Quote from renerian
LOL I am with you........
If any of you wanted to know (at least for the state of Utah) I found out my answer after some searching....
The action of taking a verbal order actually falls under the Pharmacy Pracitce Act for the State of Utah instead of the Nurse Practice Act (which is extremely vague).
I was finally able to get my pharmacy manager write an email to the woman in charge of all pharmacy issues at DOPL. He asked her how many agents can be utilized in a verbal order.
FYI - An agent is anyone that works for the MD/NP or is a tool in carrying out his/her orders. This means that the agent could be a secretary, CNA, MA, LPN, RN, etc. The Parmacy Pracitce Act states that a Pharmacist can take an order from the agent of the doctor. It does not say AGENTS and it does not say that an RN can take an order from another agent.... so we had to have this clarified. How many agents can be utilized???
In my home care agency, almost on a daily basis we see verbal orders passing anywhere from 1-4 agents (and on occation even more).
For example: Field RN calls MD for a continuation order of a mediation. The MD's RN or MA (agent 1) calls the field RN (agent 2) and gives her a verbal order. The field RN calls the local nursing intake and gives the verbal order to the intake nurse (agent 3), who then calls the IV pharmacy intake nurse (agent 4 - this is what I am in my company), who then gives the order to the pharmacist. Mind you - the actual order is only written down by agent 4 or the pharmacist!!!! Scarry isn't it????
I just find this process to be so potentially dangerous both for the patients involved and also for me as an RN.....
Anyway, the Pharmacy director for DOPL in the state of Utah responded to my pharmacy manager saying that there should only be one agent used unless it was absolutley necessary. Of course my manager believes that means she can take a verbal order from an agent anytime that she is familiar with the medication. I find this logic extemely flawed. I have wondered if she ever played the telephone game in elementary school....
So my manger still thinks that every nurse can choose to "interpret" what absolutely necessary means. Personally I am sticking to my guns. I will not take an order from an agent of the MD. I will only take an order from an MD or NP when it is necessary. I will always prefer an written order over a verbal order.
In the meantime I am going to try and get the pharmacy act changed in the state of Utah to state directly that the verbal order can only go from one agent directly to the pharmacist.
Thanks everyone for your input!!!
Gwen RN, BSN, CRNI