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Case Study 4.2

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Sam is a nurse on a medical‐surgical unit. When he receives a telephone order from a physician, he enters it into the EHR and reads it back to the physician. Sam waits for the physician to verify the order before concluding the conversation. Sam also uses closed‐loop communication when communicating with or delegating to a nursing assistant.

1 Why does Sam read back the telephone order to the physician?

2 What factors may tempt Sam to skip this important safety step?

3 How does closed‐loop communication between Sam and a nursing assistant build strong teams and foster patient safety?

FIGURE 4.5 Registered nurse catches up on safety news by reading the PMU newsletterr.

Source: Kary Blaschak.

Kelly Vana's Nursing Leadership and Management

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