Which phrase should be used to indicate a verbal order in the medical record?

• A. TO/VO
• B. Phone order
• C. Direct order
• D. Documented order

Answer: (A)

When orders come in verbally or by phone, it’s essential to label them in the chart to show how the instruction was obtained and who is responsible for acting on it. The standard label to use is TO/VO, which stands for Telephone order or Verbal order. This notation makes it clear that the order was not given in person and it signals the need for proper verification and eventual physician authorization within the required timeframe. It helps the whole care team track the origin of the instruction and ensures accountability and patient safety.

Other terms are less precise. A phrase like “Phone order” is not as exact about whether the order was verbal or given over the phone, and it may not consistently cue clinicians about the need for follow-up verification. “Direct order” implies the physician spoke with the clinician in person, which isn’t the case for verbal or phone orders. “Documented order” is too vague and doesn’t indicate the method or origin of the order.