[vikvik1978]

Hey Clinical Educators
I need help
Well i think in most of the emergrncy units, nurses do carry verbal orders from physicians.
I checked some literature review and indicated the guidelines/policies and procedures concerning verbal orders.But the problem is that it was not identified that it is practiced in the EU.
IS It????
In my emergency room, the nurses do carry verbal orders and directly transcribe them on the patient EU sheet, after giving the medication....Afterwards, the EU resident will review the sheet and sign it.
Do you think we are practicing a safe care?/???
How do you carry orders in your EU?
Do you have a policy and procedure concerning this issue?
Waiting for your support

[vikvik1978]

Hey !
I need help
Well i think in most of the emergrncy units, nurses do carry verbal orders from physicians.
I checked some literature review and indicated the guidelines/policies and procedures concerning verbal orders.But the problem is that it was not identified that it is practiced in the EU.
IS It????
In my emergency room, the nurses do carry verbal orders and directly transcribe them on the patient EU sheet, after giving the medication....Afterwards, the EU resident will review the sheet and sign it.
Do you think we are practicing a safe care?/???
How do you carry orders in your EU?
Do you have a policy and procedure concerning this issue?
Waiting for your support

[MAGIK GIRL]

Originally Posted by vikvik1978

Hey !
I need help
Do you think we are practicing a safe care?/???
How do you carry orders in your EU?
Do you have a policy and procedure concerning this issue?
Waiting for your support

hey!
i am ambivilent (sorry, can't spell) about the whole verbal order thing. if you have a doc you can trust to sign the order or put it into the computer (some hospitals are completely computer and the orders are placed in it). verbal orders do make life much easier for us the nurse but can make life sooooo difficult if the doc doesn't sign. then it makes more work for us to trail after them. so i just get the chart and hand it to the doc and say "please write it" (not in emergent situations).

there is no "written" policy at my hospital. i also work with residents who tell you one thing and then sometimes the attending says no, don't do that. so, i get everything written. in 15 years i have been burned.

have a great day, hope this helps.

[vikvik1978]

Hey thank you Magic Girl!!
After doing literature review, it looks like it is everybody's problem,
No body feels secure with the Verbal Order thing
The problem is that we don't have an HIS in our hospital...It is Under Construction
But our EU sheet is a document where Drs review the documentation about notes+blood results and the treatments(Medication)/orders....
Later

[MAGIK GIRL]

Originally Posted by vikvik1978

Hey thank you Magic Girl!!
After doing literature review, it looks like it is everybody's problem,
No body feels secure with the Verbal Order thing
The problem is that we don't have an HIS in our hospital...It is Under Construction
But our EU sheet is a document where Drs review the documentation about notes+blood results and the treatments(Medication)/orders....
Later

well, unless it is life or death, be a chart mongar. say, "sure, write it and i will do it!"

good luck :hatparty: :hatparty: :hatparty:

[candyndel]

We now have specific 'Medication Admistration' guidelines in our ED P&P. the practice of giving meds is much different than that practiced in house (ie, no MAR, pharmacy doesnt double check your order and pull the med, etc) and we felt we needed it.
We had a Sentinel Event last year (an MD denied giving a VO) and therefore we are not allowed to take NON-urgent VOs. If there is a VO for a percocet, forget it. Lidocaine 100mg IV, we can accept that.
They hand the charts right back to the doctors to write it down.

Originally Posted by vikvik1978

Hey Clinical Educators
I need help
Well i think in most of the emergrncy units, nurses do carry verbal orders from physicians.
I checked some literature review and indicated the guidelines/policies and procedures concerning verbal orders.But the problem is that it was not identified that it is practiced in the EU.
IS It????
In my emergency room, the nurses do carry verbal orders and directly transcribe them on the patient EU sheet, after giving the medication....Afterwards, the EU resident will review the sheet and sign it.
Do you think we are practicing a safe care?/???
How do you carry orders in your EU?
Do you have a policy and procedure concerning this issue?
Waiting for your support

[vikvik1978]

Originally Posted by candyndel

We now have specific 'Medication Admistration' guidelines in our ED P&P. the practice of giving meds is much different than that practiced in house (ie, no MAR, pharmacy doesnt double check your order and pull the med, etc) and we felt we needed it.
We had a Sentinel Event last year (an MD denied giving a VO) and therefore we are not allowed to take NON-urgent VOs. If there is a VO for a percocet, forget it. Lidocaine 100mg IV, we can accept that.
They hand the charts right back to the doctors to write it down.

Thank you candyndel for answering back
If there is a possibility, can you please send me the site of your ED P&P, it would be very helpful, cause nowadays, we made an urgent staff meeting concerning this issue. Still no decision.
Keep in touch

[candyndel]

send me your email and i'll send u a copy....

Originally Posted by vikvik1978

Thank you candyndel for answering back
If there is a possibility, can you please send me the site of your ED P&P, it would be very helpful, cause nowadays, we made an urgent staff meeting concerning this issue. Still no decision.
Keep in touch