1, the doctor's advice must be signed by a doctor to be effective. Generally, oral orders are not executed.

2, when dealing with the doctor's advice, should first be urgent and then slow, that is, to implement the temporary doctor's advice first, and then to implement the long-term doctor's advice.

3, the doctor's advice in question should be executed after the query.

4, the doctor's advice should be every BANCHA, daily check, weekly check, check the full name.

5, anyone who needs the next temporary doctor's advice should be succession, and indicate it in the nurse's log record.

6, all written on the doctor's advice and don't need to carry out the doctor's advice, shall not be stamped, altered.

Second, the matters needing attention when dealing with doctor's advice:

1, the doctor's order must be signed by a doctor.

2, the doctor's advice in question should be executed after the query is clear.

3, the doctor's advice writing and execution time within 24 h. ..

4. Any doctor's advice that has been written in the doctor's advice book and does not need to be executed shall not be stamped or altered. The doctor should write "cancel" in red pen and sign his full name in blue pen after the doctor orders.

5, the doctor's advice should be collected every BANCHA, medical education network, always check once a week.

6, who need to perform the next temporary doctor's advice to succession, and indicate on the nurse's log record.

(1) principle of doctor's advice:

First hurry and then slow down, first temporary and then long-term, first execute and then copy. That is, the temporary doctor's orders should be executed first, then the long-term doctor's orders should be executed, and finally the doctor's orders should be copied, and the executor should sign the full name.

(2) the doctor's advice processing method:

1) Temporary medical order: The doctor writes it directly on the temporary medical order list. The nurse should first copy it to various temporary treatment sheets or treatment cards, and arrange the nurse to execute the temporary doctor's orders immediately, indicate the execution time and sign the full name.

2) Long-term doctor's advice: The doctor writes it directly on the long-term doctor's advice list. The nurse first copied them into various long-term treatment sheets or treatment cards, checked them and signed their full names.

3) Long-term standby doctor's advice: The doctor writes it directly on the long-term doctor's advice list. When necessary, the nurse records on the temporary medical order list after each execution, indicates the execution time, and signs the full name.

4) Temporary standby doctor's advice: The doctor writes it directly on the temporary doctor's advice list, which is valid within 12 hours. After the execution, indicate the execution time and sign the full name. If automatic invalidation is not performed after the expiration, the nurse will mark the word "unused" with a red pen after the doctor's advice.

5) Stop the doctor's advice: the doctor directly indicates the date, time and signature in the stop column corresponding to the doctor's advice in the long-term doctor's advice list. The nurse cancels the doctor's advice on each related treatment sheet or card, indicates the date and time of stopping using it and signs it.

6) Reorganize the doctor's advice: When there are many long-term doctor's advice adjustment items, as well as when patients change majors, surgery and childbirth, it is necessary to reorganize the doctor's advice.

legal ground

People's Republic of China (PRC) China Physician Law

Twenty-ninth doctors should adhere to the principle of safe, effective, economical and reasonable drug use, and follow the guiding principles of clinical application of drugs, clinical diagnosis and treatment guidelines and drug instructions for rational drug use.

Under special circumstances, if there is no effective or better treatment method, the doctor can use the drug usage that is not clear in the drug instructions but has evidence-based medical evidence to implement the treatment after obtaining the patient's explicit informed consent. Medical institutions should establish a management system, review the appropriateness of doctors' prescriptions and medication orders, and strictly regulate doctors' medication behavior.