Do you write medication orders?

When we print out our surgical record with medications documented, an extra page prints out for the Dr.'s to sign at a later time. Pref cards are used as standing orders.

Our institution won't allow standing order sets, so it all has to be put in individually. We go off of our preference cards, or whatever the physician asks for. We can't chart verbal order though, it has to be put in as "perioperative order". In some services the residents/PAs are awesome and put in most of the orders but most of the time it falls on us.

Nope, can't think of any real, logical reason to except those who are extremely picky, picky about the most minute irrelevant detail. Just my opinion, waste of your vaulable time.

We do not, and I wonder how we do all of those things without orders, but as of now we do not.

We do not, and I wonder how we do all of those things without orders, but as of now we do not.

I was once told it is OK to not have a written order for it all because the ordering physician is standing in the same physical space and its under surgeon's direct supervision. Not sure what/where this info came from or how old it is. Also not sure how true that is, and keep in mind facility policy can over ride it..... I've worked in facilities where I had to write out orders for intraop xrays and other facilities say its not necessary--rumor had it that by the state regs, xray techs could not take "verbal" orders so nurses had to write/read back the order and give it to the xray tech---what a joke....the xrays were usually done by the time nurses ever got around to writing the order.

Not sure why you would need to when the physician is the one who is actually administering the medication to the patient. We just chart what meds we dispensed to the field. X-ray and specimen orders we put in the computer as verbal orders.