Hi, I am having difficulty adjusting to LTC and MD orders. I have 20 plus years experience in INPT, ICU, and ER; but am having difficulty understanding roles here. Is it different in LTC when you get a MD order? I was taught that you could receive an order without signing it off, e.g. a RBTO, but when you signed it off or noted it, that showed that you had taken responsiblity for putting it in all the appropriate places like the MAR, the computerized charting system (not yet using eMAR), entered the lab orders, made the appointment, or whatever the order states.
In my facility, we have a Resident Care Manager who asks that we put all the pink copies of the orders in a specific place, but she feels that signing in the "orders received by" space means the order has been completed (and it is not completed.) Does this happen other places. I am trying to find a policy/procedure that states how MD orders are to be processed, but can't find one. Does anyone have a source (even from nursing school) that talks about completing MD orders? Help!