Orders - Cancelling and Rewriting Orders Following a Procedure or Transition of Care

Is there a Joint Commission standard that requires all orders to be cancelled, then rewritten following a procedure or when a patient is transferred from one level of care to another?

Any examples are for illustrative purposes.

No, there is no specific accreditation requirement that states all orders must be canceled, then rewritten following a procedure or when a patient is transferred from one level of care to the next.  Such a requirement would be an organizational decision, or when specifically required by individual state law/regulation.

During transitions of care, there must be a process in place to ensure coordination of care among care providers and that the most recent orders are being followed. Consider conducting a risk assessment as such an assessment allows organizations to identify risk points associated with options being considered. For example, such a process should not include the use of summary (blanket) orders for resuming medication (see MM.04.01.01 EP 8). The introductory section of the Leadership (LD) chapter provides an example of a pro-active risk assessment model that an organization may use.  However, this specific approach is not mandated as there are other risk assessment tools available that may better meet the needs of the organization.







 
Last updated on August 11, 2020
Manual: Critical Access Hospital
Chapter: Provision of Care Treatment and Services PC

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