9.21 : 报告类型 III：电话和口头报告

Telephone orders are placed when a healthcare provider verbally communicates therapeutic instructions to a nurse over the phone.

For telephonic orders, oral confirmation is obtained from the practitioner to ensure proper documentation.

It is vital to document the order details, including time and provider's name, and obtain a signature from the practitioner for verification.

The phone calls are recorded in the medical record for accuracy checks and to notify relevant personnel.

The orders are read back to the healthcare professional and documented as TORB. Here, TORB stands for telephonic order read back.

A follow-up is carried out with practitioners for any changes, documenting patient responses and reviewing orders for accuracy and clarity.

Adhere to organizational policies for telephonic order documentation.

In contrast, verbal orders are given when a healthcare provider provides therapeutic instructions to a nurse in person while they are close to each other.

Verbal orders can lead to misunderstandings or errors due to accents, dialects, or drug name pronunciations.

It is generally recommended to avoid relying on verbal orders, except in emergencies.