Taking and Transcibing Doctors Orders Flashcards
Standing order?
Carried out until an order is written to cancel it
- it may have a termination date
- may be carried out for only a specified number of days
PRN orders?
Allows the nurse to give a med based on patient requirement and the nurses judgement
STAT orders?
Indicates that the medication is to be given immediately and only once
- given in particular time frame
- used in emergent and urgent situations
Single order?
One time medication
To be given once at a specific time
Ex. Before surgery
Protocol or collective orders?
Set of criteria and orders under which a med is to be administered
Essential parts of a drug order?
Full name of client
Date and time the order is written
Generic name of the drug to be administered
Dosage of the drug
Route of admin
Frequency of admin
Signature of the person writing the order
Nurses role in receiving physicians orders?
Knowing agency polices
Preparing medication
Assessing patient
Questioning any unusual orders or orders that are contraindicated by clients condition
Documentation
Follow up on effectiveness or any adverse effects
Questions LPNs should ask themselves before performing a task?
Am I capable?
Is it in my scope?
Agency policy?
Is taking and prescribing physicians orders covered under the college?
Yes
-procedures within scope of practice and competency
-be assertive and interrupt physician and get RN on the phone if you don’t feel comfortable receiving order
When is communicating a med order usually done?
When physician is not present
-telephone orders
When there is an emergent, urgent or procedural situation
- new pt admitted
- change in pt condition
How are verbal orders different from telephone orders?
In verbal orders the physician is present
Med reconciliation?
Process of reviewing meds
- finding errors
- done by physician, pharmacist, nurse
When do you transcribe orders into?
Immediately into physicians order form and then onto MAR
How to prevent transcribing errors?
Order should be clearly and legally transcribed
Do not use abbreviations for drug names
Avoid the use of all potentially dangerous abbreviations and dose expressions
Always spell out units
Avoid hyphens and slashes
Clarify/repeat order
Why is it beneficial to repeat order back the physician?
Ensure you heard correctly
Ensure time for clarification
Gives physician time to review appropriateness of order
