This customizable document, Physician's Order and Prescription, is taken from MCN Healthcare’s Home Infusion Therapy Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Physician's Order and Prescription:

	POLICY: Prescriptions will be received, recorded and processed as required by applicable law and regulation. The pharmacist is to review the prescription and verify that it is valid and appropriate for the client prior to dispensing. Joint Commission standards, pharmacy law and reevaluation will be followed to ensure accuracy, consistency and retrievability of the prescription record. PROCEDURE: Verbal Orders: Verbal orders or those transmitted over the telephone will be accepted only by a pharmacist or pharmacy intern and only from a licensed prescriber or the prescriber's authorized...
Second excerpt:
	...is received by someone other than a pharmacist or pharmacy intern. Whenever there is a question about the prescription. For controlled substance Schedule II C-II prescriptions, a written triplicate prescription must be obtained except for emergency prescriptions. In an emergency situation a C-II prescription may be accepted and filled from verbal or telephone order. The physician must provide the triplicate prescription within 72 hours of the time the prescription was dispensed. ...