Lutheran Life Villages

F 0684 Electronic Medical Record-Physician Orders: Practitioners will enter orders directly into the EMR to provide timely resident care .Physician orders shall be written in a manner to clearly convey the intent of the Level of Harm - Minimal harm or physician to any nurse .The nurse should provide, to the practitioner, any additional information needed for potential for actual harm the practitioner to write an effective order .The nurse is required to electronically acknowledge orders. The nurse should review the order for clarity and completeness, making an entry into the nurse notes, adding an Residents Affected - Few additional care plan problem or augmenting an existing problem .Acknowledging/noting orders takes place in

the EMR

This Citation relates to Complaint IN00460004.

3.1-37

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 7 of 7 155586