This is covered by a medical staff protocol. So any orders entered are "Protocol, no co-sign required" The RRT nurses choose their medical director name from a drop down list, but then select the above comment. The ICU nurses select the intensivist of the day, then select the above comment.
It works similar to what a CXR after intubation, or line placement, where the order is covered by a protocol. Pat Patricia A Baker MS RN CNS CCRN CCNS Critical Care Clinical Nurse Specialist Heart & Vascular Winchester Medical Center 1840 Amherst Street Winchester, VA 22601 540-536-6679 [email protected]<mailto:[email protected]> [VH Email Logo.png] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Sullivan, Mary Cook Sent: Wednesday, May 25, 2016 2:32 PM To: [email protected] Subject: [Sepsis Groups] Nursing Lactate Protocol Information Good Morning, For facilities that use a Nursing procedure to collect lactate specimens, how does your institution verify or co-sign the order of the lactate? Is anyone using a completely independent nursing standard procedure or protocol that providers do not verify or authenticate? Thank you in advance! Mary Cook Sullivan RN, MS, CNS Sepsis Project Manager Quality Improvement Department Division of Patient Safety and Quality Services UCSF Medical Center 350 Parnassus, Suite 706, San Francisco, CA 94117 [email protected]<mailto:[email protected]> Office: 415 353 3978 Pager: 415 443 3930
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