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Verbal orders in texas from Medical assistant



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Mar 30, 2008 12:22 AM

Verbal orders in texas from Medical assistant


Working in a home health agency. There is an MD office where the MA (Medical Assistant), an unlicensed individual, calls our nurses with MD orders.
Does anyone know if that is acceptable practice? could not find it in rules...help please.

Leslie RN


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7 Comments
No. 1
Old Mar 30, 2008, 12:33 AM

Default Re: Verbal orders in texas from Medical assistant
Originally Posted by leslienurse View Post
Working in a home health agency. There is an MD office where the MA (Medical Assistant), an unlicensed individual, calls our nurses with MD orders.
Does anyone know if that is acceptable practice? could not find it in rules...help please.

Leslie RN
I don't know if it is in your state, but it is acceptable in mine. But if there are questions regarding the order, then you must speak with the MD. I called in orders all the time prior to going to school and I wasn't even a MA.

For the most part I don't have a problem with taking an order from an UAP, but if the order is complex or just doesn't make sense then I ask to speak with an RN or the MD.
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No. 2
Old Mar 30, 2008, 01:57 AM

Default Re: Verbal orders in texas from Medical assistant
That's a big no-no with my agency ( I'm in a different state, however). You should refuse to take them until you verify that it is legal in your state and that it is acceptable to your agency.
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No. 3
Old Mar 30, 2008, 01:59 AM

Default Re: Verbal orders in texas from Medical assistant
Moved to the Texas Nurses forum.
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No. 4
Old May 29, 2008, 12:04 AM
Updated May 29, 2008 at 12:06 AM by NatashaFromOregon

Default Re: Verbal orders in texas from Medical assistant
In Oregon a CMA can phone in orders from an MD.

Whoops! I didn't see that this post was moved to the Texas board...
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No. 5
from carachel2
Old May 29, 2008, 06:48 AM

Default Re: Verbal orders in texas from Medical assistant
I deal constantly with this issue in a different way. I will call a physician's office with a non-critical (but still important) report on a cardiac patient and specifically ask for the nurse. 8 times out of 10 the MA will say "I'm Dr' so and so's nurse." It is a dead give away when they can't pronounce "tachycardia." Then I ask for them for their name for documentation and I'll say "so are you an LVN or an RN" and this is usually followed by a LONG pause.
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No. 6
from RN1989
Old May 30, 2008, 07:57 AM

Default Re: Verbal orders in texas from Medical assistant
It is inadvisable to take an order from anyone but the doctor. But it happens all the time and the best way to protect yourself is to make sure you sign: t.o. Dr. Mac/Sallie Meek - office staff/Jane Nurse RN. Until there are more JCAHO citations or lawsuits over this issue, I doubt that anyone is going to get the doctors to stop shirking their duties and write appropriate orders themselves.
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No. 7
Old Jun 18, 2008, 11:01 PM

Default Re: Verbal orders in texas from Medical assistant
We were told both in school AND in hospital orientation that this is a HUGE NO NO!!!!!!! We were told that an RN in no way was to take an order from anyone but another NURSE/PA or of course the Doc.

If it were me I would ask for a title before any order was even given because I worked WAY too hard for my license to lose it over a mistake made by a person who can't even pronounce common medical words.
But that is just me.

Go check out the nurse practice act on the Texas BNE website. I am sure they have something addressing this issue.
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