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 orders that were written illegibly... Read More
- 1Aug 25, '11 by Isabelle49One of these days, the hospitals and pharmacies will get smart and provide the physician a medication order set, so the MD can initial what drugs, dose, route, frequency they want and sign the form. All of the information will be clearly printed and can be data entried. Would reduce errors and phone calls.
- 1Aug 25, '11 by Little_MouseIf no one wants to record a TO or MD's don't want to enter their own orders, what about if MD's TYPED their orders? If there was a program that they can type into, send it and the staff will be able to access it? Even remotely, like if an MD were called and they can send it from anywhere, sort of like an email? At least we don't have to decifer their encryptions...
- 3Aug 26, '11 by woohQuote from Flo.Hehe, we went to it and were only going to take verbal/telephone orders in "extreme cases" such as MD is driving or scrubbed in doing surgery. Bwahahaha! That's still the policy, so if something happens, they can blame the nurse for not "making" the MD put the order in, but the couple of times I tried to enforce it, I actually got in trouble for "not being a team player" or in other words, "not doing the MDs' jobs for them."This is why we need physician order entry. Then everyone would be able to read the orders and the mds will not be constantly called to clarify the obscure and hard to read. Of course when they tried to do this at my hospital the mds refused stating that they did not go to med school to be a secretary. They were not hearing anything about patient safety or efficiency.
If an MD wants to be an a$$, they're going to be an a$$. It doesn't matter what system is in play. As long as they bring money "in" and nurses are just a huge red mark on the hospital balance sheet, hospitals are going to cater to the MDs.
- 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 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.