should MD and Nurse phone orders and phone reports be voice recorded? - page 2
I sat in on another Pharmacy and Therapeutics meeting in our hospital. I listened to the MDs complain (once again) about the calls they receive from nurses, pharmacists and techs re: clarifying... Read More
0Aug 26, '11 by merleeIn this electronic age, unless the MD is unable to type, like if s/he is driving, or during a procedure, there is almost no excuse for giving verbal orders. We can work around HIPAA by using medical record numbers, and everything can be delivered via text.
Years ago, all verbal orders were listened to by 2 nurses, and signed by both of them, to avoid the nonsense of "That wasn't what I said". Too many nurses got caught in the crossfire when a doc would say that no one called him, he couldn't remember saying it, etc., etc.
If no one can understand the scrawl then the doc should be called every time his handwriting is illegible.
Thank Heavens for total computerized charting!Last edit by merlee on Aug 26, '11
0Aug 26, '11 by martinalpnGood idea if there were on ten meds to record make them type them print or take a handwriting class once again hospital administrators need to back the nurses good handriting clear order4s keep the lawyers away once again all about the documentation
0Aug 26, '11 by nyrn5125We only have handwritten orders and will always call the md to clarify their illegible handwriting. Unfortunately it is too frequent since there are no computer entry orders. It amazes me how it's always the same ones. When they get annoyed I tell them that no one including pharmacy could read what you wrote and it's not getting dispensed til it's legible.