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Doctors Enter Their Own Orders??

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Do the doctors at your hospital enter their own orders into the computer? We are soon to be using a new system where this is supposed to occur. We nurses wonder how it will work and how will we know when a new order has been entered. Especially a stat order??? :trout::trout::behindpc::behindpc:

DutchgirlRN, ASN, RN

Specializes in OB, M/S, HH, Medical Imaging RN. Has 33 years experience.

Do the doctors at your hospital enter their own orders into the computer? We are soon to be using a new system where this is supposed to occur. We nurses wonder how it will work and how will we know when a new order has been entered. Especially a stat order??? :trout::trout::behindpc::behindpc:

We had been promised, for the past couple of years, that doctors would soon start entering their orders into the computer. Never happened. Doctors flat out refused. They don't seem to take it seriously when told that we can't clearly read their handwritting...imagine that!?

I know of one who complained that he didn't know how to type and another who said he had no idea how to use a computer, granted he is of retirement age.

MA Nurse

Specializes in NICU, Telephone Triage.

Do the doctors at your hospital enter their own orders into the computer? We are soon to be using a new system where this is supposed to occur. We nurses wonder how it will work and how will we know when a new order has been entered. Especially a stat order??? :trout::trout::behindpc::behindpc:

They did this where I used to work. You won't know there's an order unless the MD tells you or you keep checking the printer.

Lisa CCU RN, RN

Specializes in Geriatrics, Cardiac, ICU.

I'd think it be simple enough to create a worklist for the nurses on the computer and have it alert the nurse when there were stat orders or any other type of order.

Then you could just check on the computer while you were charting.

And to the doctor who said they can't type, well neither can I, but I manage just fine. How do you get out of medical school and can't type anyway? Didn't they just used to have typewriters anyway and I know us nursing students weren't the only ones writing papers!

BGgirl

Specializes in Stepdown progressive care. Has 15 years experience.

We do this where I work and it seems to work well. It can be a pain at times when the system is down because then you have to backload everything.

Our doctors are very good about entering orders and stat orders print off on the printer on a green sheet of paper. You just have to keep checking the computer to see if you have new orders and at the end of the shift you do a shift check on the computer to make sure you haven't missed any important orders and that everything has been done.

cappuccino

Has 15 years experience.

We do have computerized orders. Basically all the orders print up after the doctors enter them into the computer. The stat orders print up in bold lettering. Essentially it's the unit clerks job to check for new orders. The advantage of having computerized orders is that you don't have to take off meds anymore. The pharmacy gets the order and enters it into the pt's MAR. Then we nurse review it. So when you have pts that have lots of meds it makes it much easier. It's soooooo much better than written MARs.... Initially alot of the doctors were against it but administration made it mandatory hospitalwide..........

a lot depend on how this is presented to the docs..no one likes to have to do new things ie everyone thinks they are overworked but if it delivers good care because every one is on the same bar and you knw what orders were meant this is great..do these order go to pharm? tht would save a step, if a puter can blink when you have a new e-mail it should be programed to indicate a nw order

BGgirl

Specializes in Stepdown progressive care. Has 15 years experience.

On another note...I think the computer system is beneficial to everyone because it can make things done easier and faster. All our med orders are sent to pharmacy and then are entered into our handheld computers we carry and orders like labs are sent their so lab knows when stat labs are due etc. Basically the computer orders communicate with each dept so that better, faster care can be done.

NurseCard, ADN

Specializes in Med/Surge, Psych, LTC, Home Health. Has 13 years experience.

They did this where I used to work. You won't know there's an order unless the MD tells you or you keep checking the printer.

That's exactly how it is where I work. Fortunately for me, I work nights here and so very rarely have to worry about any new orders coming through the printer, unless it's a now order that I personally called and obtained from the doctor on call.

teeituptom, BSN, RN

Specializes in ER, ICU, L&D, OR.

because doctors are doctors and they will still come and say there are orders for you.

Yes doctors enter their own order with rare exceptions. However we have had computer entered orders for over 30 yrs. We adopted a new computer system spring 2006. Everyone including the doctors went through lots of training, with open computer lab time for practicing. Also the first month there was computer support on each unit. The doctors also have the ability to enter orders from their offices or homes. Handwritten order sheets are filed in a cabinet for those rare times we need them. We don't make them readily available.

With our new system we know we have new orders because we get a little flag on our monitor and a different flag, I think red if the order or lab results are stat. Our very old system we got print outs and you had to check your new order slot frequently for new orders.

NurseCard, ADN

Specializes in Med/Surge, Psych, LTC, Home Health. Has 13 years experience.

30 years???????

Yes doctors enter their own order with rare exceptions. However we have had computer entered orders for over 30 yrs. We adopted a new computer system spring 2006. Everyone including the doctors went through lots of training, with open computer lab time for practicing. Also the first month there was computer support on each unit. The doctors also have the ability to enter orders from their offices or homes. Handwritten order sheets are filed in a cabinet for those rare times we need them. We don't make them readily available.

With our new system we know we have new orders because we get a little flag on our monitor and a different flag, I think red if the order or lab results are stat. Our very old system we got print outs and you had to check your new order slot frequently for new orders.

CarVsTree

Specializes in Trauma ICU, MICU/SICU. Has 4 years experience.

Our docs enter their own orders with about 95% compliance. A popup comes on my screen when new orders are entered. Also the AP's (unit clerk's) flag new orders in the kardex book.

It is nice though when they also mention new orders to us.

I love CAPOE (computer assisted physician order entry). I can also take phone/verbal orders and enter them right in the computer. Very nice.

That's exactly how it is where I work. Fortunately for me, I work nights here and so very rarely have to worry about any new orders coming through the printer, unless it's a now order that I personally called and obtained from the doctor on call.

At the hospital where I work at the doctors are required to put their OWN orders in the computer. This way they can't come back and say that "I didn't order that". Because I work in a teaching hospital, we always have someone on call in the building to put orders in. I really don't know how that would work in a community hospital where you would be calling docs at home (on night shift). We don't know if something is stat unless the doc tells us or we check freq. This isn't usually a problem in the ICU here, we usually know when someone needs something stat. LOL

One hospital I worked at, the computer would give a small beep when a stat order was placed and the nurse or unit clerk would check to see what the order was.

mamalle

Specializes in ER, Outpatient PACU and School Nursing. Has 11 years experience.

yep- all of our ER doctors have to order everything into the computer: labs, xrays, meds, wound care, etc. we do not do it unless its in there. we all wear beepers that beep us when we have orders and we also watch the computer screens that will show us different symbols for different orders. I have to go into the screen and mark that I have done it and put it in my nursing notes also on the screen.

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