Mercy-Orders-Signature-Template.txt Mercy Hospital of Pittsburgh Standing Orders: Signature Block Template Change List The Owner of this Standing Order is Charles Reese, M.D., Chair, Mercy Health Information Management Committee. Suggestions for changes should be emailed to Dr. Reese's \delegate for this Standing Order Template: Keith Conover, M.D. Change List started 11/25/06 Version 2.1 changes: - moved "Print Last Name:" fillin ABOVE written-signature fillin. REASON: people tend to sign something as their last action on a form. People tended to not print their name in the "Print Last Name:" fillin as they signed the form and then ignored everything below the signature. GLOBAL CHANGE: changed in master Signature Block and for all orders. - found we didn't leave enough room for the Date block so increased the size. Version 1.0 changes: - Decided, to avoid confusion with "verifying attending signature" where that is of a private attending verifying DEM Transition Orders, now the bottom block will say "Attending Co-Signature." On the standard DEM order sheet, it says "DEM Attending Physician" for the signature block, however, I could see Dr. Baker or Dr. Bursick in the ED signing these orders if they happen to be there and caring for a patient as opposed to a DEM attending, so have left off the "DEM." Later, decided that uniformity among the DEM Standing Orders was more important, and left it at "Attending emergency physician" on all the DEM Standing Orders. Thought it unlikely that a neurosurgeon or neurologist would need to sign these orders and that they would understand to sign in the "Attending emergency physician" fillin. - Decided that the word "signature" doesn't need to be in the header for a signature block, and instead, put the imperative "Sign:" inside the signature block instead. - When standing _admitting_ orders are required by hospital policy, as for those admitted with a diagnosis of chest pain or community- acquired pneumonia, they say "Mandatory" in the top left block; we decided to include this for BAPET orders as we want any and every BAPET patient to have these orders on the chart. - The signature block will have to appear on every page. Even if the orders are printed front and back with a printer that supports duplex printing, a signature block must appear on each and every page. This is to ensure that, if the pages are photocopied single-sided, a signature box appears on each and every page. - MEDICAL STUDENTS may sign admitting orders (though the DEM has decided not to allow); however, these signatures must be cosigned by a resident or attending. - RESIDENTS may sign admitting orders; they do not require attending cosignature. - PAs AND CRNPs may sign orders; these DO require an attending cosignature. Admitting orders signed by a DEM CRNP or PA DO could potentially be cosigned by the admitting attending of record. However the DEM prefers that such admitting orders be cosigned by a DEM attanding as well as the admitting attending of record. - DEM-SIGNED ADMITTING ORDERS: Admitting orders signed by a DEM attending or resident must either be verified by the inpatient attending of record or a covering inpatient attending by 9 AM. Originally a statement to this effect appeared at the beginning of the DEM Transition Orders. However, we moved this down to just above the signature block and this appears to work much better than have it at the beginning of the orders.