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| − | Co signature
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| − | This is a functionality that allows providers with various levels of scope of practice to function in an electronic medical record environment consistent with the rules and regulations of the jurisdiction they are practicing. It is a form of security classification.
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| − | Several examples will elucidate the concept.
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| − | 1) A registered nurse (RN) may be able to take a verbal order for a medication. She/he would be able to place the order in an EMR but as part of the workflow would need to pend the order and insert the name of the authorizing provider. That order would only be transmitted to the pharmacy after the authorizing provider electronically co-signed that order.
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| − | 2) A Physician’s Assistant may be allowed to see patients and write progress notes but required to have all his/her notes co-signed. So as part of chart closure the PA would need to insert the name of the authorizing provider who would need to electronically co-sign the note
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| − | 3) Advanced Practice Nurse (NP) In most jurisdictions NPs can prescribed meds listed on a defined list (furnishing. They usually cannot prescribe controlled substances. If they write a prescription for a narcotic they would be prompted for their authorizing provider. Depending on the jurisdiction the order may or not be transmitted until after the electronic co signature takes place
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