Hospitals and medical centers follow their perspective standard operating procedures, which includes their standard operating procedures when requesting orders. These orders are mainly about the prescriptions of a physician regarding the treatment to be administered to the patient. These kinds of orders are important to be filled up, since these are used as references of what type of treatment or diagnostic tests are to be performed. These are also used to collect reports for the documentation of hospital records.
Further on this article, you will be able to gather ideas or information on how to write and create an order form.
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What is a Medical Order?
A medical order is a formal order pertaining to medical matters. This is done by the physician or healthcare personnel that gives authority to the administration. These state that a patient needs to undergo series of diagnostic tests. Writing an order is said to be the most common way of delegating authority. There are actually two types of orders: standing orders and direct orders.
Standing orders are conditioned upon the occurrence of clinical events. These are often used when all patients meet the criteria for the order, then they receive the same treatment. Direct orders are voice orders that are directly given to the non-physicians personnel. If an order made happens to have some changes, then Change Order Forms should be completed.
How to Write a Medical Order
In writing a medical order, a form must be filled out with the necessary information. There are similar to Sample Order Forms, but with a more specific purpose. Here are some of the following information in order to complete a medical order form:
- order date and time
- the patient’s information such as the name, contact, and date of birth
- the physician’s information such as name, contact (clinic phone)
- details or diagnostic tests that are needed to undergo
- reason/s for the examination or test/s
- signature of the physician for consent or authorization
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Medical Order Form Sample
Benefits of a Medical Order
One of the benefits of a medical order is that it is prioritized since the order is made by a licensed physician or a doctor. This actually serves as a reliable reference in order for the request order to be granted. Plus, all diagnostic tests are not granted without these medical orders. It has been part of the standard operating procedures of hospitals or medical centers that medical orders are first filled up before performing such tests.
Making medical orders are somehow similar to making a purchase order, wherein all order requests are based on the purchase order forms that are filled up.
Guidelines of Medical Order Form
In writing a medical order form, information should be written legibly in order to avoid misinterpretations of information. All necessary information should be written on the space provided. It should also be made sure that an order form is created by an authorized and licensed physician.
And the signature/s should be affixed in the form as a consent that the physician agrees to the terms and conditions, and will be subjected to any disciplinary action once violated. All accomplished orders are collected for documentation using work order forms. These forms provide a clear and comprehensive list of all the requests that were made.
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