Re: Physician Notification Guidelines

[Delores234]

OK, what am I missing?  If you are writing a telephone order does that not indicate that you spoke with [notified] the physician?  Why do you have a check box to remind you to write the reason in the licensed notes?  Isn't that a given? 

I urge all  nurses to stop documenting , in licensed notes: "NO"  and "NNO"   for New orders and no new orders this is causing more survey and legal problems as time goes by.  We can look at the order sheet and determine this, you must document
why you call a doctor
what the doctor said
why the orders are changes
or why the orders were not changed

Delores

We have a space that is marked for physician notification on our telephone order sheets.  It also includes a space for resident/responsible party notification.  It is great.  Just takes a check mark and it is considered done.  Of course, the reason, ect., is still documented in the notes, but the order sheets are a good prompt.
Sherri
 

Delores L. Galias, RN, RHIT

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