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verbal order medication policy

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verbal order medication policy

“Do Not Resuscitate” orders provided via telephone will be witnessed by another physician and a registered nurse. When verbal orders are received they shall be immediately reduced to writing, dated, and signed by the person receiving the order. Verbal orders for drugs shall be given only by a person lawfully authorized to prescribe or furnish and shall be recorded promptly in the patient's medical record, noting the name of the person giving the verbal order and the signature of the individual receiving the order. Why do we need a Medication Orders Policy and Procedure? Medication orders give direction from authorized prescribers to provide or administer medication(s) to a patient, and are an important component of patient care. These orders must be written and signed and cannot be accepted in oral form. POLICY: All verbal orders for medications and treatments shall be received only by a licensed nurse or other licensed or registered health care specialist in their own area of specialty. Any documents appearing in paper form are not controlled and should be checked against the server version prior to use. Order entry and calculations are checked by two pharmacists, product compounding viewed by pharmacist as part of verification process Orders must be written by attending physician or a fellow. Insite > Employee Tools > Policy & Forms > Policies > Medication Orders Policy July 2017 Frequently Asked Questions (FAQ) 1. Title: Managing Telephone and Verbal Orders in Epic | Medical Staff Policy Author: Providence Health & Services - Spokane, WA Subject: Providence Spokane, Eastern Washington medical staff policy regarding the principles and guidelines for managing telephone and verbal orders in the Epic electroninc patient medical record system. Services CoP at 42 CFR 482.24(c)(1)(iii) requires verbal orders to be subsequently authenticated in the medical record within 48 hours, unless there is a State law that specifies a different timeframe for verbal order authentication. Policy: Nursing Policy Admin. No Verbal orders are allowed (Policy 3364-100-70-07). The following policy is to provide staff with safe and legal practice surrounding verbal medication orders by phone/person, in general situations where the prescriber is unable to prescribe these remotely on MedChart or where MedChart is not utilised. APPENDIX A DEFINITIONS Telephone medication order (T/O) Medication order given over the The prescriber or furnisher shall countersign the order within 48 hours. When taking telephone or verbal medication orders, the name of the medication and dosage ordered should be clearly repeated and if warranted, the person receiving the order will request the correct spelling of the medication. 6.1 When monitoring compliance with the AHS Medication Orders Policy and Verbal and Telephonic Medication Orders Procedure, Zone/program/site operations may review, but are not limited to, the following: a) the process of providing, accepting, documenting, and verifying verbal and telephonic medication orders; and For some types of medications, verbal orders may not be allowed. Sensitive drugs such as chemotherapy medications are a good example. In January of 2007 CMS added a provision to the Nursing and Medical Records Condition of Participation requiring for the next five years that all orders including verbal orders must be dated, timed and authenticated promptly by the prescribing practitioner or another practitioner responsible for the care of the patient, even if the order did not originate with him or her. Verbal/Telephone Orders for Medication – Policy 10.05 Page 6 of 6 This is a CONTROLLED document for internal use only. Verbal orders can lead to dangerous overdoses or medication interactions when other members of the care team are unaware of them. This requirement applies to verbal orders … of Intravenous Medication 3364-110-5-02

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