Greetings! I am an administrator of a home health agency and involved in an interesting discussion, and I could use your advice!If you receive orders from a physician to perform PT/INR's in home on your patient and report the results back to the PT/INR clinic 1w6. Each week you fax the results into the PT/INR clinic and based on the physician that has already seen the patient and determined the patients Coumadin dosage vs his/her PT/INR levels, the nurse who works for the physician sends you an order back to adjust the med. Do I need to send all of the orders that I have accepted back for signature, before I get an audit or my JC inspection? Or is there anything out there that can "save" me from all of that work?Do you accept the order and carry out the med change? If yes, is there any documentation to back it up?