Our form is an actual "order form" approved as one of our hospital forms. It gets scanned into the patient medical record as an order and if it was not signed by the doctor a the time of the need (we do allow an RN to sign at the time of the incident), it gets "flagged" as requiring a signature and when the doctor signs into the computer these pop up for him to sign. We do follow up and make sure any forms that were not signed by the doctor up front do get signed later.