Mickle Jon, Reinke Denise
James Cancer Hospital and Solove Research Institute, Columbus, OH, USA.
Clin J Oncol Nurs. 2007 Aug;11(4):534-9. doi: 10.1188/07.CJON.534-539.
Standing orders serve an important role in various healthcare settings by empowering nurses to implement certain procedures and activities on behalf of physicians, enabling more immediate interventions, and ultimately improving patient care. Standing orders are based on established clinical practice guidelines and are well suited for supportive interventions. Several evidence-based clinical practice guidelines are available for the treatment of anemia in patients with cancer. The guidelines can serve as a basis for the development of standing orders for the management of treatment-related anemia in patients with cancer, which will enable the delivery of consistently high-quality care to patients. A major advantage to the implementation of standing orders is that patients with suboptimal hemoglobin levels can be treated by oncology nurses in a timely manner and receive high-quality care that is consistent with available clinical evidence.
长期医嘱在各种医疗环境中发挥着重要作用，它使护士能够代表医生实施某些程序和活动，实现更及时的干预，并最终改善患者护理。长期医嘱基于既定的临床实践指南，非常适合支持性干预措施。目前有几项基于证据的临床实践指南可用于治疗癌症患者的贫血。这些指南可作为制定癌症患者治疗相关贫血管理长期医嘱的基础，从而为患者提供始终如一的高质量护理。实施长期医嘱的一个主要优势是，血红蛋白水平未达最佳的患者可得到肿瘤专科护士的及时治疗，并获得与现有临床证据相符的高质量护理。
