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Question
A patient's husband was visiting the memory-care unit. He asks about his wife's new stomach pill and how it is working. The nurse is confused because she did not see a new medication order. The nurse notes that six days ago, there was a new order for Aciphex; however, the order fell off the record and did not transfer to the patient's medication-administration record. She looks at the progress notes and sees a note from the pharmacist that is dated the same as the new order. The note reads, "MD notified that patient is already on Aricept. No action needed at this time."
1. What is your interpretation as to what happened in this scenario?
2. After making the discovery that an error was made, what is the nurse's best action?
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