nurses accepting telephone orders from other nurses

[ninsttmk]

Has anyone ever heard of a nurse refusing to accpet a telephone order from another nurse for medication? This is one facility to another.

ninsttmk

[lindanurse]

I am new at a LTC facility that has a policy that we can take TO from another nurse at their doctor' request. Usually, the doc has given an order to his office nurse who in turn calls this order to me. I got into a huge debate about this when I refused to accept an order from a nurse and insisted that she fax it to me. Turns out the order she was giving me was incorrect! Even though my facility says I can accept TO from certain nurses, I have still refused and asked to facimile back up.

Here's my question: Does anyone know if this is addressed in the Virginia Nurse Practice Act, and if so, where? I cannot find it. Thanks, Linda

[NurseKatie08, MSN]

Only person I'd take a TO from is a Doctor or Advanced Practice Nurse.

[RNOHIO2009]

At the hospital I work in, we can only take orders from a physician(or person with prescriptive license). Nurses are not licensed to prescribe medications unless they are nurse practioners with a prescriptive license to do so. Taking orders from anyone other than an individual licensed to do so only puts your own license on the line.

[Schatzi RN CEN]

I work at a small rural hospital that services several Long Term Care Facilities. We usally have one Physician or mid-level parctitioner on call and very rarely do they agree to talk to the LTC nurses themselves. Most of the time the RN or LPN has to relay the orders to the LTC nurse. I have never had a nurse refuse getting an order relayed by me.

[RNOHIO2009]

[color=#231f20]

the regulation defines "order" as an instruction

or authorization for a specific client given by an authorized

health professional to carry out (e.g., administer a schedule i medication). health professionals who are authorized to give orders to

registered nurses are physicians, midwives, podiatrists,

nurse practitioners and dentists.

12. rns, rpns, and lpns may not accept verbal or telephone orders from another nurse

or other health care professional or be expected to transfer orders from a physician or

np to another nurse or health care professional except in exceptional circumstances

where it is in the interest of patient care to do so.

12.1 in the case of an exceptional circumstance, the signature and discipline of the

person accepting the order, the signature and discipline of the person who

spoke with the physician or np, and the physician or np's name shall be clearly

legible (e.g. s. small rn/j. jones rn/dr. f. smith).

12.2 the physician or np shall countersign the order within 24 hours for acute care

patients and on next physician or np visit for long term care patients.

13. other professional staff may receive a physician's or np's verbal or telephone order if

the order relates to their specific discipline, as outlined in 13.1.

13.1 the following staff may receive verbal or telephone orders from a physician or

np:

- dietitians (medication orders as they relate to this discipline)

- pharmacists (medication orders as they relate to this discipline)

- respiratory therapists (medication orders for inhalation as they

relate to this discipline).

i prefer to follow the rules set forth by the board of nursing in regards to standards of practice in promoting client safety and applying the nursing process.

we too deal with ltc facilities, but our physcians write out their orders on a continuity of care. whatever your institutions policy is, i am sure is appropriate with the law. i was just commenting on what our facility policy is and that is that a nurse takes an order from an individual with a license to prescribe. that information can be provided to another nurse, because it is an order that is in place, i.e. in nurse to nurse report, or report called to a ltc facility.

[PMR1027]

In the LTC where I work, Orders must be given by a Physician, PA, or NP. You have to be allowed by NYS to prescribe medication in order to give telephone orders, to my knowledge.

[Son Tava]

When RNs attain provider priviledges then I will consider receiving an order from an RN. Otherwise, never.