I work Med/Surg and I agree with much of this. I understand the need for occasional verbal orders in ER or ICU, but as the OP suggests, they are often given on my floor as the MD is running out the door, to save time. I would also add that administration is a huge enabler of situations like this, and it's more their fault than the doctors. For instance, at my facility, nurses get dinged for core measure "violations", such as an MI patient being discharged without being ordered a statin, or continuing an antibiotic beyond 24 hrs after surgery because the doctor entered the order that way. Why can't they be held accountable to put in orders correctly and thoroughly and why should the nurse be punished when they don't?? That's what I disagree with. If I only had three or four patients, it wouldn't be an issue, but I have six and don't have time to clean up all their sloppiness. And to those that work in teaching hospitals and have much better experiences, that's great for them, but many of us have never done so and can't even imagine providers paying that much attention to their patients. That said, I am happy to do my part to improve health care in any way I can, and do often go out of my way to correct things that I can, even if they are the result of someone else's mistake. In our less than perfect world, this is and will remain a part of our job.