{"ref":"FL-HSP-IDG-03","title":"Physician Orders, Verbal Orders and Coordination With Attending Physicians","category":"Hospice care","summary":"Sets how medication and treatment orders are written, taken and signed under Rule 59A-38.004(3)(a)5., F.A.C.: medication orders dated and signed by a Florida-licensed physician with the drug, dosage, frequency and route; verbal orders taken only by a licensed health professional, recorded in the record and signed by the physician within the Agency’s time frame and never later than 30 calendar days after the order; how the Agency works with attending physicians, nurse practitioners and physician assistants; and how orders are coordinated across settings (42 CFR §418.56(e); §418.106(b)).","inShort":["Every medication order needs the drug, dose, how often and the route, dated and signed by a Florida-licensed physician.","Only licensed staff (RN, LPN, pharmacist, physician) take verbal orders. Aides and volunteers never do.","Read the whole order back, write it in the record at once, and update the plan of care and medicine list.","The physician signs within 14 days, and never later than 30 calendar days.","Tell the facility nurse about every new or changed order the same day."],"primaryCitation":"Rule 59A-38.004(3)(a)5., F.A.C.","citations":["Rule 59A-38.004(3)(a)5.a.-c., F.A.C.","Rule 59A-38.008(2)(a), (b)8.-9., F.A.C.","s. 400.6095(6), F.S.","s. 400.611(1), F.S."],"federalCitations":["42 CFR §418.56(e)","42 CFR §418.106(b)","42 CFR §418.64(a)","42 CFR §418.104(a)(7), (b)"],"surveyorAsks":["Show me a verbal order in this record. Who took it, and when did the physician sign it?","Who may take verbal orders for your patients?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-38.004(3)(a)5., F.A.C.)","5. Who May Order and Who Signs","6. Content of Orders","7. Taking and Recording Verbal Orders","8. Getting Orders Signed","9. Working With Attending Physicians","10. Symptom Control Protocols","11. Orders Across Settings","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"fl-hospice","state":"Florida","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}