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Discussion

Taking Off Orders

In all my jobs nursing (25+) years, prior to giving report at the end of the shift, the off-going nurse would "verify" or "take off" all MD orders written during their shift and pass any new order information on to the on-coming nurse. Where I work now, nurses routinely do not sign the orders, leave them and give medication without the order being "verified" by the nurse. This is a huge safety issue as I see it. Supervisor tells the oncoming nurse to just verify the orders. I don't believe you can verify orders written when you weren't there. Any experience with this?

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    Is this something to do with computer orders? Or pen and paper orders written in a chart?

    I'm confused why you can't verify an order that was written when you weren't there?

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    It has always been good practice to take off/note orders in a timely manner and also prior to end of shift. I dont think that a nurse needs to have been present in order to note an order (meaning to take off the order). Prior to computer that meant writing the order on the MAR, writing out a lab slip etc). Now with computer there is also a "note" function. The only reason to leave an order is because it needs clarifying by the MD, the nurse was short on time, or just plain lazy. I dont see a issue with you noting the order but I would want to know why the prior nurse isnt doing it.

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