Predating physician orders
74 through 81C to protect the health, safety, and welfare of the citizens of the Commonwealth through the regulation of nursing practice and education. Date Issued: September 22, 1993Date Revised: July 10, 2002; December 9, 2009, October 8, 2014Scope of Practice: Registered Nurse and Licensed Practical Nurse Purpose: To guide the practice of Registered Nurses and Licensed Practical Nurses when accepting, verifying, transcribing, and implementing patient care orders from a duly authorized prescriber (i.e., Advanced Practice Registered Nurses with prescriptive authority, Physician Assistants, and Physicians).
Determination of individual client/resident/patient allergy must be included in each situation.
The paramount importance of patient safety must be reflected in practices that are specific to the setting and circumstance.
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Title: Accepting, Verifying, Transcribing and Implementing Prescriber Orders Advisory Ruling Number: 9324 (formally Verification of Orders)Authority: The Massachusetts Board of Registration in Nursing (Board) is created and authorized by Massachusetts General Laws (M. The nurse is accountable for ensuring that any orders he or she implements are reasonable based on the nurse’s knowledge of that particular patient’s care needs at that time and must also ensure that the orders (whether written, verbal/telephone, standing orders/protocols, pre-printed order sets, electronic) originate from an authorized prescriber, pursuant to established protocols of the organization.
Prescriber orders for non-pharmacologic interventions may be required by Federal or State law and/or regulation or by institutional policy and would be subject to this AR.
Advisory: It is the responsibility of the licensed nurse to ensure that there is a proper patient care order from a duly authorized prescriber prior to the administration of any prescription or non-prescription medication or activity that requires such order in accordance with accepted standards of practice and in compliance with the Board’s regulations.