Question

An NP was written an order for an influenza immunization at a local clinic. What should the RNP do?

a. Implement the order
b. Request that the RN administer the injection
c. Refuse to administer the injection
d. Call the MD to confirm the order

Answer 1

If an NP has written an order for an influenza immunization, the RNP should implement the order as it is within their scope of practice, unless there is a specific concern that needs clarification.

Step-by-step explanation:

In the scenario where an NP (Nurse Practitioner) has written an order for an influenza immunization, the RNP (Registered Nurse Practitioner) should implement the order. RNPs have the authority to administer immunizations as part of their defined scope of practice, which generally includes following through on orders for patient care procedures that have been written by licensed healthcare providers, such as NPs. If the RNP has any legitimate reasons to question the order, such as a discrepancy or lack of clarity, it would then be appropriate to call the prescribing physician to confirm. Choosing to call the MD without such a concern may lead to unnecessary delay in patient care. It is not appropriate for the RNP to refuse to administer the vaccine or to request an RN to administer it when they themselves are qualified to do so.