What must happen when a medication requires dual signoff?

• A. Another nurse will review and enter their user ID and password to document administration.
• B. The physician must sign off.
• C. The system auto-signs off.
• D. The patient must consent again.

Answer: (A)

Dual signoff means the administration of a medication must be verified and documented by a second qualified nurse. In practice, after the first nurse administers the med, a second nurse reviews the order and then logs in with their own user ID and password to document that the medication was given. This creates an auditable record showing both nurses’ involvement and helps catch any mismatches in patient, drug, dose, route, or time. The physician does not sign off, the system does not auto-sign, and patient consent is not part of this signing process.