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Jul 19, 2008, 03:17 AM
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Re: Funniest real orders you have seen in a chart?
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Not really funny, but worth sharing, I think...
Whether it is #6 or #26 on written admit orders a certain doctor hands me when I'm working as ER unit clerk, the last numerated order always is
"thank you"
and then his signature.
Nice. And far too rare these days.
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Jul 19, 2008, 09:09 AM
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Senior Member
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Re: Funniest real orders you have seen in a chart?
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Originally Posted by southlandshari
Not really funny, but worth sharing, I think...
Whether it is #6 or #26 on written admit orders a certain doctor hands me when I'm working as ER unit clerk, the last numerated order always is
"thank you"
and then his signature.
Nice. And far too rare these days.
That is really nice of him
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Jul 22, 2008, 11:49 AM
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Registered User
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Re: Funniest real orders you have seen in a chart?
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One of our neurologists does that. He'll write the date and time and say..
Please d/c IVF
Thanks!
Dr. So-and-so
Oddest (and sweetest) order I've ever seen was for a lady with CA who had to go straight from the hospital to a nursing home so she could start chemo. I had to call and get an order so her cats could come see her in the hospital.
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Jul 23, 2008, 02:47 AM
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Re: Funniest real orders you have seen in a chart?
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Working on a Pulmonary/GenMedicine floor, we saw lots of chronic conditions.
One of 'em was a CHF'er w HTN who simply loved her bacon for breakfast. It didn't help that she was naturally predisposed to an increased risk because of her ethnicity.
Naturally, sometimes when dieticians write recommendations, they and the docs can forget that our patients are actually human beings that won't eat food if it's not tasty, appears unappealing or is just plain ol' more bland than baby food.
So, one morning after my assesments and during my morning rounds, I asked her how the food was. The hospital's kitchen had earned a wonderful reputation for having one of the most wonderfully prepared breakfasts in the area, bar none. So I was truly wondering how my patient was faring when I asked, "how's your breakfast?"
"Ah cain' eat a thang," she said, in obvious exasperation.
"They won't let me have my bacon, laks ah eats at home. Ah jus' gots' tuh have ma bacon fuh breakfus."
I was completely sympathetic with her, because she wasn't eating anything. No breakfast, no lunch and no supper. It was almost a chore to get her to concede to some peanut butter and crackers!
Determined I could help her, I told her I supposed that the kitchen could make some turkey bacon for her. She responded enthusiastically!
So the next day, when her doc rounded, and after his assessment of her, I took him aside and persuaded him to write an order for turkey bacon for breakfast. He acceded to my request and patient advocacy by writing:
"Patient may have turkey bacon for breakfast."
She got her turkey bacon, ate breakfast, and we eventually discharged her... happy as a lark!
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Jul 23, 2008, 04:09 PM
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poopsiebublnose
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Re: Funniest real orders you have seen in a chart?
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Jul 24, 2008, 12:35 AM
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Re: Funniest real orders you have seen in a chart?
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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 wish more docs were that fun!
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Jul 25, 2008, 08:45 PM
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Re: Funniest real orders you have seen in a chart?
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Last year we had one of our interns write in the chart:
Please D/C foley
Jug to bedside for urination
Gee, do you think he meant plastic urinal? :-) My co-workers and I still have a good laugh over that one!
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Jul 26, 2008, 02:33 PM
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poopsiebublnose
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Re: Funniest real orders you have seen in a chart?
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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 
Hmmmm, did it keep him calm?
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Jul 26, 2008, 02:35 PM
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poopsiebublnose
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Re: Funniest real orders you have seen in a chart?
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Jul 26, 2008, 02:42 PM
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poopsiebublnose
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Re: Funniest real orders you have seen in a chart?
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Originally Posted by suzannasue
LAST WEEK OUR ENTIRE NIGHT SHIFT WAS "ATTACKED" BY A FELLOW IN DT'S. SENT 2 SECURITY OFFICERS TO THE ED WITH INJURIES. THIS GUY PULLED THE MIRROR OFFA THE WALL ,FLOODED THE ROOM ALONG WITH ALL HIS "ACTING OUT".
THE MD WOULD NOT ALLOW HIM TO BE SENT TO LA-LA LAND AND ONLY ORDERED ENOUGH HALDOL TO PI$$ OFF THIS GUY. WELL, HAD I BEEN THE MD,I WOULD HAVE SENT SOMEONE SOMEWHERE FOR A BEVRAGE OF THE ALCOHOL FOOD GROUP,WOULD HAVE GIVEN HIM A P.O. BOLUS AND THEN WOULD HAVE PLACED HIM ON OUR DETOX PROTOCOL...YEAH,WE HAVE A PROTOCOL...AND IT WORKS...IF UTILIZED. WE ALSO HAVE AN ALCOHOLIC TREATMENT FACILITY IN THIS INSTITUTION...THEY REFUSED TO TAKE HIM AS A TRANSFER BECAUSE HE HAD NOT BEEN DE-TOXED. HAVING WORKED THS UNIT PRN,I SAID,...UMMMM...WHAT DO YOU MEAN NOT TAKING HIM,....OH,I SEE,ALL THE ACTIVE DRINKERS ARE ADMITTED FOM EVERY CORNER OF THIS STATE, AND YOU CANNOT TAKE HIM BECAUSE HE ISN'T DRINKING...!!!!!!! ALRIGHTY THEN...
MY POINT...I HOLD THE MD RESPONSIBLE FOR HAVING THE KNOWLEDGE OF THIS GUY'S ALCOHOLISM FROM DAY ONE AND FOR IGNORING THE PLEAS OF STAFF TO PLACE HIM ON THE PROTOCOL IMMEDIATELY. IS THIS NOT CALLED NEGLIGENCE AND ISN'T IT A SHAME THAT WE CANNOT INITIATE LITIGATION AGAINST THE MD FOR ENDANGERMENT OF STAFF...
THERE I GO AGAIN...VERY TIRED...'SCUSE ME...
WOULD RATHER TAKE CARE OF A PACK OF RABID WOLVES THAN BE "WATCHING " FOR SYMPTOMS OF DT'S AND HAVING REQUESTS FOR ESTABLISHED PROTOCOLS IGNORED. I HAVE ALL IDEAS THESE PATIENTS ARE TRULY SUFFERING,AND IT IS MY JOB TO ALEVIATE THE SYMPTOMS,BUT NO LONGER WILL I RISK MY A$$ OR MY EARNING POTENTIAL DUE TO THE STUPIDITY OF AN EDUCATED IDIOT!!!!!!!!

I  LOVE YOUR POST HONEY, AND I TOTALLY AGREE WITH YOU. I HAVE A FEELING THE EDUCATED IDIOTS ARE MULTIPLYING  TOO.  God forbid!!!!!
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