{"ref":"FL-HH-ORD-01","title":"Treatment Orders and Verbal Orders","category":"Clinical tasks","summary":"Sets how the Agency obtains, takes, records, carries out, and gets signed the treatment orders of physicians, physician assistants, and advanced practice registered nurses, including verbal and telephone orders, orders given before the start of care, changes when an order cannot be followed, fax and electronic signatures, the Agency's time frame for practitioner signature, the rule that signed orders come before billing, written medication orders for aides, and the federal verbal order standards for a Medicare-certified agency.","inShort":["We give skilled care only under orders from the patient's physician, physician assistant, or advanced practice registered nurse.","Only nurses and therapists take verbal orders. Write the order down, read it back, then sign and date it.","Send every verbal order to the practitioner to sign. We ask for it back within 14 days.","If you cannot follow an order, do not change it yourself. Call the practitioner, who must approve the change.","Aides and office staff never take orders. Pass the message to a nurse right away."],"primaryCitation":"s. 400.487(2), F.S.","citations":["s. 400.487(2), F.S.","Rule 59A-8.002(15), F.A.C.","Rule 59A-8.002(32), F.A.C.","Rule 59A-8.0215(1), F.A.C.","Rule 59A-8.0215(2), F.A.C.","Rule 59A-8.022(5)(b), F.A.C.","Rule 59A-8.022(5)(k), F.A.C.","Rule 59A-8.022(6), F.A.C.","Rule 59A-8.0219(3)(a), F.A.C.","Rule 59A-8.0219(3)(b), F.A.C.","Rule 59A-8.0095(3)(a)3., F.A.C."],"federalCitations":["42 CFR §484.60(b)","42 CFR §484.60(c)(1)"],"surveyorAsks":["Who in your agency may take a verbal order? Show me the record of one.","How do you track verbal orders until the practitioner signs them? Show me any that are unsigned."],"forms":[{"ref":"FL-HH-ORD-01-A","title":"Verbal Order Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (s. 400.487(2), F.S.)","5. What a Complete Order Contains","6. Who May Take a Verbal Order","7. Taking and Recording a Verbal Order","8. Getting Orders Signed","9. Fax and Electronic Signatures","10. Clarifying an Order or Changing One That Cannot Be Followed","11. Review of Orders","12. Medication Orders for Aides","13. Additional Standards if the Agency Is Medicare-Certified","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"fl-hha","state":"Florida","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}}