What should be done if the prescriber cannot be reached to confirm a TO/VO?

• A. Proceed with the order anyway
• B. Do not proceed; document the attempt and await confirmation
• C. Create a new order without the prescriber
• D. Ignore the order and proceed later

Answer: (B)

When a telephone or verbal order cannot be confirmed by the prescriber, you should not carry out the order. Instead, document the attempt to contact the prescriber and await formal confirmation or a properly written order before acting. This safeguards patient safety by ensuring the medication, dose, route, and timing reflect the prescriber’s intent and reduces the risk of miscommunication or transcription errors. Verbal and telephone orders are more prone to misinterpretation and must be verified promptly through the appropriate process (e.g., counter-signature, electronic entry, or conversion to a written order) within policy. Proceeding without verification risks harm and liability.