Do you need a MD order for IS?

[SlightlyMental_RN]

Okay...dumb question:

If a person has come from having pneumonia and atelectasis (in hospital) to your facility (rehab), and they have an IS from the hospital, do you need an MD order for them to continue to use the IS? Are you only allowed to have them cough and deep breath w/out the MD order for the IS? Thanks!

[blondy2061h, MSN, RN]

I've never heard of needing an order for IS. All of our patients get one in their admission kits.