Which of the following is a proper practice for issuing a TO/VO?

• A. Avoid time-stamping the order
• B. Record the order with the prescriber’s name and title
• C. Keep the order just in the nurse's notes
• D. Obtain acknowledgement from the prescriber and record the order with time stamp

Answer: (D)

When handling telephone or verbal orders, the important goal is to create a clear, auditable record that shows who authorized the order and exactly when it was given. Obtaining the prescriber’s acknowledgement and recording the order with a time stamp establishes accountability and traceability. It ensures the order is documented in the official medical record so any member of the care team can verify what was ordered, by whom, and when it was authorized, which supports safe administration and legal protection.

Options that skip the time stamp or keep the order only in the nurse’s notes fail to provide a complete, verifiable record. Time-stamping is essential because it fixes the exact moment of authorization, and placing the order in the chart—not just in nurse notes—ensures the entire team has access to the formal directive.