use in Hospice care centers

We recently implemented the "RN as Agent of the Provider" protocol at our Inpatient Hospice Care Center. This helps with the delay in getting CII-IV meds to patients after hours and on weekends when the providers are not visiting the care center. The RN may "prepare" the Rx for the provider signature, fax it to them, and once received back at the Hospice, the RN can fax it to teh pharmacy so that we can pull this drug from our emergency/Pyxis supply. This saves the provider from faxing twice (once to the pharmacy & once to the Hospice)and less chance of orders being lost or faxing not going through. We have one contract between each staff RN and each provider. The RN also faxes a copy of the 'RN Agent cover sheet' with each order so the pharmacy does not have any doubt that the RN is allowed to act as an agent of the provider. This protocol also allows Rns to take verbal orders from providers for any C3-5s which also saves time and numerous phone calls.

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