A physician verbally orders a medication. What should the nurse do first?

Choice A rationale
A common adverse event that occurs frequently is not considered a sentinel event. Sentinel events are rare and unexpected occurrences that result in severe harm or death. Common adverse events, while important to address, do not meet the criteria for sentinel events.
Choice B rationale
A minor incident that does not require reporting is not considered a sentinel event. Sentinel events are serious and significant occurrences that require immediate investigation and response. Minor incidents, while important to address, do not meet the criteria for sentinel events.
Choice C rationale
An unexpected occurrence involving death or serious physical or psychological injury is the definition of a sentinel event. These events are significant and require immediate investigation and response to prevent recurrence. Sentinel events signal the need for a thorough review of the processes and systems involved to identify and address the root causes.
Choice D rationale
A situation where the patient experiences temporary discomfort is not considered a sentinel event. Sentinel events involve severe and lasting harm, such as death or permanent injury.
Temporary discomfort, while important to address, does not meet the criteria for sentinel events.

Choice A rationale
Report the incident to the organization. According to HIPAA, the first step a healthcare provider should take after an accidental disclosure of patient information is to report the incident to the organization. This allows the organization to assess the breach, determine the extent of the disclosure, and take appropriate actions to mitigate any potential harm.
Choice B rationale
Inform the patient about the breach. While informing the patient is important, it is not the first step. The organization must first assess the breach and determine the appropriate course of action before notifying the patient.

Choice C rationale
Ask the unauthorized personnel to delete the information. This step may be part of the mitigation process, but it is not the first step. The incident must first be reported to the organization for proper assessment and documentation.
Choice D rationale
Ignore the incident unless someone reports it. This response is inappropriate and violates HIPAA regulations. All breaches must be reported and addressed promptly to ensure compliance with HIPAA and protect patient privacy.