RULE (MOM)
verbal/telephonic order routine practice NAHI hai — sirf jab doctor chair-side nahi ho aur delay patient ko harm kare. Process: receiver order LIKHTA hai → doctor ko READ-BACK karta hai (confirm) → entry me drug/dose/route/time + receiver ka naam → doctor defined time-limit me aa kar COUNTERSIGN karta hai.
APP ME DIKHAO
NABH Hub → Daily Logs → Registers → Verbal Order register — telephonic orders ki entries yahan hoti hain ('Backfill' prescriptions se verbal-order entries bhi uthata hai jahan applicable). Assessor ko 1-2 entries + countersign practice dikhao.
AGAR REGISTER KHALI HAI
do possibilities — (a) clinic me verbal orders hote hi nahi (chhote clinic me common) — to confidently bolo 'hamare yahan doctor hamesha present hota hai, verbal order ki policy hai par need nahi padti' — khali register + written policy = valid jawab; (b) hote hain par likhe nahi jaate — to wo gap hai: aaj se register + staff briefing + CAPA.
STAFF COACHING
receptionist/assistant se assessor puchega 'doctor phone par bole to?' — script: 'main likh kar wapas padh kar sunati hun, aur doctor aa kar sign karte hain'.
PREVENTION
Procedure Manual → MOM chapter ka verbal-order SOP staff sign-off karwao.