Who enters orders in the hospitals you're at?

[PnwRN84]

In the hospitals you do clinicals in, who enters orders in the computer?

physicians only

physicians and nurses

physicians, nurses, and secretaries/HUCS ?

Also, what state are you in?

[Sour Lemon]

Physicians and nurses enter orders at my hospital. Our "secretary" is always a nurse who can call for and receive orders while the rest of us stay busy out on the floor. I'm in California.

[mindofmidwifery, ADN]

In the emergency departments I've worked at, nurses and physicians generally enter orders. In the adult ER I've worked at, techs were able to enter EKG orders after the doctor signed them. In the peds ER I've worked at, unit coordinators were to enter verbal trauma orders as given by the attending physician.

On the postpartum unit and nursing homes I've worked at, only physicians entered orders.

[Rocknurse, MSN, APRN, NP]

I think you forgot nurse practitioners and PAs.

[NICUmiiki, DNP, NP]

I marked physicians only, but I meant all providers.

[KelRN215, BSN, RN]

When I worked in the hospital, nurses could enter orders as "standard of care" (orders which did not require an MD or NP signature, such as orders for routine G-tube balloon checks, PICC line dressing changes), "co-sign required" (for verbal orders, though these were highly discouraged and really the MD was supposed to enter the order himself or herself) or "written/no co-sign" (for orders that were hand written during computer down-time). In general, orders were to be entered by the MD/NP.

[Nightmaren, BSN, RN]

At my hospital, physicians and NPs/PAs primarily enter orders, but nurses can also enter orders. Some nurse-entered orders require you to "sign" it under the name of the attending, which is usually no big deal for procedural orders. Secretaries only deal with bed requests, but they can enter them if there is a transfer order in place. This was in Texas.

[chris21sn, BSN, RN]

Doctors and nurses.

It'd be great if doctors did more inputting of orders. In the end it's usually doctors talking and the nurses putting in the orders. It's frustrating.

[Nightmaren, BSN, RN]

In the end it's usually doctors talking and the nurses putting in the orders. It's frustrating.

Ugh. This used to be a problem, particularly with the residents and the fellows in our hospital. We really got on their case and enacted a culture change (with the help of the attendings) that made every provider responsible for their own orders. It helps that we are a closed unit though...