Hey Angiebruno, Most hospitals have "Standing Orders" however I find that all to often, preceptors either [B]Assume or conveniently brush over this information, with little or no time spent detailing this most interesting information.
Usually each facility will have a committee, comprised of several Physicians working on a specific unit. Also the DON, or Education Nurse, or both will usually sit on this committee. I believe the "Ball" gets dropped by anyone of these persons or the preceptor. Add to this possibility, that no two facilities handle this subject the same, some store these orders in a file cabinet, some store them in a closet, etc. etc. Another confusing aspect is that all Doc's have their Ego's in play so that no standard form is good for each individual Physician. Are you getting the picture I'm sending you. Oh, almost forgot to mention that a particular Physician may approve of let's say Tylenol when he signs off on a stadardized form, but then for reasons only known by that Physician, at some point will decide that Tylenol is dangerous because of the effects it may have on someone's liver :spin:
Please forgive me for not adding more finite detail, I think I have summed up how I feel about "Standing Orders" but I have only scratched the surface of the possible problems I have encountered with this subject. Bottom line is you must get to know the Doc's you will be dealing with and make your own informed decision as to whether or not to use this most perplexing tool, to avoid having to call when you are not sure.
May "The Force" be with you.