Don't write an order like this

[Leonardo Del Toro, RN]

Ativan 0.5mg tab

give 0.5 tab qHS

Can you catch the error prone problem with this order

[KatieMI, BSN, MSN, RN]

Get how much -0.5 MG or 0.25 MG?

From my own collection of real written orders:

- encourage abstinence from ETOH

- encourage defecation

- 1000 cc NaCl 0.9% IV quick push (sans "bolus")

- 0.5 mg Dilaudid push IV over at least 10 min (no dilution by schmolicy)

- keep PEG clamped 2 hours before and 2 hours after a med given Q4h round the clock. Took at least 15 min for the doctor to get it

- "do not extubate member unless ordered"

[taivin]

What route...po, rectally...perhaps tossed from across the room as patient is instructed to open wide for chunky... ")

for and how often...

[meanmaryjean, DNP, RN]

Merging this topic and the crappy charting thread: Nurse documented "Patient ate entire tray" Pulmonologist counters with "Check stool for passage of silverware"

True story

[loveu123]

Merging this topic and the crappy charting thread: Nurse documented "Patient ate entire tray" Pulmonologist counters with "Check stool for passage of silverware"

True story

Hahaha

[Boomer MS, RN]

Merging this topic and the crappy charting thread: Nurse documented "Patient ate entire tray" Pulmonologist counters with "Check stool for passage of silverware"

True story

Love this...

[blondy2061h, MSN, RN]

I saw an order recently for Ativan 0.5mg PO daily PRN seizure activity. I can think of three things wrong there.

[Meriwhen, ASN, BSN, MSN, RN]

Well, a route would have been nice.

But it's too confusing with all those 0.5s. Most likely, the nurse seeing all the 0.5s will think mg over tab, and end up giving the patient too much.

[TriciaJ, RN]

Once I saw this one:

DNR

signed by a medical student only

There were beginning conversations about end of life plans, but no decisions had been reached by the patient and family. I just showed it to the attending to address how many levels of wrong that was.

[MunoRN, RN]

These orders unfortunately are not all that unusual, but they are a pet peeve of mine. An appropriate order should contain the actual ordered dose in the ordered, which in this case seems to be 0.25mg, yet "0.25mg" appears nowhere in the order. I usually d/c these orders and re-enter them correctly with a prompt for the physician to cosign.

[djh123]

Yeah, obviously someone who's not looking very closely is likely to give the 0.5 mg tab at HS.

Some of my 'favorites' which come to mind are:

* Offer healthy snacks BID (to someone who eats whatever they want all the time)

* A BP med with the 'for' or 'reason' being 'ADHD'. Riiiiiight.

* And I know I've mentioned this one before, but a statin was prescribed for 'hyperlipdevil'. A dreaded condition, that.

[Leonardo Del Toro, RN]

Yes the order is actually for a half tab or 0.25mg Ativan. Very crappy...