I don't know about any "rules" about transcribing orders. Ward clerks or unit secretaries can transcribe orders, if the RN double checks them, so whose responsibility it is to transcribe them shouldn't be the point. Obviously your trying to streamline things and make things easier for the doc receiving the call, but what about your nursing staff? How does what your doing now affect their workload? Do you think that they may feel like their getting a bunch of orders dumped on them all at once? Can you think of a way to accomplish the same thing while fostering a spirit of teamwork with your staff?

There is a difference between TAKING A TELEPHONE ORDER and NOTING AN ORDER.

If you take the telephone order and write it in the chart under the physician's orders as such, you are not responsible for that order being carried out. You can simply flag it as "Nurse to check" or "New Orders" and be done with it.

However, if you "note" the order, you are taking responsiblity for that order being carried out. If this includes computer entry, faxing or whatever, once you note it, you are basically saying, "I have made sure that the order is correct, and I have done everything necessary so the patient will receive this as ordered by the MD."

Oh, and if it's a STAT order; if you don't note it, than you're not helping anyone.

I hope this helps clarify any confusion.