Exam (elaborations)
PNUR 128 FINAL REST OF THE UNITS TEST
- Course
- Institution
PNUR 128 FINAL REST OF THE UNITS TEST...
[Show more]
Content preview
accountability of the prescribersthey have to sign their verbal orders within 24 hours, somewhat depending on
site policy
LPNs are accountable for
recording information received verbally or by telephone accurately
assessing the appropriateness of the medication for the client
principles of taking and prescribing orders
Read it back to verify
Document the date and time really important
Note verbal order (VO), physician name, include your signature, your
designation LPN, only you can document the order you took meaning take
the order and transcribe it into their chart, MAR
before phoning the physician
Assess client
Document findings in the clients chart
Have all information readily available
Consider what you are hoping to get out of the phone call, you know the person
best, most doctors will do what you want
SBAR
Situation- what you calling about?, name, site, floor, room, patient
Background- what's happening about this, assessments you've done
Assessment- vitals what do yo think is problem
Recommendation- what we want to see happening, lab tests, meds
during the phone call ...
,Identify your name, status, and unit you are calling from
Make sure the physician has identified him/herself before taking any orders
Ideally don't accept an order called in by a physician you don't know
Ask the physician to speak slowly and don't be afraid them to repeat the order if
you didn't understand
Document the time and date of the physicians order sheet
Document the order giving by the physician: name of medication, dosage, route,
frequency of administration
Read the order back to the physician to ensure it's accuracy
document below the order during the phone call
Telephone order (T.O) or Verbal order (V.O)
Physician name and contact number in case follow up is needed
Print your name, sign the entry, identify your stats (LPN)
Follow your facilities policy, re: have the physician sign the order
after the phone call
Document in the progress notes that the order has been read back and the
physician has confirmed it
The LPN is legally obligated to asses whether the medication, dose, route, is
appropriate for the client
Never implement a verbal order that seems inconsistent with the client's
situation
The LPN will take all necessary action or follow up when a medication is
ordered
important points about taking orders from physicians
If you are unfamiliar with the drug being ordered ask the physician to spell the
drug name
Because an incorrect dose could be fatal, always emphasized the dose amount
(fourteen that's one four units of regular insulin)
Enunciate the order clearly
Read out the frequency : TID should be read back as three times daily
Verbal orders are not permitted by voice mail
When you take a verbal order only you should document it
example of reading a order back to the doctor
, " you've ordered lasix L-A-S-I-X, 40 milligrams, that's four-zero milligrams,
three times a day for Alice Evans"
reaching the physician
document your contact with the physician
1230: Dr. Richard returned call and was updated to patients condition. She
stated she would be in at 1330 to see patient. S.Ray, LPN
if you cannot reach physician
follow agency policy for getting client treated, then document your actions
if leaving a message with answering service, document who you spoke with,
whether you reported the situation as urgent and the date and time you called
maintain a professional tone
receiving orders by fax
The use of faxed prescriptions is permitted and common within island health,
particularly in LTC
Prescription must be faxed directly in the nursing unit from the prescribing
office
Prescription must be legible and where possible type generated, must include
prescriber name, address, practioner #, telephone number and fax number
The faxed transmission is considered a legal document and will become a
permanent part of the residents health record
Follow Facility procedure for processing faxed orders
processing a physicians order
Island health medication order verification for long term care
When new medication order is received, the nursing unit assistant or
RN/RPN?LPN documents it on MAR
Review of the medication order is done by the RN/RPN/LPN within 24 hours of
receiving it
Nurse signs on the MAR beside the original signature
Nurse draws a red line below the order and signs on the line in red ink:
"checked" date and signature
Very often this is the night nurses responsibility because you're a lot less busier
what times are customary for medications once a day
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Boostertips. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82871 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now