Hi, our cardiology practice needs standing orders to cover the advice that we nurses give to patients over the phone. I feel naked without standing orders but the docs don't want to write them. I'd like to put together some standing orders for the most common situations (extra dose of lasix for CHF, med refills, coumadin/INR management, pre-dental work prophylactic abx, etc).
I have done an exhaustive web-search for "standing orders" and, while there's a wealth of information for immunization standing orders, there's nothing for out-patient cardiology. Do I really have to reinvent the wheel here, or can someone point me toward a book of standing orders that we could use?
Mar 11, '07
Sorry. I am not much help for adults.
May 4, '12
Did anyone ever give you any direction to writing those standing orders? I am currently in that same point. Any help would be very useful! Thanks!
Jun 27, '12
I work in a Coumadin clinic and our protocol for adjusting Coumadin doses comes from the American academy of chest physicians. There is a protocol for the 2.0-3.0 range and 2.5-3.5 range. That should at least get you started on the Coumadin piece.