Orders from hell... - page 4

From time to time I run into real gems of medical writing. Levaquin 750 gm P.O. q. 48 hours for 2 more days the trick is to find how many pills this will be Can you?... Read More

  1. by   blondy2061h
    Quote from DeeAngel
    Always amazing to me how quickly and casually doctors feel free to ask nurses to do things that are malpractice, will get them terminated, theft charges filed, and their nursing license removed. Just no, no to all of it.
    Yep. Then he wanted to pick which nurses were assigned to make sure it was none of the "by the books" ones.
  2. by   Daisy4RN
    ...bathe patient...
    really MD, no one would have figured that out without your order
  3. by   Orca
    We had a psychiatrist who wrote a Geodon order that was impossible to carry out. He wrote the order for a PO dose to be given with food. If the patient refused the PO, we were supposed to give an IM injection of Geodon before she ate. If we were presenting the PO medication with food, she was already eating...

    Another physician who wrote an order for BP checks qd x5d, and record results. For whatever reason, he seemed to believe that we would take the BP but not record it unless he specifically ordered it.
  4. by   Ruby Vee
    Quote from TraviesaRN
    I was working at a large teaching hospital and we had downtime one night. Well a lot of nights, but anyway the residents hated it because they had to use prescription pads and they weren't used to it. Well one of my residents hands me my patients prescription for DC. It was supposed to be a tapper steroid dose. He writes on the pad. Patients name and Prednisone tappered dose. That's it. I could not stop laughing and made him fix it. He didn't even understand what was wrong. They were so used to their little pre set boxes they just click. I showed everyone so he couldn't live it down. It was so funny.
    I'm sorry, but what is a "tappered" dose?
  5. by   Ruby Vee
    Quote from Daisy4RN
    ...bathe patient...
    really MD, no one would have figured that out without your order
    When I started forty years ago, people could be admitted to Med/Surg for a week for "work-up". Among the standard orders for "work-up" patients: "Bathe patient before seen by MD" (because some of them seemed to be alergic to soap and water) and "Valium 10 mg. PO q 4 h prn." Those were the good old days.
  6. by   Ruby Vee
    Here are my favorites:

    "Dopamine 5 mcg/kg/min forever"

    "Flower care every 24 hours." (Yes, water and deadhead the patient's flowers.)

    "Yes I DO want ABGs q 1 hour JUST LIKE I'VE ORDERED THREE TIMES IN THE PAST FOUR HOURS AND I DON'T CARE THE THE PATIENT IS A DNR AND DOESN'T HAVE AN ART LINE." (Order took up two pages in the handwritten order section.)

    "Ambulate patient at 0800, 1100, 1400, 1700 and 2000." The patient weighed 450 pounds, had part of one foot amputated and hadn't actually stood for three years. He had one of those scooter things -- came in on it and it was stored in the room. The patient ended up calling the doctor's office and telling him what a stupid order it was.
  7. by   TraviesaRN
    Quote from Ruby Vee
    I'm sorry, but what is a "tappered" dose?

    I'm gonna go out on a limb and guess it was obviously a missspelling. I would have fixed it but I was unable to go back and edit the post once I realized it. I am about 99% positive though that I will have them again.
  8. by   nrsang97
    Peri pads PRN for a patient who was obviously on her period. Oh yes dear resdient, being a woman I had no idea what could be possibly happening.

    Insert NGT and place to LIS during MRI so pt can have his tumor volume MRI he is refusing due to nausea. I refused to carry out this order. I was not doing that to a paitent who had a right to refuse an MRI. Even the patient told the attending intensivest I was his hero for refusing to do this.
  9. by   smartassmommy
    Increase lasix and discontinue Foley. Naturally the pt is 400 lbs, uses a bedpan, and won't allow anyone to help her turn
  10. by   YellowStoneICU
    my favorite order thus far has been for Lasix along with D/C Foley Cath on my ETT/OG Tube vent patient who was sedated, and restrained...
  11. by   klone
    Quote from Ruby Vee
    I'm sorry, but what is a "tappered" dose?
    It's a misspelling of "tapered." But I think you probably knew that?
  12. by   TraviesaRN
    Quote from klone
    It's a misspelling of "tapered." But I think you probably knew that?
    I am willing to bet she did as well. Especially given the context in which the word was used. Why it was necessary to quote it and point out the spelling error, I am not sure. I can't imagine how time consuming it would be to do that to everyone that made a spelling error on these forums.
  13. by   NickiLaughs
    Quote from blondy2061h
    Ativan 0.5-2mg IV or PO PRN nausea, vomiting, pain, anxiety, insomnia, patient request, RN discretion, or any other complaint

    Pharmacy didn't verify that order for some reason
    i want to work with this doctor lol. Happy patients = happy nurse