orlando health medical staff rules & regulations table of contents ...

A physician’s order is required for medical/surgical restraint and behavioral
management restraint use. Written or verbal orders for initial or continued restraint
use are time limited. Behavioral management restraint use requires a physician’s
face-to-face assessment within one (1) hour of initiation.
D. WRITTEN ORDERS
Written orders must be legible.
Print must be large enough to reproduce easily by fax or copy.
Abbreviations may not be used for medication names. All other abbreviations
must conform to the approved abbreviation list.
(4) Orders must be written with pens/devices capable of transferring legibly
through multiple copies. Felt tip pens may not be used.
(5) Changes to existing orders must be made by way of new orders. Existing
orders may not be corrected/scratched over.
(6) All admitting orders must include patient allergies.
(7) All physician orders must be accompanied by a legible identifier consisting of
the physician’s assigned four-digit dictation number, in addition to the
prescriber’s signature. (05/06)
(8) All orders, to be complete, must contain date written, medication name,
dose/strength, quantity or duration (as appropriate), route and frequency.
Direct admissions must be accompanied by physician orders.
(10) Patients undergoing a change in level of care must have current orders
reviewed and signed.
The patient’s full name must be documented on the order sheet prior to order
being written.
Physician must attempt to use Orlando Regional order sheets or office
letterhead for direct admissions.
(13) Medication Orders
Abbreviations may not be used for medication names. All other
abbreviations must conform to the approved abbreviation list.
Orders should include height/weight/allergy/creatinine where applicable.
July 2009 Medical Staff Rules & Regulations
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