Re: What is the dumbest order you ever read?
Novolin 70/30 NPH insulin 40 units q a.m.
Two totally different insulins. This order got by the charge nurse, the pharmacist and 3 days of nurses before I found it. I called the primary physician and explained the problem with the order, so he said "Well, which insulin has she been getting?" I said "I couldn't tell you sir, I just started as her nurse this a.m."
I had to write this up, hated to do it, but it got by two many people. The failsafe's in the system totally failed in this instance.
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Another order I received was Morphine, 20 mg Iv q 15 minutes prn. I called the physician and said "This can't be right" he said "It's what I ordered" I said, sir, the patient is a 1 y/o with pneumonia, do you really think this order is appropriate? He hemmend and hawed, and realized that he was thinking about another patient - and d/c the order on the child. I suggested that without knowing the other patient, the 20 mg Morphine might be appropriate, but he really should put a max dosage in for safety's sake, also dropped a PCA hint as well. Don't know if he ever did.
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