Physician telephone order form 2025

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First, note the date and time. On the next line, write telephone order. (Dont use P.O. for phone order-it could be mistaken for by mouth.) Then write the health care providers name, and sign your name. * Read back the order and get confirmation from the person who gave the order.
The documentation should reflect that this T.O. (Telephone Order) was by telephone with the patients physician, reason for the call, action taken and the date/time call was made or received. 4. ​ Verbal orders regarding a patients care should be documented in the patients medical record.
Enter the patients last name in the first field. Fill in the first name and contact details of the physician. Specify the ordered and discontinued dates. Make sure to sign the form at the necessary locations.
The information that must be reported on Physicians Telephone Orders includes the patients name, date of the order, the specific order given, the physicians name, and the name of the individual taking the order.
CMS regulation states that verbal orders must be dated, timed, and authenticated promptly by the ordering practitioner or by another practitioner who is responsible for the care of the patient. The receiver of a verbal order must date, time, and sign the verbal order in ance with hospital or clinic policy.
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Telephone and verbal orders should only be accepted under unusual circumstances; and must be taken by an RN, LPN, Registered Dietitian, Certified Nutritionist, or Nutritionist. 3. ​ All telephone calls to a physician regarding a patients care should be documented in that patients medical record.

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