When an HCP instructs the nurse to administer a dosage that cannot be programmed into the pump, what action should the nurse take?

• A. Administer the dosage as requested by the HCP.
• B. Use the CUS tool to respond to the HCP.
• C. Override the pump programming and proceed.
• D. Consult the Pharmacy to verify the dose.

Answer: (B)

When a prescribed dose can’t be programmed into the infusion pump, patient safety hinges on speaking up clearly and getting clarification before proceeding. The CUS tool gives you a straightforward way to do that. It starts with expressing Concern: you say you’re concerned about the dose as it’s written because it can’t be programmed into the pump. Then you state you are Uncomfortable proceeding with the current instruction. Finally, you label it a Safety issue that needs resolution before administration. This structured message prompts the prescriber to verify the dose, adjust the order, or offer an alternative rather than risking an unsafe administration. It keeps the focus on safety, supports timely communication, and reduces the chance of harm.