O signature because the written order is a legal

This preview shows page 24 - 26 out of 50 pages.

oSignature:Because the written order is a legal request, the provider’s signature mustfollow the written order.An unsigned order is invalid and should not be carried out until theprovider signs the order. Electronic signatures are valid.Types of orders:oRoutine or standing:The routine medication order is one that should be carried out for aspecified number of days (antibiotic) or until another order cancels it.In some healthcare agencies, the standing orders must be reviewed andrewritten within a specified time frame or they are canceled automatically.oPRN:24
Does not indicate a specific time period for administration of amedication.Analgesic medications, antiemetic medications, and laxatives are oftenordered on a prn basis.Good judgment is essential to determine when a medication is needed andwhen it is safe to administer the medication. Once administered,evaluation of the effectiveness of the medication is necessary and must bedocumented.oStanding protocols:Standing protocols are written for medications to be administered inspecific situations with criteria for administration outlined clearly forpatients on a specific unit or service.Example, a standing protocol might be written for a nurse working on acardiac unit to administer a certain heart medication if the patient developsan irregular rhythm.oOne-time:One-time or single order is written for a medication that will be given onlyonce.An order for a preoperative medication to help calm the patient beforesurgery is an example of a one-time orderoStat:Is a single order for a medication that must be given immediately.Example of this order is “furosemide 20 mg IV stat” for fluid volumeexcess.oTelephone or fax:The accepted practice is for the nurse to write the order on a medicationorder sheet while the provider and nurse are on the telephone; the nursethen reads back the order in its entirety to the provider for verification.The order must contain all the components of the medication order, nursesigns her name and provider cosigns the new order at a later time, usuallymandated within 24 hours by facility policy.Nurse may briefly describe a change in the patient’s condition and requesta new medication order or change in a current medication order.The nurse sends this request to the provider’s office. The provider sends areturn message indicating any necessary changes. The nurse then writesthe order in the patient’s chart, and then follows the same steps as thetelephone order.Text often is entered directly by the physician into an order entry system.oVerbal orders:A situation when the provider and the nurse are physically present in thesame room.

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 50 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Spring
Professor
Heydemann

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture