Depending on your facility, your policy and protocol may negate the need for a specific order. For example, if we are expecting a surgery to be over 4 hours or the patient has received an epidural, protocol is foley placed unless specifically stated by the surgeon not to place one. Our preference cards also fulfill the role of our standing orders, so that the surgeon doesn't have to place an order for each patient to have local on the field for use prior to the patient entering the OR (also covers certain types of foleys, such as temperature probe foleys for brain and heart surgery). Because we are using an electronic medical record, the surgeon then simply signs off on the medications used during surgery. Additionally, check your P&P for when verbal orders are appropriate. I can't imagine that any place would think a verbal order from a scrubbed surgeon would be inappropriate seeing as the alternative is for the surgeon to break scrub while a patient is in the middle of surgery.