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| To enact section 3727.15 of the Revised Code to | 1 |
| require each hospital to establish a policy | 2 |
| governing authentication of verbal medical orders. | 3 |
| Section 1. That section 3727.15 of the Revised Code be | 4 |
| enacted to read as follows: | 5 |
| Sec. 3727.15. (A) As used in this section: | 6 |
| (1) "Health care professional" means an individual authorized | 7 |
| to practice medicine and surgery, osteopathic medicine and | 8 |
| surgery, or podiatric medicine and surgery, or any other | 9 |
| individual who has authority to give an order regarding the | 10 |
| provision of medical services to a hospital patient. | 11 |
| (2) "Verbal medical order" means a verbal order given by a | 12 |
| health care professional regarding the provision of medical | 13 |
| services to a patient who is receiving services through a | 14 |
| hospital, regardless of whether the services are received on an | 15 |
| in-patient or out-patient basis. "Verbal medical order" does not | 16 |
| include an order given directly to a patient. | 17 |
| (B) On receipt of a verbal medical order, an individual who | 18 |
| is employed by or provides medical services in a hospital shall | 19 |
| record the date and time the order was received and sign the | 20 |
| record in accordance with the policy adopted by the hospital under | 21 |
| division (C) of this section. If the order was repeated to the | 22 |
| health care professional by the individual who received it and | 23 |
| verified or corrected by the health care professional in | 24 |
| accordance with the hospital's policy, this shall also be noted in | 25 |
| the record. | 26 |
| (C) Not later than one hundred eighty days after the | 27 |
| effective date of this section, the governing body or chief | 28 |
| administrator of each hospital shall adopt a policy on verbal | 29 |
| medical orders. The policy shall apply to all verbal medical | 30 |
| orders given on or after the date of its adoption. The policy | 31 |
| shall specify all of the following: | 32 |
| (1) The procedure for recording an order as required by | 33 |
| division (B) of this section; | 34 |
| (2) The means to be used to authenticate an order, which may | 35 |
| include written or electronic initials or signatures or any other | 36 |
| means the governing body or administrator considers appropriate; | 37 |
| (3) Any other procedures or requirements the governing board | 38 |
| or administrator considers appropriate. | 39 |
| (D) Regarding authentication of verbal medical orders, the | 40 |
| policy shall provide one or the other of the following: | 41 |
| (1) That an order must be authenticated in accordance with | 42 |
| the hospital's policy not later than forty-eight hours after it is | 43 |
| given; | 44 |
| (2) That an order must be immediately repeated by the | 45 |
| individual who receives it to the health care professional who | 46 |
| made it and immediately verified or corrected by the health care | 47 |
| professional and must be authenticated in accordance with the | 48 |
| hospital's policy not later than thirty days after the date of the | 49 |
| patient's discharge. | 50 |