An Introduction to Standing Orders
We've had a number of questions around Standing Orders in schools.... what are they, how they work and how you use them. So we thought we'd compile these in a blog post for those who may also have the same questions! Here goes....
What is a Standing Order?
(In the School Based Health setting), A Standing Order is a written instruction issued by a GP or NP. It authorises a nurse who does not have prescribing rights to administer and/or supply specified medicines. The intention is for Standing Orders to be used to improve patients’ timely access to medicines; for example, a registered nurse in a school with no school GP/NP available. Have a read through the legislation to become more familiar with it - MOH Standing Order Guidelines and the NZNO Guidelines on standing orders.
Who writes the Standing Order?
The Issuer. The issuer is usually the GP or NP. Occasionally, these can be written by a group of doctors if they are collectively employed.
Who signs the standing order?
Both the issuer and the nurse administering the Standing Order need to sign and date the Standing Order in order for it to be valid. Your Principal does not sign the Standing Order.
If I sign a standing order, do I have to give that medication?
No, if you are not confident or do not feel the medication is warranted, you do not have to give the medication. We would recommend that you discuss any concerns you have with the GP or NP, and document your rationale in the patient notes.
The GP at my school has a different employer to me. Does that affect whether we can both sign a Standing Order for use at my school?
The Issuer and person administering the Standing Order do not have to be part of the same company to issue a standing order. The MOH guidelines as per NZ legislation do not limit them to being within the same company.