CMS memo OKs use of standing orders.

The Centers for Medicare & Medicaid Services (CMS) has reversed course and clarified the use of standing orders in a manner that is much more favorable to EDs. Initiation of standing orders or protocols no longer requires prior authorization by a physician. Documentation still is required, and it must be entered into the medical record, but it can be entered following implementation of the standing order. Nurses can administer drugs if approved by protocol and if it is within their nursing scope of practice.