Inquiring Minds Want To Know: Outrageous Orders!

  1. IVE RECENTLY HEARD SOME FUNNY AND SOMETIMES DISTURBING STORIES IN REGARDS TO PHYSICIANS ORDERS.SO I WAS JUST WONDERING:
    WHATS THE MOST OUTRAGEOUS MD ORDER YOU EVER HAD TO TAKE OFF OR WERE EXPECTED TO IMPLEMENT? AND WHEN YOU REFUSED TO IMPLEMENT OR TAKE THESE ORDERS OFF,WHAT WERE THE CONSEQUENCES?

    INQUIRING MINDS WANT TO KNOW,THANK YOU.
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  2. 87 Comments

  3. by   RNforLongTime
    I once had an order for 30cc Black Velvet q6hrs prn. Pt was an alcoholic. I know the doc wanted to prevent DT's but there are other ways to do that.
  4. by   micro
    what troubles me is when pt. has definitively indicated and all legal paperwork is in place......that they are a dnr/dni........but yet everything i mean everything is done.........why...........

    also when you know what the patient wants done and not done.....but procedures are done anyway......

    sorry for the somber response........but sometimes in nursing this is what we see...............
  5. by   LilgirlRN
    Wow Micro...one more post and you go over the 999 mark! Or maybe you already did it and I just don't know it yet!
  6. by   canoehead
    Colace one tab po stat

    Meal tray stat (food available on the floor was unacceptable)

    Lasix 80mg stat (crossed out)
    NS bolus 500cc stat

    Lasix 40mg stat, and KCl 10 mEq stat, DC IV

    20 min later
    Cancel above orders and call with urine output q4h
    TO DrDink/ canoehed RN

    4h later
    Do not call unless UO < 150cc/4h
    TO Dr Dink/canoehedRN

    Incident report:

    DrDink's wife called using inappropriate language stating nurses were calling MD too often to clarify orders, that we should ask all questions with one call or figure it out for ourselves because he is hard working and needs his sleep.

    3d later

    Pt had <200cc UO and nursing did not notify me. Lasix 20mg stat.
  7. by   LauraRN0501
    Ibuprofen 600mg IV

    Gotta love it. At least it gives us a laugh.
  8. by   lindalee
    I think my all time favorite was from about 30 years ago. I was working pediatrics at the time and was discharging a toddler who had had a circumcision. The physician had ordered ice to penis for 24 years. I laughed until I cried and that is exactly what I told the mother and we both laughed. (this was before the current legal climate and we could enjoy an error and not worry that someone would sue someone else for an error.) Then many years later in the ICU I woke a physician for increasing PAW, pulmonary congestion--pt on vent. Physician said give him breakfast and he will be fine. Well--he repeated it three times so I did decide to write the order, then called another physician to get appropiate orders. Boy was that MD mad in the morning---LOL.
  9. by   BjOnrs
    A Physician ,who had been up all night with a emergency surgery, came in after seeing his routine post-op patients and wrote to "ambulate in highway qid". Of course he meant hallway but we all had a good laugh. He, however, didn't see the humour in it when we pointed it out. LOL
  10. by   mattsmom81
    "I don't want to hear from you XX00## nurses again unless the patient quits BREATHING".

    Gotta be the MOST outrageous order I've received. I was tempted to write it as an order, instead I wrote it on an incident report....because of course, the patient did just that and did not make it.
  11. by   willie2001
    Accurate I&O. Patient incontinent. Physician refused to write for a Foley.
  12. by   Ted
    Give #@$%@ Q #$% hours via @#$@

    Bad handwriting!

    May not be "outrageous orders" but bad unreadable orders still piss me off.

    Most outrageous order. . . has to be the classic

    Patient is a DNR/DNI and comfort care, but may give cardiac meds. :stone

    Ted
  13. by   Dr. Kate
    3-11 shift in ICU. Patient on a vent, moribund. So naturally the doc writes "ambulate patient around the bed"
    Patient died the next morning.
    Consequences of not getting the poor soul OOB, none. Everyone "knows" ambulation orders are started on days.
  14. by   Stargazer
    Our RT dept. used to keep a logbook of the funniest and/or most outrageous orders. My personal favorite: "Place pt on 15% O2"

    And another: "RT's don't question, just do"


    This one is apocryphal, don't know if it's actually true or not--supposedly given by a sleepy intern in the middle of the night: "Place foley cath to wall suction"

    Edited to add this one on a post-op pt: "Pt NPO until awake"
    Last edit by Stargazer on May 10, '02

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