[JR Herr]

As the person responsible to research nursing policies for our organization, I've been asked to try and develop a policy on Physician Standing orders/ Plus Routine Orders or Protocols or Medical directives which ever term you want to use. Anyone have any idea of web sites I could look at to find information on this subject? Or anyone have such documents on this subject that they would share? Any help would be appreciated.
Thanks
John[

jherri@healthwest.nf.ca[/email]

[renerian]

ARe you looking to create standing orders per procedure ie) total hip replacement or per disease ie) CHF? I have done this before and might be able to help you.

renerian

[efiebke]

Our hospital has a list of "Interdepedant Nursing Actions" (INA's). Is that what you mean??? It's a modest list of things that our hospital and the physician agreed upon for nurses to do. . . . I think so that nurses don't have to wake MD's up at 3:00 in A. M. for. . . .

But it is a nice list of things we can do without getting an MD's order right away.

Tylenol for temp with person already on antibiotics therapy.
Oxygen for SOB (then call MD!)
Lots of enema orders!
Foley cath for urine retention greater than 400 cc (found on bladder scan).
Mylanta for indigestion
EKG for suspicious cardiac stuff

This is only a small list of INA's available to us (just doing this off the top of my head, at present.)

In our happy little ICU/CCU, we can give lidocaine for sustained symptomatic V-tak, Atropine for symptomatic bradycardia and. . . of course. . . Defib for V-Fib. Then we call the MD.

I hope that this is helpful.

Ted

[renerian]

I PM'd you back JR. renerian

[ceecel.dee]

I've just done a complete packet for Heart Failure: Physician standing orders, standard nursing assessments, reminder stickers for LVEF documentation and ACEI orders, inpatient education, and discharge instructions.

Also inpatient pneumococcal and influenza immunizations.

Also antepartum and postpartum.

If you'd like a look, let me know.

[jboyles]

[I would like to see your Heart Failure orders, stickers inpatinet education and discharge instructions. I am going to be working on this very project next eek. thanks, jboyles
QUOTE=ceecel.dee]I've just done a complete packet for Heart Failure: Physician standing orders, standard nursing assessments, reminder stickers for LVEF documentation and ACEI orders, inpatient education, and discharge instructions.

Also inpatient pneumococcal and influenza immunizations.

Also antepartum and postpartum.

If you'd like a look, let me know.[/quote]

[jboyles]

I would really like to see your heart failure material, I am going to be working on this very thing this week. Any help would be appreciated. jboyles




If you'd like a look, let me know.[/quote]

[mattsmom81]

I have ZERO standing orders as of now and I can't believe it!! Guess I will see what I can do...hehe. I do enjoy working from protocols and making decisions for my patient without waking up a sleepy doc at 2 am.....

[99_99africa]

On each patient that is admitted we have a assessment form eg: Respiration or sensory which would be on the next line, how would anyone be able to assess a patient on one line? When we write normal we are told that this is incorrect,but are given no pointers as how to do and no protocol is evident in the unit. Please help!