What is the correct sequence of actions after a medication error is detected?

• A. Immediately re-administer the medication to correct the error.
• B. Document the incident without informing anyone.
• C. Discuss with the resident’s family only.
• D. Assess the resident, notify the supervising nurse, document, and complete any incident report per policy.

Answer: (D)

When a medication error is detected, the immediate priority is the resident’s safety. Start with a quick assessment to identify any adverse effects or changes in condition, and monitor the resident carefully to determine if further intervention is needed. After ensuring safety, notify the supervising nurse so they can provide guidance, orders, or adjustments to the care plan as needed. Then document what happened in the resident’s record and complete any incident report required by policy, including what was observed, what actions were taken, and the outcome. This sequence ensures the resident receives timely care, the event is properly reviewed, and steps are taken to prevent recurrence. Re-administering the medication right away would be unsafe and inappropriate; documenting without involving the proper supervisory and reporting processes delays patient safety and accountability; discussing the incident only with the family omits critical clinical follow-up and reporting requirements. Following the correct sequence—assess, inform the supervisor, document and report per policy—supports safe care and quality improvement.