Verbal orders vs written orders - page 2

by kateb8

5,059 Views | 12 Comments

Which of the following meds would you be required to have a WRITTEN order for? Fentanyl, stadol, phenobarbital, or darvacet? Thank you in advance!... Read More


  1. 0
    Quote from psu_213
    Are you talking about meds which need a written prescription vs. which meds can be 'called in' to the pharmacy?

    or

    Do you mean meds for a patient in the hospital where you take a verbal/phone order for the doctor?

    When I read the OP, I thought you meant the latter. In the case of the latter, I can take a verbal order for just about any medicine, including narcotics (but I'm sure it varies by facility policy and may vary state to state).

    As for up to date information in nursing school...I can remember a lot of stuff that was taught in school and that was in NCLEX review books that was directly contradicted by latest research (for example, the Homan test or floating an inhaler to see if there was any medication left in in).
    I read this the same as you. Whether or not you can take a verbal order for something depends on the facility's policies. Before we went to computer charting/computer orders, verbal orders were common and nurses could accept verbal orders for narcotics, as long as a 2nd nurse co-signed the order. After computer order entry started, verbal orders were only allowed in emergencies.

    I would guess that pharmacy's policies vary by state as well. I always send patients home with a hard copy of the script for any narcotics, but I do know that there have been times when pharmacies have accepted verbal orders for narcs from the doctors/NPs.
  2. 0
    Quote from KelRN215
    Before we went to computer charting/computer orders, verbal orders were common and nurses could accept verbal orders for narcotics, as long as a 2nd nurse co-signed the order. After computer order entry started, verbal orders were only allowed in emergencies.
    Interestingly enough, the places I have worked did not require a cosignature on a VO for narcs. Also, working now in an ER with CPOE, I still enter some VOs--such as, the MD is in the middle of something so he/she gives me a VO for zofran, pain meds, etc.
  3. 0
    Btw- They pulled darvocet and darvon because it was found to be causing abnormal heart rythems, some potentially deadly.


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