Published
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 resident. Well the attending did laugh, but it was not the highpoint of that residents day.
so do you have more?
This is closer it stupid than funny but...while discussing discharge orders w/ an ortho. Dr. on the phone, I explained that a pt. pain was uncontrolled by 2 meds on a triplicate that he had prewritten...he then asked me to just "write in dilaudid" so the pt could go home and have continued pain relief. Needless to say he was indignant and hostile when I called him on it.
I work in a small rural hospital and my own physician happened to be on this weekend. When she saw one of my patients and wrote this order "humidified oxygen to liberate sputum" the respiratory therapist and I couldn't help but laugh! We asked her about it while laughing and she realized how it sounded from our perspective. She turned around and said to me with a big smile on her face...just wait til you have to come see me. I'll get even! Lol. Of course she was just joking. She changed the order then to read just humidified oxygen prn. Lol.
I had a patient come back from the docs office to our Assisted living facility. He gave us his doctors notes and off he went for lunch.
No medicine changes, patient fine, NPO, follow up in......what??? NPO???
I rushed to him and saw that he was done with his meal and went OH OH! SO I called the doctor to ask why the patient was on NPO!
The doc swore that he didn't write NPO...and I reminded him that his handwritting was clear (and thanked him), and he most certainly wrote NPO! He argued with me...as I sent the order via fax to him as he was yelling at me! Sure enough...silence.....
"Ohhhhhh I meant DNR"...he said and hung up...
Oh okay..NPO DNR..oh sureeeee get those confused all the time! LOL!!!!!!! I worry what other little ones he gets confused???
To razz him I sent a fax with a Telephone order for clarification, and made another appointment for the patient to discuss a POLST with his very overly anxious family in tow!!!!...can't use a DNR from a med order sheet legally ya know!...LOL!!!!!!!! :) (grumbles..tell me what I see or don't see will ya!?!?!). He hasn't questioned me again!
Frequent flier druggie...OD'd and on vent...was waking up, violent. Called doc but he wouldn't extubate and wouldn't order anything to calm pt because "It might depress his respirations" I asked if I could write an order for pillow therapy, and he approved that. Was tempted, but didn't write the order.
While reviewing the transcription of the MD's orders for a patients IV fluids it read, "IV fliud - Lactated Fingers". How do ya get them through the IV tubing?!
I had a patient who had undergone a previous brain surgery and a large section of the skull had not been replaced. Consequently she had a large dent in her head. While reading the H&P for this admission (unrelated to the head issue) I saw that her doctor had said that she was "normocephalic". I really want to get a look at her MD's head to see if he has a dent that he considers normal!
Laurie Kay
11 Posts
10 drops whiskey in hot cocoa qhs