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Report the incident to the nurse manager.
📣A near-miss with a look-alike/sound-alike medication requires institutional reporting to improve systems and prevent recurrence.
🧾An incident report is a non-punitive quality-improvement tool, not a place to assign blame to pharmacy or others.
♻️Returning an unwrapped medication to the dispensing system violates medication safety and infection control practices.
🧭Changing the prescription without provider assessment is inappropriate; the key step is reporting and analyzing the near miss.
📌Core Message
After a near-miss medication error, the priority is reporting to leadership and completing an incident report to drive system-level safety improvements.
This question is from RN ATI Pharmacology 2019 Exam-1 which contains 41 questions.
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