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What should you do first if you discover a missing tablet at the end of your shift?

  1. Report the missing tablet to the supervisor

  2. Check the count book and medications sheet for errors in addition or subtraction

  3. Assume it is a medication error without checking

  4. Count all medications again randomly

The correct answer is: Check the count book and medications sheet for errors in addition or subtraction

When discovering a missing tablet at the end of your shift, the best initial step is to verify the accuracy of your records. Checking the count book and medications sheet for errors in addition or subtraction is the most logical action. This thorough verification allows you to ensure that the discrepancy was not due to a simple error in recording rather than an actual missing medication. Accurate record-keeping is essential in maintaining safety and accountability in medication management. Taking this step first provides you with a clearer understanding of the situation before escalating it. If you find that your records are correct, then you can proceed to notify the supervisor, which follows protocol for administering medication discrepancies. Timely and accurate assessment prevents unnecessary alarm and ensures that all potential errors are thoroughly investigated.