Writing order and having Dr sign later..your thoughts?

[mzsuccess]

I'm currently at work and say the Dr forgot to add something. Do you think its feasible to write out an vo and have the Dr sign later? or call on call? (our on call charge $150 an call) so the nurses really hate using it due to the company trying to save money. The client is D/C and the drug of choice is heron, usually we give narcan kits but the dr usually write an order. Any advice? I know it sounds like a stupid question. But I;m currently the on;y nurse on.

[cleback]

That doesn't sound legit. You can't document a verbal order that never took place. Can you do signed protocols? Basically the docs agree that nursing can order a select few things under their name under a set protocol/policy.

[mzsuccess]

That doesn't sound legit. You can't document a verbal order that never took place. Can you do signed protocols? Basically the docs agree that nursing can order a select few things under their name under a set protocol/policy.

No, we don't have signed orders protocols. She usually write them out for an order. However, I was auditing and noticed she uses heron so she would need a kit.

[MunoRN, RN]

There's only 4 states left where a prescription is required for Narcan, so how to get the order might be moot.

I'm more curious about your Docs are charging per call, is this a tele-hospitalist service?

[cleback]

No, we don't have signed orders protocols. She usually write them out for an order. However, I was auditing and noticed she uses heron so she would need a kit.

Then you would need to call or wait until the doc is back. Again, verbal orders are documentation of a discussion. If it wasn't had, you can't use it.

Unless you are in a different country other than the US that defines verbal orders very differently...

[mzsuccess]

Then you would need to call or wait until the doc is back. Again, verbal orders are documentation of a discussion. If it wasn't had, you can't use it.

Unless you are in a different country other than the US that defines verbal orders very differently...

Thanks

[mzsuccess]

Then you would need to call or wait until the doc is back. Again, verbal orders are documentation of a discussion. If it wasn't had, you can't use it.

Unless you are in a different country other than the US that defines verbal orders very differently...

Do you think its dumb to call the Dr about this after hours?

.

[pinkiepieRN]

That's what the on-call is there for!

[blondy2061h, MSN, RN]

Do you think its dumb to call the Dr about this after hours?

.

A discharge med they're unlikely to need tonight doesn't seem like something I would call the on call for.

[AnnieNP, MSN, NP]

I would make the call. Better to have the company pay the $150 and the patient not need it, than to need it and not have it.

[VivaLasViejas, ASN, RN]

No. Nope. No way. I would never write an order of any kind without having spoken to the provider first. What if they refused to sign off on it, or in fact wanted you to do something else? Not cool.

[Tenebrae, BSN, RN]

If we take a verbal order, we need to have a second nurse hear the order repeat it back to the doctor. The doctor needs to sign the order within 24 hours.

I'm exceptionally picky about taking verbal orders and usually only take them from our house doctor