When a barcode scan cannot be completed due to system downtime, what is the recommended course of action?

• A. Continue barcode scanning and proceed without verification during downtime.
• B. Follow a documented downtime protocol with manual verification, a second clinician check, and meticulous documentation of the exception.
• C. Cancel all medication administration until the system is back online.
• D. Delegate verification to a nurse who is not involved with the order.

Answer: (B)

When barcode verification systems are down, patient safety hinges on using a documented downtime procedure that preserves verification steps. The recommended approach is to follow the downtime protocol, perform manual verification of the patient, medication, dose, route, and time, have a second clinician independently verify the administration, and meticulously document the exception. This keeps the same level of safeguards in place even without the electronic scan, creates an accountability trail, and reduces the risk of medication errors until the system is back online. B emphasizes a structured, safety-focused process rather than bypassing verification, delaying care, or delegating responsibility inappropriately.