ChrissyS.

Most of my life I've been a circulator, and now I am currently the Unit Coordinator in a small hospital that is rapidly expanding beyond it's capabilities. As we update policies and procedures, "resume previous orders" is a glaring no-no, and we're trying to change the way of thinking around here. Here's the problem(s). The floor nurse is wanting the perioperative nurse to paw through the chart and find the previous orders, rewrite them and present it in a format for the surgeon to sign-while doing their other million-and-a half periop duties.Big No. Who does it? The floor? The surgeon? The next problem is in the instance of a surgical consult. Let's say that Ms. Smith has been in the hospital for 4 days under the care of an internal doc, that patient gets referred to my surgeon for a procedure like an EGD/COLON, and then sent back to the floor. My surgeon has no intention of changing the internal doc's plan of care, he was just consulted for a procedure. How does the surgeon communicate to the nursing staff that the internist's orders are to be continued? Do these have to be rewritten as well? Who does it? I appreciate any input any of you may have... Thanks! ChrissyS.