New to Clinic setting, LPN here of 5 years hospital/ltc.
What are the legal guidelines for prescriptions in a clinic setting being called in and documentation of such?
Do you still use "TORB" to document, etc.
As of now, I am the first and only nurse for this clinic and until now the secretaries have been calling all prescriptions in including some narcotics (ambien, etc - sleep clinic). They obviously aren't "TORB" or "VO" documenting since they aren't nurses, and some of the time they use post it type notes where the doctor has scribbled a prescription and putting that on the chart as documentation. I am trying to establish guidelines but it's hard since I have never worked in a clinic and I am the first nurse and only nurse in this one. Thanks.