{"ref":"CA-HH-ORD-01","title":"Practitioner Orders, Telephone Orders, and Order Review","category":"Clinical tasks","summary":"Sets out how the Agency receives, records, carries out, signs, and reviews practitioner orders under 22 CCR §74701: no medication or treatment is given without the signed order of a person lawfully authorized to give it; telephone orders are received only by a licensed nurse or another person lawfully authorized to receive them, recorded immediately, and signed by the practitioner within 30 working days (and within the Agency’s own time frame of 14 days, whichever is sooner); therapy orders state the procedures, frequency, and duration; and every order is reviewed by the practitioner at least every 62 days. If the Agency is Medicare-certified, verbal orders are also signed, dated, and timed by the person who receives them, the plan of care is reviewed at least every 60 days, and orders are signed before billing.","inShort":["Only nurses may take a telephone order from a practitioner. Therapists may take orders only for their own therapy.","Aides and office staff never take orders. Transfer the call to a nurse or take a message.","Write the order down at once, read it back, and send it for signature the same day.","Orders must be signed within 14 days, and never later than 30 working days.","If an order is unclear or seems unsafe, do not carry it out until you have spoken with the practitioner."],"primaryCitation":"22 CCR §74701","citations":["22 CCR §74701","22 CCR §74697(a)","22 CCR §74697(c)","22 CCR §74735(a)(5)","22 CCR §74735(a)(7)"],"federalCitations":["42 CFR §484.60(a)(3)","42 CFR §484.60(b)","42 CFR §484.60(c)(1)","42 CFR §484.60(d)(2)","42 CFR §409.43(b)","42 CFR §409.43(c)","42 CFR §409.43(d)","42 CFR §484.2"],"surveyorAsks":["Show me a telephone order taken in the last month. Who received it, when was it recorded, and when did the practitioner sign it?","Which of your staff may take a telephone order from a physician?"],"forms":[{"ref":"CA-HH-ORD-01-A","title":"Telephone Order Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74701)","5. Who May Give and Who May Receive Orders","6. Taking a Telephone Order","7. Getting Orders Signed","8. What an Order Must Contain","9. Carrying Out Orders","10. Review of Orders","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ca-hha","state":"California","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}