Core Measures, who is responsible?

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Does anyone know who I should contact in regards to facilities pressuring nurses to fulfill these core measures which includes making sure certain prescriptions are ordered which is out of the scope of nursing? I'd like to get down to the nitty gritty as I went to school to become a nurse and not a physician and should not be held accountable as such..especially with the difference in my pay versus the doctors pay..any leads I would appreciate it..

Why does the OP need two threads on this subject in order to vent his frustration with core measures implementation?

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Why are some nurses just so....ewwww!

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As I said earlier in this thread, the nurse has a role in ensuring core measures are followed. However, the problem is when nurses are held accountable for something they're not responsible. There's a difference. CM auditors need to contact the physicians when medications are not ordered instead of dumping that on the bedside RN - because ordering medications is a physician responsibility. Most professions don't tolerate nonsense like being disciplined for things that aren't under their legal authority.

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I'm wondering why auditors are not contacting the physicians directly.

If they are using non nurses, is there some issue with being able to take a verbal order? If it's a nurse doing the core measures audits, this shouldn't be an issue.

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I'm wondering why auditors are not contacting the physicians directly.

If they are using non nurses, is there some issue with being able to take a verbal order? If it's a nurse doing the core measures audits, this shouldn't be an issue.

Taking verbals/telephone orders shouldn't be an issue in most hospitals now that CPOE is the norm.

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Possible solution doctors need to put orders in and nurses unless it is night shift (doctors sleep) nurses wouldn't be allowed to take verbal orders (for these core issues)and doctors get constant notifications until it is ordered. I thought the push for computerized charting was to cut down on verbal orders.

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