Funniest real orders you have seen in a chart?

trudlebug · Jul 29, 2008, 03:06 AM

Originally Posted by 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.

Originally Posted by Franemtnurse:

:lol_hitti
:hehe:Sounds like the old boy has entered his second or third childhood. Love it.!!!

I think I know this doc. If it is the same one (99% sure) He is a pediatric surgeon who is on the general surgical team now. He didn't do lap-appy's either, it's just his incision was just that small (couldn't have used a scope with only one incision). And always wrote "ouch" on his dressings (probably a habit from working with so many kids). He was an interesting character for sure! He had a lot of interesting experiences and stories, unfortunately he always wanted to tell them during shift change or med pass, with a lot of details

. A lot of the younger nurses didn't appreciate the experience he had, and would avoid him. That's too bad, because I learned a lot from him. He treated us like part of the team, unlike many of the surgical staff who thought we were there to "serve" them.

BTW he was probably in his 70s, still active-duty military and refused a promotion that would take him away from his patients.

ranaazha · Jul 29, 2008, 10:26 PM

Originally Posted by trudlebug

Originally Posted by 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.

Originally Posted by Franemtnurse:

:lol_hitti
:hehe:Sounds like the old boy has entered his second or third childhood. Love it.!!!

I think I know this doc. If it is the same one (99% sure) He is a pediatric surgeon who is on the general surgical team now. He didn't do lap-appy's either, it's just his incision was just that small (couldn't have used a scope with only one incision). And always wrote "ouch" on his dressings (probably a habit from working with so many kids). He was an interesting character for sure! He had a lot of interesting experiences and stories, unfortunately he always wanted to tell them during shift change or med pass, with a lot of details. A lot of the younger nurses didn't appreciate the experience he had, and would avoid him. That's too bad, because I learned a lot from him. He treated us like part of the team, unlike many of the surgical staff who thought we were there to "serve" them.

BTW he was probably in his 70s, still active-duty military and refused a promotion that would take him away from his patients.

LOVE IT! I can only imagine how great hospitals would be if more doctors (and even nurses!) were like this! Thanks for brightening my mood!

Tippy-ta-ta · Jul 30, 2008, 09:22 PM

The ' Three H' enema would be related to the "soap 'n water" enema we were taught about, and that was only 16 years ago! 500mls of warm water, 2 to 4 squirts of soap, and a funnel attached to a tube to administer it with. You inserted the tube, held the funnel as high as you could (using a chair if you were really short) and poured the mixture into the funnel from a jug.

They did work, too!

we did pretty much the same thing only we didn't have a funnel we had a bag, similar to a tube feeding bag, only larger and we would hang it on a IV pole. Alot easier if you were doing it alone.

Tippy-ta-ta · Jul 30, 2008, 09:35 PM

Originally Posted by trudlebug
Originally Posted by 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.

Originally Posted by Franemtnurse:

:lol_hitti
:hehe:Sounds like the old boy has entered his second or third childhood. Love it.!!!

I think I know this doc. If it is the same one (99% sure) He is a pediatric surgeon who is on the general surgical team now. He didn't do lap-appy's either, it's just his incision was just that small (couldn't have used a scope with only one incision). And always wrote "ouch" on his dressings (probably a habit from working with so many kids). He was an interesting character for sure! He had a lot of interesting experiences and stories, unfortunately he always wanted to tell them during shift change or med pass, with a lot of details. A lot of the younger nurses didn't appreciate the experience he had, and would avoid him. That's too bad, because I learned a lot from him. He treated us like part of the team, unlike many of the surgical staff who thought we were there to "serve" them.

BTW he was probably in his 70s, still active-duty military and refused a promotion that would take him away from his patients.

was he Patch Adams???

Pat_Pat RN · Jul 30, 2008, 10:26 PM

"Patient may have 2% milk."

ekanderson80 · Nov 18, 2008, 01:02 PM

80 something LOM admitted to my Med Surg unit for palliative care and nursing home placement.

Physician order read" Keep patient comfortable."

Thank you, I am glad you felt we needed an order to do that. My other 5 patients are miserable because I didnt have that order.

Doesnt that fall under nonmalefience and beneficence?

dorie43rn · Nov 20, 2008, 01:13 PM

We just got this order the other day and had a good laugh. The order, Laculose po bid, hold for diarrhea.

mskate · Nov 21, 2008, 02:00 AM

i hate these ones. "elevate HOB to eat", "only feed when pt is fully awake", "wash hair", "trim beard and hair today", "elevate scrotum" ....

although, this was not in a chart, this was one of my very favorite things a med student did.

we had a blind patient. the poor med student made an honest mistake and really switched up "deaf" and "blind"... he wrote on a piece of paper "HOW LONG HAVE YOU BEEN BLIND AND WHAT WAS THE CAUSE" - and held it up in front of the patient. The patient said "I'm blind, not deaf. I can not see your note..."

the patient asked the med student to leave the note with him and he showed the nurse who had him later.

The patient was more concerned that this individual not be allowed to be involved in his care and orders after this mishap and I can't say that I blamed him!!

Cindy_A · Nov 21, 2008, 09:43 AM

Originally Posted by dorie43rn

We just got this order the other day and had a good laugh. The order, Laculose po bid, hold for diarrhea.

This reminded me of when I worked LTC. I held a pt's routine suppository because the CNA's had informed me she had 3 large BMs that day. The ADON gave me heck because I held the suppository because there was not a Dr's order for it (to hold it). I guess I need a Dr. to tell me to hold it, I can't figure it out on my own!

KristiePDX · Nov 24, 2008, 02:45 AM

Not a funny chart order but a pharmacy error:

Actually labled and sent to our floor for Pt use...

Chloraseptic cherry throat spray:
Apply to anus every four hours PRN severe hemorrhoids.

This was the correct med, for the correct Pt, but Rx got the route and indication all wrong!