Illinois Nursing Home Administrators (NHA) Practice Exam

When must a nurse notify a physician when there is a need to comply with the facility's automatic stop-order policy?

1. Before the last medication dose is given

2. After the last medication dose is given

3. After one week's administration of a medication

4. If the resident refuses to continue to take a medication

The correct answer is: Before the last medication dose is given

The correct response highlights the importance of proactive communication in ensuring patient safety and appropriate care management. When a facility has an automatic stop-order policy for medications, it necessitates that nurses notify a physician prior to administering the last dose of medication. This allows for a timely assessment of the resident's ongoing need for the medication and facilitates any necessary adjustments to their treatment plan. Notifying the physician beforehand ensures that there is no lapse in care or medication management, particularly for treatments that may be critical for the resident's health. By adhering to this protocol, the nurse plays a significant role in coordinating care and maintaining continuity in treatment, which ultimately benefits the resident's health outcomes.