact wording gives the prescriber a chance to catch and correct any mishearing or transcription mistakes, while verification before giving the medication confirms the prescriber approves the exact order as transcribed. Verifying the exact wording before administration is a crucial step to catch mistakes in drug name, dose, route, or timing. Accepting an order without writing it down bypasses this safety net, increasing the risk of errors and miscommunication. So, not writing the order down is not appropriate.