Funniest real orders you have seen in a chart?

Ltkristarn · Oct 4, 2001

Originally posted by mattcastens

You laugh, but that's becoming more common (again). Our surgeons screen patients for possible DTs after their open-heart surgery. If they're found to be at risk, they have a standing order for "Beer: 1 can PO, BID." Thank god they specified "PO".

They figure that it's easier (and better for the patient) to stem the DTs before they start. We're not going to dry them up anyway, and their bodies can put the energy into healing instead of withdrawl.

We had the same thing. Patient post op day two for a R THR- major alcoholic. Talking a pint of vodka, plus a case of beer a day- lol. When did he drink water- I don't know? The doc, quote, unquote, "I don't have time to deal with this now, Give him Budweiser two cans po tid prn" It worked. No DTs- thank goodness.

lpnandloveit1 · Oct 4, 2001

Oh wow I am old. re: three H enema gave a lot of them (for impactions) coffee emema yep given them too. 1--2-3 (glycerine,epsom salt water) and my all time favorite-----Milk and molasass.(yummy)

stephi57 · Oct 4, 2001

not really an order but among my favorites are the ultrasound reports that come to us on L&D with the box beside "pt pregnant" checked NO while the report reads "single viable IUP...." (intrauterine pregnancy for y'all non OB's). Who does the quality control?

shannonRN, BSN, RN · Oct 4, 2001

great stories! my story isn't of an actual order written in the chart but how the unit secretary put it in the computer. i found it when i went to do our midnight lines. the doctor wrote an order to strain urine. the secretary put in gram stain of urine. lab called the nurse to clarify and the nurse said, "that is what the doctor ordered" and lab tried to do a gram stain on urine?! :eek: i was there for an evening midnight double and overheard the nurse's side of the conversation. i couldn't believe that she didn't think to look at the chart.

h vigliotti · Oct 5, 2001

i have seen orders like that! a can of beer or something of that like. once, we even had an order for 2 cans of beer for newyears eve for a para who had been in the hospital for 5 months. (that was just because it was new years) a little creativity goes a long way.

Originally posted by kaknurse
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:)

:)

Mitzi-RN · Oct 10, 2001

Got a diabetic patient transferred from another facility with the transfer orders as follows

If patient receives Humulin N coverage, for god sakes make sure he is transferred with his feeding running.

If he doesn't have his feeding going, and receives insulin, he will die. We will have killed him.

Do not touch dressings. I will do them myself. I know how they should be done.

This doc was known for his colorful charting, but some of the things still make my jaw drop!

soundsLikesirens · Oct 10, 2001

Several nurses who have worked longer than I told me they have seen the following order:

"Tub bath, stat"

Evidently, some of the patients coming in hadn't discovered the joys of personal hygiene........

samrn32 · Oct 16, 2001

this wasn't an order but was found on a chest xray report

CONCLUSION:

There is a left lower leg infiltrate with associated pleural fluid.

No wonder she was in so much pain.

krisfroggie · Oct 18, 2001

I actually had a Dr. write an order to: wash patients clothes!!!

is that not horrible...And I dropped everything to do it right away....NOT!!! :eek:

frann · Nov 14, 2001

Our hospital was rebuilt less than 10 years ago. They have nice private rooms. One day up on the fifth floor one of our crazy patients unscrewed the panel under the window. Almost sucked him and his nurses out! They now have pretty fabric covered things over the panels. who are these idiots that build these buildings. I could just imagine getting sucked out one day at work! Talk about a damn bad day.

**canoehead, BSN, RN** · Nov 15, 2001

Stat Colace 100mg po and then BID

(different doc)

0305h Bolus 500cc NS (for symptomatic vtach)

0308 Continue NS bolus over 20 min, call if arrythmia continues.

0310 Finish NS bolus and don't call me again until it is done.

0312 Code blue called and pt cardioverted unsuccessfully, transferred to ICU.

This was my first code- as house sup. :eek:

I've gotten a bit better, and more assertive over the years.

amychick28 · Nov 15, 2001

I THINK I'VE GOT ONE...MAYBE THIS IS A REAL DIAGNOSIS BUT TO MY KNOWLEDGE I DON'T REMEMBER BEING TAUGHT IT IN NURSING SCHOOL.....I WORK IN LTC AND IN A PT'S CHART ONCE I NOTICED THAT A DR HAD WRITTEN THE DX OF "PIDDLITIS" FOR A PT ON DETROL......???? GO FIGURE? HEE.HEE...EVEN IF IT DOES HAPPEN TO BE A REAL DX IT'S A PRETTY FUNNY ONE!