Verbal Order Read-Back

Guidelines:

• READ BACK
• Other options first
  • Resident
• Facilitate direct phone with next provider (pharmacy)

Considerations:

• Pre-emptive ordering
  • Specimens
• Order sets
• Pass off pager

Nurse’s role:

• Enter verbal orders when needed
  • Be familiar with EHR
  • Never guess
  • READ BACK
• Facilitate conversations with surgeons intraop
  • Triage during critical times

Pitfalls:

• Order administratively incorrect
  • Location, billing, etc
• Other options than verbal
• Lack of planning/anticipation

Examples:

• Patient changing to ICU admission (RN can arrange bed manager, ICu charge, facilitate physician report over phone or known bedside, enter order facility specific)

Linchpins (Key Points):

• The goal of the OR RN is to keep the surgeon operating as much as possible with minimal interruptions to care