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Judgment & ambiguity · When to escalate

You're an ICU nurse and a physician orders a medication dose that sits at the outer edge of what you'd expect for this patient — not clearly wrong, but it makes you pause. The physician is confident and busy. When do you challenge it, and how far do you take it?

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I challenge it before it goes in the patient, every time — a dose I have to pause on is a stop signal, and 'the physician was confident' has never protected a patient from an error.

The full answer: structure, worked example, likely follow-up.

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