[edgwow]

May leave passie muier valve in place while patient is recieving pleasure feedings.


*** is a pleasure feeding?.............RN feeding pt. grapes? tech fanning with a gaymar blower????????

Enter by an MD with the first name PHUC

[In_Chantress]

Within 2 pages of admission orders, all neatly numbered...

7. 12 Lead EKG
If chest pain resumes
Accuchecks AC and HS

[Emmanuel Goldstein]

Also worked with an anaethstatist who'd prescribe O2 til perky.

This gave me a good laugh. Thanks

[LexiLuRN]

I've only been an RN for a little while but I've already seen some good ones:

As a telephone order: First, valium for all nurses PRN. (Admitting orders for a pt with a very difficult wife...I thought that was pretty considerate of the doc )

We have one jerk of a doctor that will do stuff like order "Up to chair TID" for unresponsive vented pt's when he's mad at the nurses (yeah, we'll get right on that)

And this wasn't an order but still funny....the unit clerk came up to me and said "Um, CT called and said your pt can have her second barrel of cats!?!?!?" (Second dose of Barocat)

[grace90]

Originally Posted by jessi1106

Tonight I got the order "please place urinal at bedside."......hmmmm these new residents really like to be thorough.

A few years ago I had a urologist write for "two urinals at the bedside- expect a lot of urine output", but it actually made sense since if I remember right I believe the gentleman was getting Lasix.

[fey_lassRN]

Originally Posted by johnboy

Here's a rather annoying order written by a first-year resident, on the floor of all places:

Nitropaste 1.5 inches to chest wall, q6h (fair enough so far),

"TITRATE" to SBP> 90 by wiping off 1/4 inch at a time.

How many of you folks have the time to stand by the bedside and take serial BP's when you have 10-14 patients all calling for you, just so you can "titrate" Nitropaste?

Resident orders are usually good for a laugh or a "holy crap". We got one the other day for a patient in preterm labor who was on the obstetrics unit: "Transfer to L&D. Mag and steroids." Yes, we know he meant a 4gm IV bolus of magnesium sulfate followed by 2gm/hr and celestone 12mg im now and in 24 hours, but it's not our job to read his mind. He got a quick phone call to come back to to the unit and revise his orders.

[suanna]

Originally Posted by ArmyKitten

We have a staff doc that is nearing 105 and now finds his daily joy in writing orders in the most creative manor possible. His latest creation is writing "squeezies to legs" instead of SCDs. This is the same doc that draws a smiley face on the steristrips of every surgical patient he has. Last week I noticed that not only did he draw a smiley face on a lap appy pt, but he made a speech bubble on the steristrip next to it with the word "ouch" written in. Oh my.

I like this guy!

[Jessiedog]

Originally Posted by nurse-lou

We had a patient once who was an alcoholic and a COPDer. The doc, a pulmonologist, would write..Black Velvet, 30cc Q6hrs,prn..I am NOT kidding either. The pharmacy had to go to the liquor store and buy a bottle of BV and then we had to keep it locked in the narc cupboard and sign out each shot of BV!!!!

Kelly

Have done this numerous times. One of my wards was acute orthopoedic. We would get elderly ladies & gents who needed their 3 hrly scotch while their broken leg/hip mended. Then there were the MBA's who came in with multiple fractures. It was a choice of either letting them detox on the ward in acute pain, or dose them up. Our pharmacy kept several bottles of scotch on hand, and we could requisition them when needed. We did, of course, need a drug chart as proof of the need!

[elizabells]

My dad works in a hospice and once a month they have "Happy Hour". The medical director swaps his lab coat for a red satin smoking jacket and they set up a full bar.

On the topic, last week we had an intern write for "gavage feeds ad lib". So, like... until the baby vomits, then?

[Jessiedog]

While working in a paediatric ward, we had one unusual but perfectly sensible order written on a drug chart. The order stated "Nintendo, PRN"! This was written by a wonderful paediatrician, for a child in his early teens with haemophilia. He was regularly admitted when his joint pain became too much for him to deal with at home. Treatment on the ward was not really different from being at home, but both he and the family gained benefit from the boy being in a monitored environment. We would laughingly say he came for his regular Nintendo therapy. The paediatrician decided to get in on the joke.

Needless to say, I signed the drug chart as having administered "Nintendo" every two hours!!!!

Another drug order that frightened me by it's inappropriateness was for a child we admitted for croup. The order stated "Adrenaline, nebulised, prn". There was no dose, and no frequency. Legally I could have given nebulised adrenaline continuously, right up until the child's airway occluded!! Hmmm. I crossed that one out myself! The doctor was then educated on the correct adinistration of adrenaline, and the backup procedures that needed to be on hand whenever it was given.