Physician and Allowed Practitioner Orders and Verbal Orders
Sets out who may order home health services for the Agency's patients (physicians, podiatrists for the plan of care, and allowed practitioners: nurse practitioners, clinical nurse specialists and physician assistants, within their Missouri scope of practice), that drugs, services and treatments are given only as ordered, who may accept a verbal order, how it is read back, recorded, signed, dated and timed, the Agency's own time frame for the practitioner to authenticate it (14 days), and how unclear orders, standing orders and the Medicare and MO HealthNet signature rules are handled.
- Policy number
- MO-HH-ORD-01
- Version
- 1.0
- Main rule
- 42 CFR §484.60(b) (adopted by 19 CSR 30-26.010(1)(A))
- Library
- Missouri home health · 57 policies
- Category
- Clinical tasks
- Sections
- 20
In short
- Give drugs, services and treatments only as a physician or allowed practitioner has ordered.
- Only RNs, therapists for their own discipline, and LPNs within limits may take a verbal order. Aides and office staff never do.
- Write the order down, read it back, then sign, date and time it.
- The practitioner must sign the order within 14 days. Office staff track unsigned orders.
- If an order is unclear or seems unsafe, do not carry it out until you have checked with the practitioner.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.60(b) (adopted by 19 CSR 30-26.010(1)(A)))
- 5. Who May Order Home Health Services
- 6. Carrying Out Orders
- 7. Who May Accept a Verbal Order
- 8. Taking and Recording a Verbal Order
- 9. Authentication by the Practitioner
- 10. Interim Orders and MO HealthNet
- 11. Standing Orders and Protocols
- 12. Unclear, Unsafe, or Unworkable Orders
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Who at your Agency may take a verbal order, and how is it documented?
- Show me the verbal orders for this patient and when the practitioner signed each one.
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