Funniest real orders you have seen in a chart? - page 41

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   zamboni
    The other night in the ER, I was going over some admit orders from an intern for a patient. There, buried amongst the normal AM labs, CXR, and PRN meds was a lone order that stated "Intubate". I mean, the patient was sorta sick...but not that bad!

    We called this intern, woke her up...and asked her if that was a STAT order or did she want the patient tubed in the AM.

    (She rushed right down and corrected the order sheet...)
  2. by   mom4josh
    Quote from zamboni
    The other night in the ER, I was going over some admit orders from an intern for a patient. There, buried amongst the normal AM labs, CXR, and PRN meds was a lone order that stated "Intubate". I mean, the patient was sorta sick...but not that bad!

    We called this intern, woke her up...and asked her if that was a STAT order or did she want the patient tubed in the AM.

    (She rushed right down and corrected the order sheet...)
    I love it when residents write really dumb or confusing orders. Since I work nights and we always get the patient in the middle of the night after the orders were written around 9pm, I get to call and wake them up at 0-dark-thirty! Like the order we got the other day: "NPO" with the next line "crush all meds". Well, which is it???
  3. by   Ni_Ni
    we had an md write an order for a resident at the ltc who she thought wasn't eating enough: 1 bowl of oatmeal qd at 1400
  4. by   BearyPrivate
    Had a code a few years back, it was around 1 am. There was a bad storm, all lights in the facility went off. No back up generator. Called the Doc, the pt was full code. Doc gave order: " Get your beach towel and meet me at the front door!"
  5. by   NEHuskerRN
    for a pt that had been intubated for over 2 months, extubated, and then self-D/Cd the NG tube, resident (bless her heart) ordered for pt to have Healthy Heart Diet. When we explained to her that the pt probably needed to have swallow test performed by Speech before he could eat (pt was c/o being hungry 2 hrs after extubation and NGT d/c). Resident quickly wrote new order and then jetted. My husband came over to me with orders (we are both RNs working the CVICU at the time), and asked me to explain where he would send the following order:

    "Pt to receive Delicious piece of gum."

    Then my husband asked me..."do we get that from Pharmacy or central supply?!"
  6. by   nrsang97
    Last night at work we were checking orders at beginning of my shift and I saw the order for : "Lactulose 30ml IVP" , Ummmmm no thanks. I don't think that would be a good thing through the picc. Last thing this guy needed. As if his ICH s/p TPA wasn't bad enough.

    The same resident ordered NPH insulin IVP. Had to rewrite that order too. What was with this guy?
  7. by   NEHuskerRN
    Quote from LauraMarieLPN
    Sounds like the first time I came across an order for:
    Milk and molasses enema PR.

    When I questioned the doc, he replied, "Just don't make cookies".
    My first and only order for a Milk and Molasses enema was on a 650# intubate pt in the ICU; God love those July Residents. Luckily, my order written in under their signature was: Place ZASSI rectal tube. Don't remember if the rectal system actually worked.
  8. by   ruralnurs
    We had a pateint that was third spacing and had "large" pendulous testicles. Any movement ofcourse caused pain. The doctor wrote several orders and then added "fish net panties"

    She meant the panties we use in OB (we call Victoria Secret specials) for mom's after giving birth that can stretch to huge sizes. I can only imagine what the pharmacy thoguth when we faxed them that order!
  9. by   bebejepoy
    I'm a clinical instructor having our clinical rounds in the pediatric unit. our staff nurse failed to monitor vital signs of a private patient wherein students are not allowed to handle. The patient's physician have his round and noticed our staff nurse reading something. Then the Doc encircled the vital sign sheet and wrote a note: "NEGLIGENCE: STAFF ON DUTY JUST READING BEAUTY PRODUCTS CATALOGUE!!!"


    the staff nurse just made some teary laugh...
  10. by   TheNuttyNurse
    drink only when thirsty.
  11. by   talaxandra
    Quote from scarymary
    That reminds me of the Gomer Scale
    http://www.lambert.net.au/med/gomerscale.pdf
    I love the Gomer Rating Scale - it's particularly therapeutic when we get a horrendoplasty from the local LTC facility: "See, it's not that I'm being unreasonably stressed - s/he has a GRS of 82!" Although... there are no points for "comes from NH with undiagnosed open tibial # for 2/52 (yeah, not a pressure sore). And this is slightly different to the one I use, which has points for the patient knowing and being known (by name) by catering staff and admin
  12. by   grace90
    Quote from TheNuttyNurse
    drink only when thirsty.
    For some folks with fluid restrictions, they would be thirsty all the time
  13. by   MaryAnn_RN
    Quote from NEHuskerRN
    My first and only order for a Milk and Molasses enema was on a 650# intubate pt in the ICU; God love those July Residents. Luckily, my order written in under their signature was: Place ZASSI rectal tube. Don't remember if the rectal system actually worked.
    Medic once told me to hang the end of the rectal tube OUT THE WINDOW on the third floor. I really thought he was having a laugh but he was serious.

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