When a duly authorized person writes an order,dated and timed, the unit secretary transcribes the order onto the Kardex, MAR, and into the computer system. "noted by" followed by her first initial and last name in red tells the nurse that the order was completed. The RN checks all of her orders that was written within her shift, but the night shift RN's actually go into the computer system and checks every order, doing a 24 hour check. With the new JCAHO standard, any verbal or telephone order is written down, read back to the person giving the order to verify. hope this helps.