Funniest real orders you have seen in a chart? - page 40

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

  1. by   elizabells
    Quote from grace90
    What's treacle?
    Pretty much molasses.
  2. by   peridotgirl
    Quote from micmac
    peridotgirl, I am being totally serious...the midwife actually went down to dietary herself so she could get some molasses. I love hearing some of the old time nurses talk about enemas they used to give: ever heard of the "Triple H" enema? High, hot, and helluva lot! I'd hate to clean up that mess. :chuckle
    thank you for replying. actually, I've never heard of a "triple H" enema. What is that? Also, can the old time nurses still order those enemas that did "back in the day?" I don't think so right? I do admit, that would be kinda funny though. We are the newer nurses ordering an SSE while the old schooled nurses order milk and molasses. LOL! never though that something that would be good to eat actualy can go up the rectum... lol... :spin:
  3. by   micmac
    Quote from peridotgirl
    thank you for replying. actually, I've never heard of a "triple H" enema. What is that? Also, can the old time nurses still order those enemas that did "back in the day?" I don't think so right? I do admit, that would be kinda funny though. We are the newer nurses ordering an SSE while the old schooled nurses order milk and molasses. LOL! never though that something that would be good to eat actualy can go up the rectum... lol... :spin:
    I'm not sure exactly what a "Triple H" consists of...but they would hang some kind of hot liquid (soap suds?), hang it up high, and the helluva lot i'm assuming meant that it was waaaay more than the typical Fleets we give now! I think that sometimes "old time" enemas get ordered when you have someone who doesn't respond to more current measures. I don't know...I work in OB, so we rarely get people who are severely constipated or impacted. If they are, the baby usually pushes it out as they are being delivered! What a nice, natural way to clear the chute!
  4. by   peridotgirl
    Quote from micmac
    I'm not sure exactly what a "Triple H" consists of...but they would hang some kind of hot liquid (soap suds?), hang it up high, and the helluva lot i'm assuming meant that it was waaaay more than the typical Fleets we give now! I think that sometimes "old time" enemas get ordered when you have someone who doesn't respond to more current measures. I don't know...I work in OB, so we rarely get people who are severely constipated or impacted. If they are, the baby usually pushes it out as they are being delivered! What a nice, natural way to clear the chute!
    thank you micmac. I'll look up "Triple H" enema and let u know what it consists of.. LOL.. I should have done that before I asked u, now that I think of it. I think that it's great the nurses are allowed to order an "old time" enema if the regular ones don't work. So you say ur in OB, that is wonderful!! It is soo beautiful to witness a baby being born (or so I am told). I can't wait until we do that clinical rotation in my LPN classes.
  5. by   beau4588
    This happened many moons ago. I had a patient with nausea and the Doc wrote the order: phenergan on a stick and call me in the morning. We all got a good laugh.
  6. by   grace90
    "Nursing to read my progress notes every shift."

    Can we write a nursing order "Physician to make handwriting in progress notes legible every shift"?
  7. by   seagull
    Quote from workingforskies
    Funniest order I have ever seen written....
    <o></o>
    We had a real fighter in our pediatric bone marrow transplant unit. A 5 year old full of hell's fire. (BTW, 10 years later and she is still doing fine!) Everything was a battle with her.
    <o></o>
    One day, after a particularly grueling physical exam, the muttering doctor walked out of the room and wrote on the order sheet: "NO TV FOR 24 hours!!!" About 10 minutes later, after he had cooled off a bit, he walked back in, picked up the chart and wrote: "May reduce to 2 hours with good behavior."

    We all got a good laugh out of that.
    Thanks doc, I am proud of you, Know it's quite hard but hey life is a battle for all of us... and you make the fight worth it...

    thanks for sharing this funny but inspiring thread...
  8. by   Natkat
    Quote from micmac
    I work in OB, so we rarely get people who are severely constipated or impacted. If they are, the baby usually pushes it out as they are being delivered! What a nice, natural way to clear the chute!
    Ha! That happened to me. I kept telling them "I have to have a bowel movement." They insisted that it was just the urge to push so go ahead and push. I said "well, okay" and yeah, had the best BM of my life. Thanks for the suggestion.
  9. by   cardiaccassie
    My favorite discharge order....walk dogs twice a day. (Was for a depressed CHF patient, trying to get him to exercise and not be so depressed) The patient actually asked for a clarification. "Should I walk both at the same time or can I walk one at a time?" Told the patient go ahead and walk them separately. :wink2:
  10. by   grace90
    Quote from cardiaccassie
    My favorite discharge order....walk dogs twice a day. (Was for a depressed CHF patient, trying to get him to exercise and not be so depressed) The patient actually asked for a clarification. "Should I walk both at the same time or can I walk one at a time?" Told the patient go ahead and walk them separately. :wink2:
    I think that's pretty cool. Instead of giving him a nonspecific order of "eat less salt, and exercise" he was given a task he can actually most likely enjoy doing. I think I need to get a couple dogs to get off my wide rear.
  11. by   ElvishDNP
    What I love when I'm in charge in the nursery is when the pediatricians come to me to ask, "Is this baby going home today?"

    Ummm...well, Doc, that's kind of up to you.
  12. by   rgroyer1RNBSN
    I work in ER and Sicu and had these the other day-

    For a severely burned pt-
    1. Order- Silvadene-30 GM-IV push q4h- Uh thats all this guy needs and uh no thank you.

    2. this was in the physicians notes- CVC inserted into throat-ouch, he meant neck EJ.

    Another pt-with severe vaginal bleeding and infection who had a histerectomy-
    -Pitocine 25 mg IV- Uh dont think so.
    - And Dope-IV-titrate to an SBP>90-Oh yeah I guess "dope" will do that, it was supposed to be dopamine.
  13. by   rgroyer1RNBSN
    When I worked in Peds. along time ago as an LPN- we had twins that were in the same room they had a stomach virus or infection or something I dont remember now, but they were about oh 8-9 y/o boys and they were hellcats, mean, oh mean, anyway the peds guy just about had with them, they spit on him, pulled his tie to choke him, called him some nasty names, anyways found in each of there charts on an order sheet was-
    Orders-
    1.) Tan childs behind-til red, prn bad behavior,- lol- all of us got a kick out of that one of course we didnt follow it, but the father did-lol.

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