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CHA GUIDELINES FOR STANDING ORDERS, STANDARDIZED PROCEDURES AND OTHER DELEGATION TOOLS

CHA GUIDELINES FOR STANDING ORDERS, STANDARDIZED PROCEDURES AND OTHER DELEGATION TOOLS 2025

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The document provides guidelines for the use of standing orders, standardized procedures, and delegation tools in healthcare settings. It defines standing orders as written directives applicable in the absence of specific orders from licensed practitioners, detailing their use by various healthcare professionals. The document emphasizes the need for compliance with current regulations, particularly regarding patient-specific applications and Medicare/Medi-Cal conditions. It also outlines standardized procedures that allow RNs and NPs to perform certain medical functions under established protocols, while addressing limitations and requirements for documentation and supervision.

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What are the CMS guidelines for standing orders?

The use of standing orders must be documented as an order in the patients medical record and authenticated by the practitioner responsible for the care of the patient, as the regulations at 42 CFR 482.23(c)(2) and 482.24(c)(1) require, but the timing of such documentation should not be a barrier to effective

What does it mean if a patient has a protocol order?

Standardized protocols are a set of pre-approved orders that include a specifically defined patient population and clinical scenario(s) in which these orders may be carried out by nursing staff without any additional physician, NP, or PA input, approval, or order, either written or verbal.

What is the difference between a protocol and a standing order in nursing?

Standing orders, which include protocols, are a special case of written physicians orders. A standing order is an order conditioned upon the occurrence of certain clinical events.

What are standing orders protocols?

Simply stated, standing orders are written protocols that authorize designated members of the health care team (e.g., nurses or medical assistants) to complete certain clinical tasks without having to first obtain a physician order.

What is the process of a standing order?

Using a standing order, you can ask your bank to pay a certain amount of money to a specific account, on a particular date. This could be the same day each week, month or even year. You can give your standing order an end date or limit the number of payments. On the other hand, you could choose to leave it open-ended.