Nursing Communication Orders
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Nursing Communication Orders Used inappropriately can cause safety/quality issues * Missed orders * Delays in care * Medication errors
description
Nursing Communication Orders. Used inappropriately can cause safety/quality issues * Missed orders * Delays in care * Medication errors. Nursing Communication Orders by Category 221 “physician order” types out of 400 randomized nursing communication orders - PowerPoint PPT Presentation
Transcript of Nursing Communication Orders
Nursing Communication Orders
Used inappropriately can cause safety/quality issues
* Missed orders* Delays in care* Medication errors
Medica
tion orders
Cathete
r ord
ers
Lab te
st
Diet ord
er
Activit
y ord
er
Device
order
Vital si
gn ord
er
Discharg
e ord
er
Wound ca
re ord
er
IV/fluid ord
er
Oxyge
n order
Diagnosti
c test
Fall p
recau
tions
Blood tran
sfusio
n order
I/O ord
er
Radiology
test
Sedati
on wea
ning ord
er0
10
20
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40
50
60
70
80
90
Nursing Communication Orders by Category
221 “physician order” types out of 400 randomized nursing communication orders (approximating a 5-hour period in Jan-mid Feb 2013)
Solutions
• Investigate why physicians use nursing communication order rather than established pathways
• Create order sets if needed or missing• Educate physicians about existing order sets• Monitor inappropriate use of nursing
communication orders• Eliminate nursing communication orders
pathway
