Question

give me one example of a protocol order,one advantage of a Protocol Order, one disadvantage or safety concern with using protocol order.

give me one example of a standing   order,one advantage of a standing Order, one disadvantage or safety concern with using standing order.

give me one example of a preprinted order set,one advantage of a Preprinted order set, one disadvantage or safety concern with using preprinted order sets.

Answer 1

1. Protocol order are the orders which are already made and kept to be taken when there is a necessary . Example :

For potassium less than 3.5 mEq - give 20mEq of potassium q4hr for 2 days

Advantages :

- timely

- evidence based

- reduces error

- emergency management

Safety concern with using protocal order is protocol should be revised as per the new evolutions

2. Routine (standard) Orders

Regularly scheduled meds; (Apply until prescriber writes order to alter or discontinue medication (or indicates stop date on original order). Ex. Furosemide 20 mg PO BID, Lasix 40 mg IV twice daily x3 days.)

Advantages :-

- provides timely treatment during emergencies

- enhance the quality and activity of healthcare services

- provide a feeling of confidence and responsibility among health care workers

- help to decentralise the health responsibilities

- help to strengthen the primary services in the community

Safety concern with using standing order is to write the order correctly it'd dose ,route ,date of start and stop

3. Preprinted orders definition :-

Predefined, printed physician order set for a specific clinical condition

Advantages :-

Preprinted orders often accompany:

A clinical pathway or a clinical practice guideline

Preprinted orders facilitate:

The practice of evidence based medicine

Preprinted orders minimize:

Errors associated with communication (eg. illegible handwriting)

Safety concern with using preprinted order is that printed order should be checked by the physician and also before it's printed to ensure correct order is written