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Coordination of Care, Physician Orders and Verbal Orders

Sets out the Agency's system of communication and integration across disciplines, settings and outside providers, who may sign medical orders and order drugs, how nurses receive, record and authenticate verbal orders (with the Agency's own signature time frame), care transitions, and coordination with non-hospice providers under Ohio Medicaid.

Preview: full text with a package
About this policy
Policy number
OH-HSP-IDG-03
Version
1.0
Main rule
OAC 3701-19-17(C)
Library
Ohio hospice · 60 policies
Category
Hospice care
Sections
17

In short

  • Only a physician, an advanced practice registered nurse or a physician assistant acting within their scope may give orders.
  • Only licensed nurses take verbal orders. Aides and volunteers never take orders.
  • Write the order down, read it back to the prescriber, and sign it right away.
  • The prescriber signs every verbal order within 14 days.
  • When a patient goes to a hospital or facility, share the plan of care and medicines the same day.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (OAC 3701-19-17(C); 42 CFR §418.56(e))
  • 5. System of Communication and Integration
  • 6. Who May Order
  • 7. Receiving Verbal Orders
  • 8. Coordination With Non-Hospice Providers
  • 9. Care Transitions
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Who may sign medical orders for your patients, and who may order drugs?
  • Walk me through how a nurse takes a verbal order, and show me one that was signed by the prescriber.

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