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Transcription Policies



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Mar 08, 2009 09:18 PM

Transcription Policies


Looking for policies regarding the trancription of medications onto MARs. When an ULP transcribes meds, the RN verifies the transcription and DOSING. When a RN transcribes, are they responsible for checking the dose, as well as the second RN? What does your facility suggest? I work in a Pediatric hospital and this is becoming a major debate for us.

Thanks,
Heather Martin MS, RN, PNP
Direct. of Pediatric Nursing QA/QI
Golisano Children's Hospital at Strong
University of Rochester


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pediatrics, quality improvement
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4 Comments
No. 1
Old Mar 10, 2009, 09:06 AM

Default Re: Transcription Policies
We transcribe all our own orders, but we have to have a second RN check the MAR and our calculation sheet. You must also verify the original order when the new MARS come from pharmacy, but this is a single RN check. On our peds floors, it is the same even though the secretary does the orders.

This will be changing once we are to a full computerized MAR since as soon as the order is written it will go to pharmacy thru the computer program, but it will still require a second RN check for computation on all meds and drips.
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1 Reader Gave Kudos
 
No. 2
Old Mar 10, 2009, 11:13 AM

Default Re: Transcription Policies
Thanks! Could you tell me where you work?
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No. 3
Old Mar 26, 2009, 10:39 AM

Default Re: Transcription Policies
I wish everyone had this system! Kudos to your facility
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No. 4
from OldnurseRN
Old Oct 26, 2009, 02:46 AM

Default Re: Transcription Policies
One nurse transcribes our orders. A second nurse verifies they are entered correctly and the one verifying is the one who actually notes the orders.
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