I recently started a job in home health as a QA nurse, the DON wants us to write and sign orders for nurses out in the field, particularly an LPN, I found out that LPN's can write their own orders but this was not the case at this agency, it makes me nervous to do this. What is the liability, I did not speak to the MD nor did I see this patient. Is this the norm for home health. Also, if there are missed visits, anything that is missing from the chart we are suppose to fix. I feel that this goes against what is right!! Any suggestions
Dec 14, '10
In my state the LPN can write the order but requires an RN Cosigner.
The RN Cosigner is always the LPN's clinical manager at our agency.
We do have a LPN office nurse who will follow up on our outstanding orders with physicians that are faxed; however, she defers only to the nurse who requested the orders originally when they are transcribed verbatem into the record for signature. Otherwise, if she is taking an order she requests her direct clinical manager to cosign it.
She does a very nice job for us and is a valuable part of our team in keeping continuity of care for our pt's. so orders don't get missed and pt's. get seen without a break in service following SOC.
Last edit by RubyRN,CHPN on Dec 17, '10
: Reason: clarification