MD signature on verbal orders????

[paramedic-RN]

I can't seem to find a clear statement on this within the Texas BON stuff. If I'm working in the outpatient setting (med spa) where there is no medicare/medicaid/CMS etc. is a MD signature needed on a verbal order?

[Glycerine82, LPN]

eventually, yes.

[Jtjackson1]

Verbal or telephone? A verbal indicates that the provider is in the facility and should just write the order (unless it is an emergency). But all orders must have a provider signature. Check the facility's policy on orders.

[Glycerine82, LPN]

IF they sign a verbal it becomes a written I would think.

[Rose_Queen, BSN, MSN, RN]

28 minutes ago, Glycerine82 said:

IF they sign a verbal it becomes a written I would think.

No, it's still a verbal order. The nurse writes it as such and the provider signature confirms that yes, they did indeed provide the verbal order.

A true verbal order should be limited to emergency situations or when the provider truly cannot input the order (think a surgeon elbow-deep in an abdomen) only. In other situations, it's merely an act of convenience for the provider to say something and walk away. They need to get into the EMR and enter the order.

Even telephone orders can be minimized by giving providers access to the EMR outside of the facility.

In the rare cases where EMRs aren't being used, verbal orders are still not best practice. And never forget the "read back and verified" portion.

[ArmyRntoMD, BSN, RN]

Where I work doctors put in orders themselves maybe 50% of the time. The rest of the time we put it in and sign it to their name as provider.