This home health and hospice form is when the nurse is requesting something of the physician such as permission to get an air-mattress for a patient. When the physician reviews the top portion of the form (the nurse request portion) and then completes his/her section it becomes a physician order. So many nurses document telephone orders when they never spoke to the doctor's office. This tool allows the nurse to truly request orders and document the request legally and within the scope of her practice.
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