Manual:
Critical Access Hospital
Chapter:
Record of Care Treatment and Services RC
Topic:
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. However, such a process may not include the use of summary (blanket) orders for resuming medication (see MM.04.01.01 EP 8). During transitions of care, discussions between caregivers is an important step in making sure the orders implemented are the most recent.
Consider conducting a risk assessment as such an assessment allows organizations to identify risk points associated with options being considered. 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.
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. However, such a process may not include the use of summary (blanket) orders for resuming medication (see MM.04.01.01 EP 8). During transitions of care, discussions between caregivers is an important step in making sure the orders implemented are the most recent.
Consider conducting a risk assessment as such an assessment allows organizations to identify risk points associated with options being considered. 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 July 25, 2022
with update notes of: Editorial changes only
First Published Date: January 18, 2017
Last Reviewed Date: April 27, 2022