Nursing NUR402 Lecture Notes - Lecture 39: Health Professional, Podiatry

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A health care professional such as a physician, midwife, dentist, chiropodist or np, or an rn who is initiating a controlled act can give a direct order for a specific intervention to be administered at a specific time or times. A direct order may be written or verbal (oral). Verbal orders must only be used in emergency situations or when the prescriber is unable to document the order, such as in the operating room. There is an inherent risk in accepting a verbal order, and nurses should advocate for systems that allow their use only in emergency situations or when the order is unable to be documented. Procedures that necessitate direct assessment of the client by the authorizer, such as when the client"s condition becomes unstable, require direct orders. A directive is an order for a procedure or series of procedures that may be implemented for a number of clients when specific conditions are met and specific circumstances exist.

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