Nursing order

Does the doc sign off on these orders?

Is there another way you can communicate things to each sift? I'm not sure what type of setting you are in, so it might depend.

Tell us what some of the orders are, so we can make a more logical judgement of what's legal or not...

You need to see your nurse practice act for your state.

Well, at my facility, RN's are allowed to put in orders based on protocol for skin related care. Orders such as "turn every three hours" or even orders for prescription lotions and ointments do not need a doctor's order. I would probably give the doctor a heads up that this pt has a stage #1 or is at risk for skin breakdown, just so he is aware, but as long as your protocol allows nursing orders related to skin care, I don't see a problem.

What kinds of skin treatments are you refering to that yu are uncomfortable? Skin care has a fairly wide scope of practice I ahve found in most places. This is why most hospitals have a skin care team to help with difficult things and give suggestions. When medicated things like say an antifungal are needed yes you have to get the order to get the cream--The team is made up of nurses and usually headed by a WOCN RN and they usually can give you guide lines for what the bes treatments are for various skin things as well as what things you can implement with and without an order.....In a nursing home things a a bit different but you should still have someone who is experienced in skin care to kind of be in charge and a protocol in place for these guidlines.

I always had the same question. I work at a long term care facility, and the nurses have always written orders, then got the doctors to sign off on them later. But what about when a doctor writes an order for a "ua c&s", can the nurse write an order for "may straight cath"? I feel uncomfortable with that because its invasive.

I don't work in LTC, why would you do daily rectal checks?