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?

[talaxandra]

I have given IV paracetamol many times - as sairin8 says, it comes in a 100ml glass bottle and is run over half an hour (or maybe an hour). It is way more expensive than any other forms of the drug and so is used sparingly, when PR or oral dosing is inappropriate.

That said, when I first saw an IV order I thought the prescribing doctor was loopy! It has only been around, at least on the wards here, for a couple of years.

[RetiredTooSoon]

I've not seen it in Michigan. Is it given IV push? What's the generic name? Very interesting...

It may be a Europe/Australia/NZ thing; all of the websites I've seen that involve IV acetaminophen have all been from Europe, Australia or NZ, although there are some clinical trials for the drug coming up on clinicaltrials.gov.

[Vanny919]

I had to clarify an order for imodium 2 mg po prn constipation. Even the doctor laughed at that!

[so alive LPN]

just spotted this today:

Megace 200mg PO BID

on a patient that was made NPO!

thankfully my friend caught it! That poor patient!

PO on an NPO patient, but Megace at that?!

[Pat_Pat RN]

"Make patient take bath"

"Make patient leave after discharge"

[deToxTech]

I cant recall precisely what it was, but the order came out to say "q now and then later"

yeah, the doc was rushed...

and then we had a FS scheduled with MOM.

the nurse couldn't understand why we'd schedule a family session with milk of magnesia.

[josh1974, LPN]

Got one the other day that simply read "DC A/C". Thought the doc must have been a backwards fan or something! hehe.

[Adele_Michal7, ASN, RN]

-May have up to 5 cans of soda per day, each shift to document # of cans of MAR

-Pt. may have NO POPCORN on 3-11!!!!!!! (written like that, f/b, Pt. MAY HAVE popcorn on 7-3.)

-Pt. may have 2 double shots of whiskey prn for pleasure (Patient was a tube feeder, non verbal)

-Pt. may have ear pierced on July 12, 2007

-Nurse may slap patient across face if patient becomes non-responsive

-Pt. may have 240 cc's WARM TEA from Dunkin' Donuts flushed through GT on 7-3 shift for pleasure.

Then I had a doctor ask me in a serious tone "What is a LPN? Are you like an Aide?"

[talaxandra]

I had to clarify an order for imodium 2 mg po prn constipation. Even the doctor laughed at that!

Well, if by "for" s/he meant "to cause" :)

[FranEMTnurse, CNA, LPN, EMT-I]

I was repriminded by my ADON for holding a laxative because the pt. had 3 large loose BMs. I was told I wasn't supposed to hold the laxative without a Drs order!:icon_roll

There's something wrong with that ADON's way of thinking.

[FranEMTnurse, CNA, LPN, EMT-I]

We had this poor guy in the hospital who lived on the street. The doctor who was taking care of him thought he was faking his symptoms just to get to stay in the hospital and so he did not want the patient to get to comfortable there. The doctor went into the room and unplugged the TV and wrote an order that said "no TV". So I come to work 3-11 and this man's room is just outside my desk (I am the 3-11 charge nurse ). For the first couple of hours of the shift he kept yelling "I'm dying in here". I kept having to go in there to explain to him that he was not dying. After that, he started yelling "I'm not dying in here". I just could not take it any more so I went in there, plugged that TV in and gave him the remote. Never another peep out of him for the rest of the shift. Next time I saw the doctor I told him to never ever write an order like that again because we ain't doin it!

Good for you!!!

[Pat_Pat RN]

*JUST* got a patient with a PE, doctor wrote for "O2 @ 2lpm to keep sats greater than or equal to 100%".

Greater than 100%?? Truly?