Lame, lamer, lamest....

  1. OK, you get a Telephone Order from a doc. You make sure the order's correct by reading it back to him and making sure it's complete, and then you write,

    "t.o. Dr. Schnook/T. Ired, RN

    right??

    Oh no more!!

    NEW POLICY::

    NOW we have to write TORB/Dr Schnook/T. Ired, RN

    What's the RB for? Why, "Repeated Back," of Course!!

    who the heck thinks this stuff up?????!!!
    Last edit by Sleepyeyes on Oct 25, '02
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  2. 18 Comments

  3. by   OBNURSEHEATHER
    Another way nurses have to cover their ass

    Heather
  4. by   micro
    read back and confirmed.....here......
    funny, i tend to just write t.o. dr/me
    I do read back orders.......
    guess I just like to live dangerously.........
    cya, all this profession is turning into is cya,
    micro cya
  5. by   Mattigan
    It's a JCAHO thing-- just like most other little rules. We do the repeat and verified. I'd like initials better.
  6. by   adrienurse
    So who the heck hasn't been doing that in the first place?
  7. by   baseline
    LOL. I think the health care system could use alot more nurses, more competent physicians and a whole lot FEWER lawyers! Has it ever occured to anyone that if the entire business community was held to the same standards that we are held to.....it would just be a more efficient and safer environment?
  8. by   Sleepyeyes
    Originally posted by adrienurse
    So who the heck hasn't been doing that in the first place?
    Exactly my point. We're taught to do that from Day One in nursing school. The excuse for this thing is that "some" docs deny giving the order.

    So a couple more initials on a TO is going to make the correct process of getting a TO, more correct? Right??
  9. by   Sleepyeyes
    Originally posted by baseline
    Has it ever occured to anyone that if the entire business community was held to the same standards that we are held to.....it would just be a more efficient and safer environment?
    IMO, it'd be so cumbersome we'd never get anything done. Take 3 days just to check out at Walmart's.... .. for a loaf of bread.
  10. by   psychonurse
    It is another way of protecting yourself and in a lawsuit happy world that we are living in it is good to have. I work in corrections and believe me, any way to keep me from getting sued is good for me. I got out of hospital nursing cause patients many times are just looking for a big settlement so having something to cover you and the doctors butts is a very good idea. And if you don't write that what happens when the doc comes in the next morning and says? "I didn't give that order to you." I think that would have been nice at night time when you have to wake doctors up for orders. So hopefully this will help us all.
  11. by   baseline
    Sleepyeyes..........You've got a point!!!! I guess I was thinking that if WE screw up we pay in a BIG BIG way.........or someone gets hurt or worse. I guess I just want my newspaper to land somewhere close by my house!!! Lol. I've had a few bad not so friendly user service experiences lately. But cya....whats 2 more initials.
  12. by   ernurse728
    Actually I have always written "repeated and confirmed" under my orders. They aren't getting me for something like that!
  13. by   Wolfpax
    Yikes ! we are not allowed phone orders ...(wink, wink, nudge nudge) Doc has to put it in the computer...all by their little selves ...what a shame (they do whine about it, at times.) The bad side ... at 6am finding the house mouse and getting him to put in the order from 5pm.
  14. by   RadRN2
    Wow... How'd you get the medical staff to agree to a system like that? Or did they not GET to agree?

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