I am working with our clinical practice group to determine why we are experiencing missed orders. When I asked the nurses what they mean when they write "noted" I get a variety of answers from "I read them" to "I actually go to the computer and make sure the secretary placed the order". What is the practice out there? Does anyone have policy and procedures about processing orders that they would share? Do the secretaries take off medication orders? Write them on the med sheets or do the nurses do the meds? Thanks