Funniest real orders you have seen in a chart? - page 46

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   lpnstudentin2010
    Quote from alcrab01
    I worked with a resident in PICU that was.. challenged. She has failed the Peds rotation several times, but her husband was high up in the coporate level in the hospital so she was allowed to repeat it.

    On her THIRD ROTATION through the PICU I saw her order:
    Tylenol 325mg IV push

    Another night, I had a patient with D5 0.45NS with 30 mEq KCl and her potassium was rising and the resident said, "Do I need to order a whole new bag to make it D5 0.45NS with 10 mEq KCl or can you just pull off the extra potassium?"

    I was like, "Uhhh sure let me go get my magic partical separator syringe."

    What an idiot.

    That is kinda scary.....glad I have never had her at my hospital.
  2. by   imanedrn
    Quote from alcrab01
    I worked with a resident in PICU that was.. challenged. She has failed the Peds rotation several times, but her husband was high up in the coporate level in the hospital so she was allowed to repeat it.

    On her THIRD ROTATION through the PICU I saw her order:
    Tylenol 325mg IV push

    Another night, I had a patient with D5 0.45NS with 30 mEq KCl and her potassium was rising and the resident said, "Do I need to order a whole new bag to make it D5 0.45NS with 10 mEq KCl or can you just pull off the extra potassium?"

    I was like, "Uhhh sure let me go get my magic partical separator syringe."

    What an idiot.
    Next time, bring a catalogue from your local university to work and tag the page with info on the MBA program... then give it to her.

    I think she's a little TOO lost to be a resident... :smackingf
  3. by   grace90
    3x in a chart of a home O2-dependent pt- WEAN O2!!!!!!!!!!! In huge caps and with lots of exclamation points. :uhoh21:

    We charted that she desatted on room air, multiple times, and even left notes on the progress notes and right on the orders, but doc didn't see it somehow.
  4. by   ElvishDNP
    I saw one on a chart this weekend - Depo-Provera!
    Ya think they meant it??
  5. by   twistedpupchaser
    Pt D/C notes after treatment for heat exhaustion- "Avoid heat exhaustion for at least a week"

    I hope the Pt understood that, I didn't.
  6. by   southlandshari
    Not really funny, but worth sharing, I think...

    Whether it is #6 or #26 on written admit orders a certain doctor hands me when I'm working as ER unit clerk, the last numerated order always is

    "thank you"

    and then his signature.



    Nice. And far too rare these days.
  7. by   lpnstudentin2010
    Quote from southlandshari
    Not really funny, but worth sharing, I think...

    Whether it is #6 or #26 on written admit orders a certain doctor hands me when I'm working as ER unit clerk, the last numerated order always is

    "thank you"

    and then his signature.



    Nice. And far too rare these days.

    That is really nice of him
  8. by   Megsd
    One of our neurologists does that. He'll write the date and time and say..

    Please d/c IVF
    Thanks!

    Dr. So-and-so

    Oddest (and sweetest) order I've ever seen was for a lady with CA who had to go straight from the hospital to a nursing home so she could start chemo. I had to call and get an order so her cats could come see her in the hospital.
  9. by   2dCareer
    Working on a Pulmonary/GenMedicine floor, we saw lots of chronic conditions.

    One of 'em was a CHF'er w HTN who simply loved her bacon for breakfast. It didn't help that she was naturally predisposed to an increased risk because of her ethnicity.

    Naturally, sometimes when dieticians write recommendations, they and the docs can forget that our patients are actually human beings that won't eat food if it's not tasty, appears unappealing or is just plain ol' more bland than baby food.

    So, one morning after my assesments and during my morning rounds, I asked her how the food was. The hospital's kitchen had earned a wonderful reputation for having one of the most wonderfully prepared breakfasts in the area, bar none. So I was truly wondering how my patient was faring when I asked, "how's your breakfast?"

    "Ah cain' eat a thang," she said, in obvious exasperation.

    "They won't let me have my bacon, laks ah eats at home. Ah jus' gots' tuh have ma bacon fuh breakfus."

    I was completely sympathetic with her, because she wasn't eating anything. No breakfast, no lunch and no supper. It was almost a chore to get her to concede to some peanut butter and crackers!

    Determined I could help her, I told her I supposed that the kitchen could make some turkey bacon for her. She responded enthusiastically!

    So the next day, when her doc rounded, and after his assessment of her, I took him aside and persuaded him to write an order for turkey bacon for breakfast. He acceded to my request and patient advocacy by writing:

    "Patient may have turkey bacon for breakfast."

    She got her turkey bacon, ate breakfast, and we eventually discharged her... happy as a lark!
  10. by   FranEMTnurse
    Quote from ArmyKitten
    We have a staff doc that is nearing 105 and now finds his daily joy in writing orders in the most creative manor possible. His latest creation is writing "squeezies to legs" instead of SCDs. This is the same doc that draws a smiley face on the steristrips of every surgical patient he has. Last week I noticed that not only did he draw a smiley face on a lap appy pt, but he made a speech bubble on the steristrip next to it with the word "ouch" written in. Oh my.

    :lol_hitti
    :hehe:Sounds like the old boy has entered his second or third childhood. Love it.!!!
  11. by   imanedrn
    Quote from ArmyKitten
    We have a staff doc that is nearing 105 and now finds his daily joy in writing orders in the most creative manor possible. His latest creation is writing "squeezies to legs" instead of SCDs. This is the same doc that draws a smiley face on the steristrips of every surgical patient he has. Last week I noticed that not only did he draw a smiley face on a lap appy pt, but he made a speech bubble on the steristrip next to it with the word "ouch" written in. Oh my.

    :lol_hitti
    I wish more docs were that fun!

  12. by   TraumaRN1983
    Last year we had one of our interns write in the chart:

    Please D/C foley
    Jug to bedside for urination

    Gee, do you think he meant plastic urinal? :-) My co-workers and I still have a good laugh over that one!
  13. by   FranEMTnurse
    Quote from nurse-lou
    We had a patient once who was an alcoholic and a COPDer. The doc, a pulmonologist, would write..Black Velvet, 30cc Q6hrs,prn..I am NOT kidding either. The pharmacy had to go to the liquor store and buy a bottle of BV and then we had to keep it locked in the narc cupboard and sign out each shot of BV!!!!

    Kelly
    Hmmmm, did it keep him calm?

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