Doctor’s orders refer to the medical instructions issued by doctors during medical activities. In non-rescue situations, nurses do not implement rescue medical orders and medical orders notified by telephone. Verbal medical orders can only be implemented during rescue or surgery. After the doctor gives an oral medical order, the nurse must repeat it again and obtain the doctor's confirmation before executing it.
Oral medical orders must be used in emergency rescue situations or operations for critically ill patients. In the process of rescuing critically ill patients, doctors must clearly state the name of the drug, dosage (not expressed in volume units), and route of administration when giving verbal orders; nurses must repeat them loudly when executing them, and they can only execute them after both parties confirm that they are correct, and temporarily reserve them for use. Empty ampoules.
Oral medical orders refer to the medical instructions issued by the physician during medical activities. The physician collects a detailed medical history, carefully conducts a physical examination and conducts necessary imaging and laboratory examinations, and promptly records the first course of the disease and writes the medical record. Issued after preliminary diagnosis is made.
1. Oral medical orders must be used only when critically ill patients are undergoing emergency rescue or during surgery. Oral medical orders must not be executed under normal circumstances.
2. During the rescue process of critically ill patients, the doctor must clearly state the name of the drug, dosage (not expressed in volume units), and route of administration when giving oral medical orders; the nurse must repeat them aloud when executing them, and both parties must confirm It can be executed only after it is correct, and the used empty ampoules will be temporarily retained.
3. In the emergency vehicle in the ward, establish a record book for emergency medication, record the time when verbal doctor's orders were implemented during the rescue, the name of the drug, the dosage, usage and the content of various emergency treatments, keep emergency supplies, and provide medical care afterward Both parties confirm, check and sign.
4. After the rescue, the doctor will promptly refill the medical instructions based on the rescue medication records and retained empty ampoules.
5. When executing medical orders that require double inspection (especially for unconventional medication), both medical and nursing parties adopt active and passive recitation methods. Only after both parties have verified that there are no errors can they be executed and recorded in the rescue record book.
Legal basis: "Law of the People's Republic of China on Practicing Physicians"
Article 8 The state implements a physician qualification examination system. The physician qualification examination is divided into the practicing physician qualification examination and the practicing assistant physician qualification examination. The methods for the unified examination of physician qualifications shall be formulated by the health administrative department of the State Council. The physician qualification examination shall be organized and implemented by the health administrative departments of the people's governments at or above the provincial level.
Article 14 After being registered, physicians may practice in medical, preventive, and health care institutions in accordance with the registered practice location, practice category, and scope of practice, and engage in corresponding medical, preventive, and health care services. Without registering as a doctor and obtaining a practicing certificate, you are not allowed to engage in medical practice activities.