Doctor charts later?

Nurses General Nursing

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Specializes in Ambulatory, Corrections, SNF, LTC, Rehab.

Would be a licensed nurse can be in trouble if she/he drawing medications without doctors order yet? But it's the "doctor" administering the medication and he'll/she'll document it later on?

Is it a med error or malpractice habbit?

please comment or advice. thank you!

ps: doctor give the medication and document it "later on habbit"

Specializes in Neonatal Nurse Practitioner.

Sounds like a verbal order for the medication. Just make sure you get a written one later. This happens frequently in emergency situations. I don't think it's appropriate in non-emergency situation because the physician should have time to put in the order beforehand.

Specializes in Ambulatory, Corrections, SNF, LTC, Rehab.
Specializes in Ambulatory, Corrections, SNF, LTC, Rehab.

tHANK YOU miiki, but do you think the nurse can be in trouble by drawing the medications? even though the doctor is the one giving it?

Specializes in psych, addictions, hospice, education.

Where I've worked, such things are entered into the system as a verbal order. Then whoever looks over those things makes sure the doctor signs it or updates it (if he forgets) whenever the time is appropriate.

Specializes in Behavioral Health.
Where I've worked, such things are entered into the system as a verbal order. Then whoever looks over those things makes sure the doctor signs it or updates it (if he forgets) whenever the time is appropriate.

Yeah, if it's not an emergency but there's a reason the physician can't put in the order, we put it in as a verbal order and it gets added to the physician's to do list for a co-sign.

Basically, as long as the physician asked for it you should be fine. If you randomly hand the physician syringes filled with medicine you're probably gonna have a bad time.

Specializes in Behavioral Health.
Would be a licensed nurse can be in trouble if she/he drawing medications without doctors order yet? But it's the "doctor" administering the medication and he'll/she'll document it later on?

Is it a med error or malpractice habbit?

please comment or advice. thank you!

ps: doctor give the medication and document it "later on habbit"

I guess it depends what you mean by "without doctor's order yet." If the physician asks for it, that's an order. If they haven't asked for it, it's not an order and you should probably wait.

This is specific to the U.S. I don't know where you practice. I assumed you're in the U.S. because you said the word "malpractice."

Specializes in critical care.

Where is this magical place where doctors pass meds? I want to be there.

Specializes in Critical Care.

If a doctor asks for a med then that's your order. If I pull a med for a doctor I don't wait for them to write the order, I write it and chart who gave it within the order itself; 250 mcg fentanyl IV for procedure, given by Dr. gaspasser at 1600.

Specializes in Ambulatory, Corrections, SNF, LTC, Rehab.

Sorry for my wording. The doctor ordered it verbally. yes I'm from US here in californiai it's a ambulatory clinic.

Specializes in Neonatal Nurse Practitioner.
tHANK YOU miiki, but do you think the nurse can be in trouble by drawing the medications? even though the doctor is the one giving it?

No, the nurse shouldn't get in trouble unless it's against the facility's policies.

A verbal order IS a valid order. It just needs to be documented and signed later.

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