Verbal Orders and Critical Results Log
One line per verbal order or critical value: who gave it, who took it, read back, acted on, countersigned. The audit trail the read-back rule needs
What it is
A ward and laboratory log for every verbal order and every critical result: time, patient (two identifiers), content, given by, received by, read back, action, countersignature time — with the facility's critical-value list on the back.
Where to use it
Beside every ward phone and at the laboratory bench; audited monthly. Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself). Evidence for: Hospital Standard 4 — communication of orders and critical results (means of verification: the log itself).
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Two Identifiers. Every Time.
Patient Identification Wristband — Policy Template
SBAR — Handover and Escalation Card
Read-Back and Closed-Loop Communication
Print to share.
