Telnet-Rx Remote Solutions is a pharmacy remote medication order verification service that provides a cost-effective option to facilities that are unable to operate a 24-hour pharmacy. The current Joint Commission standard MM 4.10 as well as CMS requires "All medication orders must be reviewed for appropriateness by a Pharmacist prior to administration to the patient." The Elements of performance for this standard state that in cases where the pharmacy is not open 24 hours, ' a healthcare professional determined to be qualified by the hospital reviews the medication order in the pharmacist's absence". For most hospitals, this is the nursing supervisor.