2. A sentinel event in which oral sodium polystyrene (kayexalate) was given IV push resulting in the patient's death undergoes root cause analysis. The nurse had called the provider to
notify of a high potassium level and took a verbal order which was transmitted directly into the computer system and administered prior to physician cosign or pharmacy verification.
What safety failure is demonstrated in this scenario?
Ο
Failure to verify the medication.
Ο
Failure to verify the patient
Ο
Failure to administer the medication at the correct time.
Ο
Failure to record and read back the order.