Faxed signatures of physician ordersRegister Today!
This is a discussion on Faxed signatures of physician orders in Legal Nursing, part of Nursing Specialties ... If you (LNC) were reviewing a chart and found only faxed signed orders and no originals, would this...by Mazzi Jul 19, '08If you (LNC) were reviewing a chart and found only faxed signed orders and no originals, would this be questionable?
The organization I work for has started this practice. I really have a hard time throwing away the unsigned original written order. Our new Security Officer says this is accepted practice since the invention of technology, Computers, fax machines and PDA. Any input? Thank you in advance.
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- Jul 19, '08 by sirIno, i wouldn't have a problem with it.
but, you say, "i really have a hard time throwing away the unsigned original written order". how can the fax be signed and the original not be signed??
- Jul 20, '08 by KLKRNI think because they fax the unsigned one to the doc and he/she signs it and sends it back. But I would think there would be at least a TORB notation with the nurse's signature on it and the doctors name.
- Jul 20, '08 by sirIFaxed signed copies are as legitimate as original signed ones. I have no issues with this.
- Jul 20, '08 by MazziUnsigned is the hand written copy of the order that the RN writes per telephone order and then sends this to the Dr. for signature per fax. Then he signs the faxed copy, faxes it back to our office and then the secretary will throw the hand written orginal away and file the faxed signed copy. I'm from the old school where the ink origianal is SACARED. HA!!
- Jul 21, '08 by KLKRNI know, old habits die hard. But this is really every bit as acceptable as the original.
- Jul 21, '08 by wooh1. Does the original (that was handwritten) have anything saying it's a verbal/telephone order?
2. If the MD is taking the time to sign it, and then it's faxed, why doesnt' he take the time to actually write the order before it gets faxed.
- Feb 17, '11 by lvnnars1just for clarification, are faxed orders considered telephone orders? do we fill out the telephone order form for any faxed signed orders?
- Feb 17, '11 by tewdlesThe faxed and signed document is perfectly legal. We also keep the original in the chart in addition to the fax "log" showing date and time of the original fax to the provider, probably overkill but we are cautious that way.
Sometimes the orders are written as verbal or telephone orders by the nurse because they are. Sometimes they are standing orders or certificates of terminal illness.