Funniest real orders you have seen in a chart? - page 33
To start things off, the best and funniest order I have seen on a chart, was in the discharge instructions for a trauma patient. It read simply Darwin Consult and was signed by the... Read More
Jun 5, '070245 ED. female pt c/o allergic reaction on chest and back. Claims it's her bra. Pt presents bra to RN (me); it was the oldest bra I've ever seen! Grey, no more elastic, and very tattered. Of course she reeked of ETOH. When I spoke to the doc he went and saw her, came out and handed me her script while rolling his eyes. Rx read "buy a new bra"! I couln't keep a straight face and had to wait 15 minutes to compose myself before I discharged her.
Jun 6, '07vwerbal order from anestesia on arrival to pacu "watch breathing" uhhhhh no ***** sherlock
Jun 7, '07I was doing my psych rotations the other day and saw in a pt.s chart "same **** different day, and she threw a chicken sandwich at me". When I saw that, I laughed so hard I couldn't breathLast edit by Atl_John on Jun 8, '07
Jun 10, '07When I received a patient from ER the diagnosis was "fell in a creek". The patient was an IV drug abuser who had overdosed on Heroin and fell in a ravine.
Jun 10, '07Funniest order I saw was a pt being admitted for "lung ass" instead of mass. Also remember various doctors ordering bilateral SCD's or TED hose for a pt with only one leg.
Jun 11, '07we had a patient admitted with the diagnosis of USA, amongst the various CHF, COPD, etc. we kidded each other about this patient having the dreaded "all-American disease" come to find out it was unstable angina. We all learned alot and added that to our list of approved abbreviations !
Jun 14, '07I had a resident write an order for q1 hour uop measurements and the pt DID NOT have a foley. I was like um you want me to ask the pt to get up and pee every hour? Who goes to the bathroom every hour?
Jun 14, '07Quote from TazziRNOkay, my contribution: many years ago we had a doc working the ER that we all serioiusly questioned whether or not her license was legit. She ordered an HCG on a 90-something woman who came in with sudden vag bleeding.
To see if she had a tumour on her ovary or pituitary, kicking out betaHCG. The tumour could raise all kinds of merry hell with the lining of the uterus and vagina.
Jun 14, '07Quote from colleennurseOn the surgical floor, another nurse had a pt with that kind of order. She was a 2 assist to get up. The doctor had ordered that she be gotten up to the bedside commode every hour to measure urine output, even at night. :trout:I had a resident write an order for q1 hour uop measurements and the pt DID NOT have a foley. I was like um you want me to ask the pt to get up and pee every hour? Who goes to the bathroom every hour?
Jun 15, '07Quote from johnboyROFL!!!!!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?
Jun 15, '07We have a MD that doesn't feel the need to talk to the ER nurse so he write in a doctors order.
( usually written for our frequent flyer homeless drunk patients who come in only for food and shelter)
- feed pt (one nurse made this error and paid for it, the drunk patient aspirated)
- do vital signs.
- give warm blanket and pillow.
- give coffee (it is the staff coffee that we pay for on our own)
-discharge at 0600
Wonder if we get a write up for not following these stat orders. "yes doctor I will do it right after I take care of my truly sick patients."
Jun 15, '07My old phone (before it died ) had all kinds of photo snap shots of doc orders.
Probably the most memorable one in my nascent, infant career as a nurse?
"1 shot of whiskey q 2-3 hrs PRN restlessness/agitation"
Now when I first read that, I did a total !!!
But then almost instantly, nursing "paperwork" instincts kicked in (lol) -- "A shot? What the heck does he mean by "shot" ? How much does he want it to be?"
So I looked it up and found that a standard "shot" is about 30 cc.
So, I made the doc write a clarification : "Clarification of above order - 30 ml Whiskey q 2-3 hrs PRN restlessness/agitation".
So we were serving the patient shots of Black Bush Irish Whiskey as we thought needed fit
PS: Later found that some of our docs do that. Some of them are known for ordering "1 beer with dinner" or "1 beer at bed time" for some of their patients