The document outlines work instructions for nurses on transcribing doctor’s orders within a medical setting. It emphasizes the importance of ensuring accuracy through the 8 rights of medication administration, proper transcription methods, and secure documentation. Additionally, it specifies procedures for handling verbal and telephone orders, including confirmation and timely signing.

1. Transcribing doctor’s order
RAHIMA MANGELEN, SALENDAB, BSN, RN
NQMC
MEEQAT GENERAL HOSPITAL
MADINAH, AL – MUNAWARRAH, K.S.A.

2. OBJECTIVE: TO BE ABLE TO INTERPRET INTELLIGENTLY DOCTOR’S ORDER
SCOPE: this work instruction is to be done by the a nurse
Medical Order – an order (written or verbal) made by the physician pertaining care
and management.
WORK INSTRUCTION:
 Transcribe medical order to nursing kardex
 Fills up medication sheet, appropriate forms for lab. Investigation and diagnostic
request

5. sure that the 8 RIGHTS are there in the doctor’s order
1.RIGHT PATIENT
2.RIGHT MEDICATION
3.RIGHT DOSE
4.RIGHT ROUTE
5.RIGHT TIME
6.RIGHT DOCUMENTATION
7.RIGHT REASON
8.RIGHT RESPONSE

6. CORRECT TRANSCRIPTION OF ORDER
1. Read every word on the script
2. When the medicine is received from the pharmacy,
check to make it sure that it is the correct
medication.
3. Write each word on the MAR that is on the
medication label
4. Recheck your transcription word for word to make
sure that it was transcribed correctly.

12. 1. Never transcribe doctor’s order with erasure or tampered
2. Always write legibly, neatly, and correctly
3. New order must be written date and time of order
4. Do not revise / rephrase what have been written in the doctor’s order, rewrite
completely what have written in the order.
5. If in doubt, double check doctor’s order sheet / ask SOD / ask transcribing
physician
6. Arrange your drug accordingly
7. Signing the medication sheet as prompt as possible after administrating /
given a due medicine
8. Do not sign medication sheet in advance, without administering the drug yet,
especially IVTT meds
9. Always coordinate with the unit head nurse with regards to the new orders;
new drugs ordered.
10.always counter check for any new order
11.BE MINDFUL ALWAYS!!!!...

13. TELEPHONE ORDER
 WRITE DOWN THE ENTIRE ORDER
 READ BACK
 WITNESS
 SIGN WITHIN 24 HOURS

14. VERBAL ORDER
 REPEAT BACK
 START THE ORDER
 SIGN AFTER SITUATION IS OVER
OR BEFORE PHYSICIAN LEAVE THE
AREA