Funniest real orders you have seen in a chart?

[nilepoc]

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?

[Nurse Rachet RN]

Hillbilly Hospital...I was walking through the ER tonight and a psych patient offered our security guard a peice of his chocolate cake and as I kept walking I heard the guard reply..."No thanks, I just put some chew in my mouth"....

You gotta love it

[car_crash_heart1408]

Well, as a LPN in a LTC setting I have seen my share of laughter inducing charting/orders.

Just recently, we had a resident return from the hospital. On the paper work listed procedures done. One such procedure was a "barium enema that revealed esophageal varices". That must be one heck of an enema!!

[Wildwood Flower]

Just out of nsg school,I found an order for LOC PRN, sooooooo I'm thinking why would a doc order level of conciousness prn, and being new, hated to ask co- workers but finally did and they laughed, said he meant laxative of choice! DUH!

[rainfallrx]

My favorite is :

Foley to gravity please. Uhhh...why don't we just hook it up to suction, just for the hell of it. He He He

[RNelf]

This on an ICU pt: "Please, for the love of God, transfer pt to floor. Monitored bed not necessary."

Also once had a pt with the admitting dx of "TFTB"--too fat to breathe.

[Morettia2, BSN, RN]

I just had this one the other night, I was going through the MD's orders b/c I was looking for the last time a med was ordered and found this

"Keep pt. with head up at all times" and this ridiclous drawing, in the orders

:)-head

__\__

\ -body and hands

^

/ \ -feet

I said to my charge nurse, crying b/c I was laughing so hard, "What the **** is this?" and does the MD think that we don't know what it means or look like when they say keep HOB elevated, but the MD didn;t even say keep HOB elevated, just that ridiclous order with a pic. I also said, "this was written at 9am, did day shift even look at the rid. order?" Yea it was written 3 days ago and never taken off or noted. I think as cardiac nurses we know to keep the HOB elevated, but I saw the MD that night and said to him, "what the *** is this picture?" as I was hysterical and could barely get out the words, he said, "oh that, I was wondering when one of you would pick up on that, I was tired and well, I wanted to draw a picture", I said to the MD, who I am friends with, "what are you like 5 y.o., I have some colored markers in my bag if u want to color it in." hahahaha

[nurs/cla]

I worked in LTC and had a 100 yo who always c/o to MD on rounds about her long pubic hair and sooo he finally did it and wrote please trim pubic hair prn pt request. I think we need some additional training for that.

[elizabells, BSN, RN]

I worked in LTC and had a 100 yo who always c/o to MD on rounds about her long pubic hair and sooo he finally did it and wrote please trim pubic hair prn pt request. I think we need some additional training for that.

Not in a million years.

[Elvish, BSN, DNP, RN, NP]

Not in a million years.

So, see, aren't you glad you work w/ preemies??

[FranEMTnurse, CNA, LPN, EMT-I]

I worked in LTC and had a 100 yo who always c/o to MD on rounds about her long pubic hair and sooo he finally did it and wrote please trim pubic hair prn pt request. I think we need some additional training for that.

Did he note how she would like it styled?

[elizabells, BSN, RN]

So, see, aren't you glad you work w/ preemies??

I would dedicate all my time off to finding a way to make the doctor do it him/herself. I'm sure I could come up with SOME kind of scope of practice issue, like you know how with DM patients podiatry has to cut their toenails?

[psalm, RN]

I worked in LTC and had a 100 yo who always c/o to MD on rounds about her long pubic hair and sooo he finally did it and wrote please trim pubic hair prn pt request. I think we need some additional training for that.

Actually, I had an elderly female pt. who's pubic hair was very long and would get caught around her foley and curl into her perianal region. I would have loved to cut it, all I could think of was all those germs multiplying, and it must have been uncomfortable. But it being 11p-7a shift I didn't call the doc for an order.