Surgical nurse here. I’m building simple scripts for safer preop med checks and clean charting during the 0600 med pass. What I say: Hi, I’m Olivia, your nurse. Is it okay if I scan your band and go over meds now. You can ask to pause at any time. I’ll confirm your name and allergies, then read each med, why it’s given, and ask how it sits with you. If we need to hold something, I’ll explain why and when we’ll retry. I chart source of allergy, last dose, route, and hold rationale. Any solid checklists or pocket cards you trust?
Any new meds or supplements since yesterday? I’ll read back allergies with reactions. Takeaway: Use the same opener every time, do read-back, and chart verbatim patient phrases for reactions and last doses. Time-stamp what you verified, scan only after verbal confirmation, and pause/escalate when anything conflicts with the chart per local policy.