Verbal order form template 2025

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Nurses are obliged to check doctors orders and if they find them inappropriate to the patients clinical conditions, they have the legal responsibility to refuse to implement orders and report them to authorities (Borrott et al., 2017).
Information that should be given in a verbal order include the following: Name of patient. Age and weight of patient, when appropriate. Drug name. Dosage form (e.g., tablets, capsules, inhalants) Exact strength ,dose or concentration. Dose, frequency, and route (including the dose basis for pediatric patients)
This verbal dispensing order must include; a description of the item, the beneficiarys name, the physicians name and the start date of the order. Suppliers must maintain written documentation of the verbal order and this documentation must be available to the DMERC upon request.
Verbal orders regarding a patients care should be documented in the patients medical record. The documentation should reflect that this V.O. (Verbal Order) was a direct order from the patients clinician, reason for the order, action taken and the date/time that order was given and implemented.
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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Verbal orders shall be signed by the prescribing practitioner within five (5) days . (2) Verbal orders received by non-licensed staff shall be confirmed by the registered nurse with the prescriber within 48 hours of receipt of the order.
In general, nurses can accept verbal orders from a physician when: The order is for a task or procedure that falls within the scope of the nurses practice: Nurses are only authorized to perform certain tasks or procedures based on their level of training and certification.

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