ED Manag. 2008 Dec;20(12):135-7.
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.
医疗保险和医疗补助服务中心（CMS）已改变立场，并以对急诊科更为有利的方式澄清了长期医嘱的使用。启动长期医嘱或方案不再需要医生事先授权。仍然需要记录，并且必须录入病历，但可以在长期医嘱实施后录入。如果得到方案批准且在护士执业范围内，护士可以给药。
