If a caregiver questions a treatment order, what is the first recommended step?

• A. Discuss the order or concerns with the attending physician
• B. Document concerns and wait for a formal review
• C. Submit a grievance to the hospital board
• D. Send a copy of the order to the legal department

Answer: (A)

When a caregiver questions a treatment order, the first step is to discuss the order with the attending physician who issued it. This direct conversation lets the physician explain the medical rationale behind the treatment, verify that it aligns with the patient’s values and goals, and determine whether any adjustments are appropriate. It promotes clear communication, reduces misinterpretation, and often resolves concerns quickly through real-time clarification and potential modification if needed. Only after this direct discussion should concerns be documented for formal review or escalated through ethics consultations or institutional processes if the issue remains unresolved. The other options represent escalations or administrative actions that are appropriate only after attempting direct clarification with the physician.