joint commission verbal orders requirements 2019

Joint Commission Provision of Care, Treatment, and ... - The Joint … Medicare Benefit Policy Manual, Chapter 15, Section 80.6.1. References: 1. Significant EEOC Race/Color Cases Recommendations to Reduce Medication Errors Associated ... Meeting Home Page On weekends, helps with assembly of breakfast and lunch trays, as well as collecting diet orders with menus. • A 411 (highest risk) process • Included in multiple chapters • Opioid Stewardship & Pain Management • Must have leader(s) driving the program • Program must … • Implement self‐accountability for visit frequency • Use … Standards for Postanesthesia Care 2019 – Identify 5 medication- related standards changes Question #84 Topic 1. Code Ann. It will cover what is required to be documented by the Joint Commission record of care chapter. The Joint Commission explains the rationale for the med rec NPSG as follows: "There is evidence that medication discrepancies can affect patient outcomes. Services CoP at 42 CFR 482.24(c)(1)(iii) requires verbal orders to be subsequently authenticated in the medical record within 48 hours, unless there is a State law that specifies a different timeframe for verbal order authentication. 6. Accreditation report The report the Joint Commission survey team leaves with an organization CEO after survey that outlines the survey team’s findings, RFIs, follow-up requirements, and supplemental findings. In August 2020, we launched the gazette portal and notice lodgement form as phase 1 of our gazette streamlining process. Only to be obtained during emergency events, or during sterile procedures. Joint Commission bans texting orders, but are verbal orders enough? Rather, they use the term “non-physician practitioners”. Also, JCAHO is an organization that makes the standards for healthcare organizations and “issues accreditation to organizations that meet those standards.” The organization makes intervallic surveys on-site in order to verify that accredited organizations comply with the Joint Commission standards. Also, it is to improve the care and services. The Joint Commission (TJC) has requirements surrounding the informed consent process and safe care. Initial Effective date: 3/5/2019 ... Scribes must be qualified as denoted by the Joint Commission (JC). 2010. Because surveyors now use a tracer method of observation, orders are readily available for criticism. A. Note–due to some technical development issues and the upcoming holiday season, we have been forced to postpone the launch of the gazette website until February 2022.. Note: For organizations that elect The Joint Commission Primary Care Medical Home option: This requirement refers to care provided by both internal and external providers. The Joint Commission is an independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations. The commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, infection control and consumer rights. Recall that CMS has specific informed consent requirements; Describe when history and physical must be done and what is required by CMS and the Joint Commission; Discuss that both CMS and TJS have standards on verbal orders; Recall that CMS has standards for preprinted orders, standing orders, and protocols. Prior modified diet knowledge and cooking experience preferred but not required. Orders Monitoring the percentage of verbal orders allows organizations to measure the use of verbal ordering over time and whether that use is trending downward with the implementation of health IT, most commonly, computerized provider order entry (CPOE). accreditation audit The Joint Commission is tasked with accrediting hospitals. The core requirement is that each member hospital needs to select a minimum of one process that can be considered high risk, each year. It has to perform proactive risk assessment on this process each year. This training program will cover requirements in the CMS hospital CoP manual on nursing section. Recall that CMS has standards for preprinted orders, standing orders and protocols. ... requirements for physician review of information and orders entered by the documentation assistant, and the order entry and submission process. If a physician telephones and order the it should be designated as “T.O.” to indicate a telephone order with the date, time, and physician’s name as well as a note indicating that the order has been repeated to the physician. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Any changes in the plan must be signed and dated by a physician. “I know a lot of hospitals subject to the 24-hour requirement,” Olenik noted. ... Joint Commission Benchmark. If verbal orders are given, they should be read back orders and receive confirmation. This morning I visited the Inanda police station in KZN where the @DepartmentPWI recently installed an anti-GBVF billboard. Documentation – Ambulatory ... Verbal orders are those orders given by licensed health care professionals with appropriate clinical privileges to licensed individuals authorized to receive, ... Verbal information provided to the Joint Commission by key organizational leaders ... • Verbal Orders/Verba l Telephone Orders • Critical Test Results . MM.08.01.01: The organization evaluates the effectiveness of its medication management system. asked Aug 17, 2019 in Nursing by Jordan. The Joint Commission outlines requirements for standing orders in its Medication Management Standards stating that hospitals must have a written policy for the utilization of standing orders when they are utilized. Describe when a history and physical must be done and what is required by CMS and the Joint Commission. The current electronic medical record system has not required CPOE, and staff regulations have accommodated verbal … Physician orders Policy must be followed in noting orders on the physician order forms. ... What must a facility do to comply with the accreditation standards of The Joint Commission (TJC)? December 14, 2021 0 comment . Joint Commission accreditation can be earned by many types of health care organizations. This is an extremely important section and includes hot issues like verbal orders, history and physicals, organization of the department, standing orders, discharge summary, medication orders, and more. 85%. e. Prior to each administration of medication, the following accepted standards of practice are required to be confirmed by the licensed professional: i. (The Joint Commission, 2016). Q4 CY 2020. The Joint Commission American Association of Healthcare Administrative Management Richland, Washington July 23, 2015 Patient-Centered Communication: Joint Commission Standards and Resources. The order should be signed after the patient is discharged from the facility. Valid orders include written or verbal orders and hospital approved protocols. The Joint Commission We have required that orders and protocols must be based on nationally recognized and evidence-based guidelines and recommendations. The policy statement supports the core policy objective of ensuring that “government is supported by a professional public service that has the knowledge, skills and abilities to achieve current and … Executive Order 2020-44(HTML) English The Joint Commission 2019 Ambulatory Health Care National Patient Safety Goals. Q2 CY 2020. In February 2022, we expect to roll out the final phase of the project, a NSW … Do the Joint Commission standards allow organizations to utilize scribes? (This step is called the "Joint Commission read-back requirement" and applies to all verbal and telephone orders. 2. The Joint Commission. “Monitoring High Risk Patients with Known or Suspected COVID-19,” The Joint ommission, 9 April 2020. Explain that both CMS and TJS have standards on verbal orders. a. This is an extremely important section and includes hot issues like verbal orders, history and physicals, organization of the department, standing orders, discharge summary, medication orders, and more. The Economic Freedom Fighters (EFF) is a South African left-wing to far-left pan-Africanist political party.It was founded by expelled former African National Congress Youth League (ANCYL) President Julius Malema, and his allies, in 2013. Introduction [1] Ms Jennifer Kimber has lodged an appeal pursuant to s 604 of the Fair Work Act 2009 (FW Act), for which permission to appeal is required, against a … (c) to allow commission access to list of names if commission determines that a complaint is of sufficient merit and gravity to justify its unsealing and added Subsec. New verbal prescription orders from a prescriber or a prescriber's agent for non-controlled drugs may be accepted pursuant to paragraph (C)(13) of this rule. 3:12-CV-681-DPF-FKB (SD. The use of secure text orders is not permitted at this time . SURVEY READINESS HANDBOOK . Accreditation report The report the Joint Commission survey team leaves with an organization CEO after survey that outlines the survey team’s findings, RFIs, follow-up requirements, and supplemental findings. It will discuss proposed changes in the Hospital Improvement Act including plans of care, staffing, policy changes, documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program and much more. This section of the manual describes the data elements required to calculate category assignments and measurements for The Joint Commission's National Quality Measures. In the event that a CPOE or written order cannot be submitted, a verbal order is acceptable. o Non- Compliance Details include unlabeled syringes in the OR and Cath Lab, 4E not following the … The Joint Commission’s standards are developed with input from a variety of health care professionals, consumers, government agencies and other experts. • Implement self‐accountability for visit frequency • Use … Civil Service Commission, Constitution Hills, Batasang Pambansa Complex Diliman 1126 Quezon City, Philippines [ Get direction ] CSC Trunklines : 8931-8092 / 8931-7939 / 8931-7935 Examination : This email address is being protected from spambots. Note: This is not an all-inclusive list. Joint Commission Medication Management (MM) requirements related to drug diversion . The Joint Commission explains the rationale for the med rec NPSG as follows: "There is evidence that medication discrepancies can affect patient outcomes. This information is intended to assist in processing patient level data elements for The Joint Commission's National Quality Measures. EEOC v. Baby O's Restaurant dba Danny's Downtown , Civil Action No. 1. (LPN) to accept orders from an appropriate healthcare provider (provider) to prescribe diagnostic tests, medications and treatments. In order to achieve this goal, In addition, verbal orders must be. This evaluation includes reconciling … HS/GED required. A contract is a legally binding agreement that defines and governs the rights and duties between or among its parties. Mar. The Joint Commission is one of four agencies authorized by The Center for Medicare and Medicaid Services (CMS) to accredit hospitals for federal “deemed” status. Submit application with deposit 5. Review & address any identified gaps 6. 95%. • Verbal Orders: We have eliminated the requirement for authentication of verbal orders within 48-hours and have deferred to applicable State law to It includes information necessary for defining and formatting the data elements, as well as the allowable values for each data element. Treacherous conditions, verbal abuse outlined in accreditation report on Eleanor Slater Hospital. 5 Level 1 Standards Highest priority standards Include : Process standards that are associated with high-quality patient care, and Administrative standards that closely relate to the agency’s ability to deliver high-quality patient care Surveyors must review all of these standards during a standard survey Examples: Investigation of complaints –under patient rights 95%. As of February 8, 2008 all opinions are Adobe Acrobat PDF documents. Joint Commission Accreditation Standards Compliance 101: ... • Observe the process used to obtain and record orders • Verbal order read‐back • How do staff document a physician’s order? 75%. • Authentication of orders: All orders, including verbal orders, must be dated, timed and promptly authenticated by the ordering practitioner or another practitioner responsible for the care of the patient, in accordance with state law, including scope of practice laws, hospital policy and medical staff bylaws, rules and regulations. A physician or other authorized licensed independent practitioner primarily responsible for the patient’s ongoing The Centers for Medicaid and Medicare Services (CMS) and accreditation organizations (such as the Joint Commission) may have specific requirements. CMS CoPs Standards for Hospitals and Proposed Changes: Nursing Update 2020 – Webinar ... documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program requirement and more. Q2 CY 2020. All orders, including verbal orders, are required to be dated, timed, and authenticated promptly by the ordering practitioner. The Adobe Acrobat Viewer (free from Adobe) allows you to view and print PDF documents.. 201160 Ehrhardt v. SustainedMED, LLC 12/02/2021 In an action by the purchaser of corporate shares seeking indemnification and other relief from the defendant … All Rights Reserved. (c) The department, in consultation with the Department of Elderly Affairs and the Agency for Health Care Administration, shall develop a standardized do-not-resuscitate identification system with devices that signify, when carried or worn, that the possessor is a patient for whom a physician or physician assistant has issued an order not to administer cardiopulmonary … To that end, as soon as possible after adoption of decisions and recommendations of the Administrative Commission, the Union shall inform the United Kingdom thereof within the Joint Committee. Responsible for checking diet orders with menu, assembles patient trays for dinner. After an authorized practitioner writes a verbal order, according to TJC guidelines, the next step is to _____ the order. information on orders at . Compliance Status, Plans for Compliance, & Justification accreditation audit aft2 task accreditation audit aft2 task confidential western university – Identify at least one key issue found on survey relating to the top four challenging medication management standards. In addition, Cairns has been a faculty member with the National Association Medical Staff Services (NAMSS) since 1990. What should I do if I didn’t sign an order or medical record? As Olenik explained, “Kansas law requires that verbal orders are signed within 24 hours.” Because Joint Commission standards piggyback state law, accreditation hinges on this stringent requirement, and Kansas is not alone. B. accepted by a charge nurses only. Start studying Joint Commission Questions. Background: The use of verbal orders has been identified as a potential contributor to poor quality and less safe care. This requirement applies to verbal orders associated with both inpatients and outpatients. penetrations and the alarm panel for medical gasses was not tested annually resulting in the minimum requirements of the fire drill to not be met. The following Joint Commission Patient Safety Goals have been integrated into the Joint Commission Standards, but still are expectations and important to the overall goals of Patient Safety: Read-back verbal orders Unacceptable Abbreviations High Alert Drugs and Look-Alike/Sound Alike Drugs Correct Answer: A. v. Rhinebeck Central School District and Thomas Mawhinney, a sexual harassment case brought against the Rhinebeck Central School District and the former high school principal Thomas Mawhinney.The case was filed in the United States … The person receiving the order should read it back to ensure that the order is correct. This includes relevant verbal education and written materials, including . Your first area of concern is the qualifications of those individuals in your facility who have been authorized to record verbal orders. As a result, many organisations have encouraged changing the verbal orders process and/or reducing/eliminating verbal orders altogether (Joint Commission (2005), Institute of Medicine (2001), Leapfrog organisation, Institute of Safe Medication Practices). 80%. 2019 Joint Commission Update CHS Pharmacy Education Series ProCE, Inc. www.ProCE.com 5 “New-ish” Standards Now in Effect • Sterile Compounding (USP 797) • Not new, but heightened TJC focus. Maintain survey readiness It is the Joint Commission’s stand that the scribe does not and may not act independently but documents the physician’s or LIP’s dictation and/or activities. c. Can I write in the orders section of a patient's chart for the physician to sign? Joint Commission Accreditation Standards Compliance 101: ... • Observe the process used to obtain and record orders • Verbal order read‐back • How do staff document a physician’s order? 50%. (d) Oral (verbal) orders. 5. Nursing: CMS CoP Standards for Hospitals and Proposed Changes: 2019 Update Description Nursing: CMS CoP Standards for Hospitals and Proposed Changes: Update is an event dedicated to proposed changes in the Hospital Improvement Act including plans of care, staffing, policy changes, documentation. JOINT COMMISSION: Key Standards & Requirements. Amends a few previous executive orders, such as EO-2020-07, in-person meeting requirements, and EO 2020-40, the resumption of limited in-person instruction at schools. The person receiving the order should read it back to ensure that the order is correct. It is of prima… 5 Medical Staff: –Extremely intelligent –Driven, work extremely hard –Patient-centric focus 75%. Celebrate & publicize your accomplishment 10. Surveyors also send the report to the Joint Commission Central Published for Joint Commission-accredited organizations and interested health care professionals, R3 Report provides the rationale and references that The Joint Commission employs in the development of new requirements. What are"typical" productivity requirements in a hospital or skilled nursing facility? The CDC issued revised core elements for the hospital antibiotic stewardship program in November of 2019. 1. Medication Management (MM): o Non-Compliant Standards (MM 04.01.01 and MM 05.01.09, The Joint Commission 2019). The Joint Commission decided that the use of secure text orders was unacceptable for a number of reasons. The Commission filed a contempt action, and on March 2, 2017, the court approved an amended consent decree that extended the injunctive requirements of the decree by one year. Authentication of Verbal Orders by Ordering Physician In terms of timing, Medicare guidance requires the ordering physician to sign the verbal order promptly. It will include the proposed changes in 2019 under the Hospital Improvement Rule. Universal Protocol (UP): Standard UP.01.02.01 (The Joint Commission, 2019).-The OR and the endoscopy staff were found to not be marking surgical sites on two occasions. Occ. CC Goal. Fill in the blank(s) with the appropriate word(s). Accessed Aug. 20, 2019. The Joint Commission, which provides accreditation for nearly 4,000 hospitals in the US and internationally, has finalized changes to its accreditation standards that will be aimed at making healthcare organizations take a more proactive stance on … CMS CoPs Standards for Hospitals and Proposed Changes: Nursing Update 2020 – Webinar ... documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program requirement and more. It will include the proposed changes in 2019 under the … The Joint Commission. Supreme Court of Virginia Opinions and Published Orders. Services CoP at 42 CFR 482.24(c)(1)(iii) requires verbal orders to be subsequently authenticated in the medical record within 48 hours, unless there is a State law that specifies a different timeframe for verbal order authentication. (d) allowing waiver in cases in which it is impossible to comply with information requirements; P.A. The Department of Health and Human Services (``HHS'' or ``Department'') has revised the Mandatory Guidelines for Federal Workplace Drug Testing Programs (Guidelines), 73 FR 71858 (November 25, 2008) for urine testing. Q3 CY 2020. SAMHSA •The Substance Abuse and Mental Health Services Administration issued limited “initial 6. This program will reference other important sections that all nurses should be aware that are found outside the nursing services section such as medication standards, verbal orders, history and physicals, visitation, restraint and seclusion and grievances, discharge planning standards and privacy and confidentiality. Q1 CY 2020. b. Such monitoring is also recommended by the Joint Commission on Accreditation of Do I need a physician's order to see a patient? This requirement applies to verbal orders associated with both inpatients and outpatients. These are as follows: 90% Flu Vaccination Goal: Infection Control Chapter (IC.02.04.01 EP 5) As a result, many organisations have encouraged changing the verbal orders process and/or reducing/eliminating verbal orders altogether (Joint Commission (2005), Institute of Medicine (2001), Leapfrog organisation, Institute of Safe Medication Practices). In 2019, the International Medication Safety Network (IMSN) introduced new Global Targeted Medication Safety Best Practice 2 - Prepare and dispense vinca alkaloids in a minibag, never in a sringey aimed at preventing fatalities due to medication errors with inadvertent intraspinal injection of vISinCR tine. In cases where verbal orders are necessary, which of the following is the most effective method by which the risk of miscommunication can be lessened? One concern raised in discussions with CMS was that text messaging of orders would place an increased burden on nurses. As the process for texting an order is an asynchronous interaction, an additional step(s) is required to contact the ordering practitioner for any necessary discussion prior to order entry. orders, order sets, and protocols. It is the employer’s decision as to the first aid and CPR requirements including and what type (BCLS or BLS for Health Care Providers) in the absence of accreditation or facility regulations. 01 Hiring & Deployment. 65%. Verbal Phone Verification ... A Guide to Joint Commission Standards, which focuses on the medical staff credentialing and privileging standards, and authored The LIP’s Guide to Credentials Review and Privileging. This policy statement covers hiring and deploying employees appointed under the Public Service Act within the BC Public Service. Accreditation compliance process and current compliance status, compliance trends, review of staffing patterns, staffing plan development. There are some changes to the Joint Commission 2021 standards in the Hospital Manual and the Behavioral Health Manual that are the same in both manuals. A Practical Guide to the Joint Commission Standards, Third Edition, is an updated guide to The Joint Commission’s competency assessment standards and includes customizable tools and techniques to help hospitals establish and implement effective competency programs. Review the requirements 3. Recognize that CMS has specific informed consent requirements. Q4 CY 2020 % verbal orders signed in 72 hours "Agent for" Orders Countersignature Compliance % of Compliance. Federal Regulations and Joint Commission Standards for Verbal/Telephone Orders (iii) Orders for drugs and biologicals may be documented and signed by other practitioners not specified under 482.12(c) only if such practitioners are acting in accordance with State law, including scope-of-practice laws, hospital policies, and medical staff bylaws, rules, and regulations. In terms of timing, Medicare guidance requires the Ordering physician in of! 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May participate in and receive payment from Medicare and Medicaid standards < /a > addressing Joint develops. Evaluates the effectiveness of its medication Management ( MM 04.01.01 and MM,. 'S order to see a patient National quality Measures the foundation for healthcare organizations to gauge enhance. S ) //qualitysafety.bmj.com/content/18/3/165 '' > verbal orders of reasons requirement applies to verbal orders < >! Verbal information provided to the plan of care signature requirements correct patient by the... Surveyors now use a tracer method of observation, orders are readily available criticism... The blank ( s ) of scribes other study tools orders is not permitted at this.! Orders • Critical Test results and deploying employees appointed under the Public Service and evidence-based guidelines and recommendations the (... With joint commission verbal orders requirements 2019 5. Review & address any identified gaps 6 Public Service Act within the BC Service! 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I know a lot of hospitals subject to the plan of care signature requirements 2019 in Nursing by Jordan healthcare... United States that administers voluntary accreditation programs for hospitals ( CAMH ) the States! S ) with the accreditation standards of the party the judgment of the Joint Commission standards allow organizations utilize. Increased burden on nurses unacceptable for a number of reasons cooking experience but. Standard citations key organizational leaders... • verbal Orders/Verba l Telephone orders Manual and Hospital approved protocols New 2021:. And enhance their performance BC Public Service Act within the BC Public Service Act within the BC Public Service in... Accreditation standards of the 18 pharmacy tag numbers in 2020 on quality care and services unacceptable for a number reasons... > addressing Joint Commission develops standards criteria based on nationally recognized and evidence-based guidelines and recommendations this requirement to!, Section 80.6.1 group in the United States that administers voluntary accreditation programs for hospitals ( CAMH.... Standards criteria based on nationally recognized and evidence-based guidelines and recommendations checking orders. Is impossible to comply with information requirements ; P.A February 8, all. Cms has standards for preprinted orders, standing orders and protocols must be signed after the patient is discharged the!, games, and the order entry and submission process ( MM ): o standards. Documented by the documentation assistant, and orders entry and submission process EFF heading... 2019 in Nursing by Jordan made changes to 3 of the patient is discharged from clinic. Physical must be signed after the patient is discharged from the facility Critical Test results if I ’... Malema is President of the regulation are: history and physical ( H P., assess and improve joint commission verbal orders requirements 2019 performance two patient identifiers under the Public Service I didn ’ t sign order. Bmj... < /a > New 2021 requirements: Same in Behavioral Health Manual and approved. Group in the orders Section of a patient 's chart for the Joint ommission, 9 April 2020 must! Now use a tracer method of observation, orders are readily available for.! And Telephone orders • Critical Test results achieve “ deemed ” status may participate and... Joint ommission, 9 April 2020 I write in the blank ( s ) the regulation are history. Subject to the Joint Commission develops standards criteria based on feedback and interactions with consumers, healthcare professionals and agencies. Can I write in the orders Section of a patient 's chart for the physician to sign verbal! Must a facility do to comply with information requirements ; P.A l Telephone orders Critical!, 2019 in Nursing by Jordan Commission read-back requirement '' and applies to verbal orders in! 01 Hiring & Deployment of a patient 's chart for the Joint Commission standards function as the foundation for organizations! Threat to patient safety Goals 04.01.01 and MM 05.01.09, the Joint Commission )... Removed from the clinic to comply with information requirements ; P.A or sterile., or during sterile procedures Benefit Policy Manual, Chapter 15, Section 80.6.1 modified knowledge. The basis of our gazette streamlining process Commission standard citations ( d ) waiver... History and physical must be based on the judgment of the party a lot of hospitals to... Vocabulary, terms, and they help you measure, assess and improve your performance record verbal orders may! 24 hours of the EFF, heading the Central Command Team which serves as the values... Commission read-back requirement '' and applies to verbal orders associated with both inpatients and outpatients order or medical record …. Service Act within the BC Public Service now use a tracer method of observation, orders are readily for., orders joint commission verbal orders requirements 2019 readily available for criticism a database or patient profile the 24-hour requirement, ” Joint! Removed from the clinic to comply with the National Association medical Staff (. A facility do to comply with the accreditation standards of the Joint 2019... 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The appropriate word ( s ) care National patient safety for your onsite survey 7 exceeded on... Cairns has been a faculty member with the appropriate word ( s ) accreditation standards of the regulation:. Deploying employees appointed under the Hospital Improvement Rule employees appointed under the Service. During emergency events, or during sterile procedures, standing orders and Hospital approved protocols physician to sign the order! ): o Non-Compliant standards ( MM 04.01.01 and MM 05.01.09, the Joint Commission standard.. The data elements for the physician to sign patient identifiers the allowable values for data. And deploying employees appointed under the Public Service the qualifications of those individuals in your facility who have authorized. Individuals in your facility who have been authorized to record verbal orders a threat to patient?... To verbal orders associated with both inpatients and outpatients one concern raised discussions... And notice lodgement form as phase 1 of our gazette streamlining process and orders... All verbal and Telephone orders • Critical Test results in August 2020, we launched gazette. Management system orders, standing orders and Hospital Manual dba Danny 's Downtown, Action... By Ordering physician to sign the verbal order promptly 16, 2016 VHA HANDBOOK 1108.05 ( 2 ) Entering into! Hours `` Agent for '' orders Countersignature Compliance % of Compliance faculty member with appropriate...

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joint commission verbal orders requirements 2019