Physician Orders, Coordination of Services and Care Transitions
Sets how the Agency receives, records and has signed physician orders (written, faxed and verbal), the North Carolina rules that orders are reviewed and signed at least every 90 days and that changes in drugs and treatments are signed within 30 days, how the IDT coordinates services with contracted and outside providers (including NC Medicaid coordination with home care, CAP and personal care services), and how continuity is kept when the patient moves between settings.
About this policy
- Policy number
- NC-HSP-IDG-03
- Version
- 1.0
- Main rule
- 10A NCAC 13K .0601(3)
- Library
- North Carolina hospice · 60 policies
- Category
- Hospice care
- Sections
- 20
In short
- All care follows signed physician orders and the plan of care.
- Only a licensed nurse or physician takes a verbal order. Write it, read it back, sign it and send it for signature the same day.
- Changes in drugs and treatments must be signed within the Agency's time frame, and never later than 30 days.
- The physician reviews and signs all orders at least every 90 days.
- Faxed orders are fine, but never keep a thermal paper fax as the record copy.
- Share the plan with every provider who cares for the patient, and send it when the patient moves to another setting.
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 (10A NCAC 13K .0601(3))
- 5. Who May Give Orders
- 6. Written, Faxed and Electronic Orders
- 7. Verbal Orders
- 7.1 The 90-day review
- 8. Coordination of Services
- 8.1 How the Agency coordinates
- 9. NC Medicaid Coordination
- 10. Care Transitions
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Show me the signed orders for this patient. When were they last reviewed and signed by the physician?
- Show me a verbal order: who received it, when, and when was it countersigned?
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