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?

[rkitty198, BSN, RN]

Latex 40mg IVpush now....

I was called by pharmacy because the patient had a "latex allergy"

hahahah

[LPNweezy]

prescription hot tub.

[carolmaccas66, BSN, RN]

Not a funny chart order but a pharmacy error:

Actually labled and sent to our floor for Pt use...

Chloraseptic cherry throat spray:

Apply to orifice every four hours PRN severe hemorrhoids.

This was the correct med, for the correct Pt, but Rx got the route and indication all wrong!

I just have to comment on this and get serious for a minute.

If a RN had mixed up this order, there would be holy hell to pay. They would be chastised, written up, have it recorded on their internal record and maybe have to see the BON, depending upon circumstances. Nobody would see this error by a nurse as funny! The whole system of nursing and blame is just absolutely, insanely crazy.

This is why I cannot wait to leave nursing later this year, and to encourage younger people not go into this profession.

Now back to the funnies....

[carolmaccas66, BSN, RN]

One lady I nursed not long ago who had a THR, had hypertension and a few other conditions elderly people get. Her Dr had written: 'Can have 1 glass of wine per night with dinner'.

On my shift, she had had VERY high BP and I said no wine tonight. Of course she ignored me, went behind my back and told the ward helper and got her wine anyway! Patients can be so sneaky!

[NicuGal, MSN, RN]

We had an 9 month old chronic BPD kid who wouldn't eat...had a horrible oral aversion. This was the order we got from a resident:

Please take infant into quiet room and attempt to PO feed him due to his ADD.

Okay, you are kidding right? We had such a hoot with that one...and that guy is a fellow now and we still totally razz him over it....he has improved alot since that first year lol

[oregonnurse2007]

I had an ED resident ask me to put a pt on 18% O2...how do you expect me to suck out that extra 3% from room air? Hahaha

[TiredandWearyRN]

As a unit manager in a LTC facility I had a doc who always wrote the most ridiculous orders. I dreaded seeing him come on the unit. One evening after I had left, he came in to see one of his patients, who had a new roommate with alzheimers disease and yelled a lot. The next morning when I came in and was reviewing his orders, I discovered this little gem....he wrote to apply a clean fresh pillow case every day and to move Mrs so&so (he actually wrote the patients name on the order) "because my patient does not like her".....I thought my head would literally explode!

[FranEMTnurse, CNA, LPN, EMT-I]

As a unit manager in a LTC facility I had a doc who always wrote the most ridiculous orders. I dreaded seeing him come on the unit. One evening after I had left, he came in to see one of his patients, who had a new roommate with alzheimers disease and yelled a lot. The next morning when I came in and was reviewing his orders, I discovered this little gem....he wrote to apply a clean fresh pillow case every day and to move Mrs so&so (he actually wrote the patients name on the order) "because my patient does not like her".....I thought my head would literally explode!

Looks like a ridiculous doc to me.

[martymoose, BSN, RN]

just had this one the other day.. "do orthostatics"

ummmmm, the pt is a double BKA

with no prostheses.

[Code Brown RN]

First off, I've been lurking on this site for the better part of a year, and I've read every post on MOST threads in the humor section (yes, including the What Patients Have Taught Me- which took no fewer than 4 nights to do!) but the the "5mg IV Pork" order is the first post to literally make me laugh out loud. It was also what prompted me to sign up and actually post instead of read at your expense.

This wasn't an order, but rather a transcription funny. The MD wrote the admitting DX as the standard short hand for hyperkalemia. The transcriber entered it into the computer as "K Plus Up Arrow." It took a few of us to actually figure out what this man was bing admitted with!

I also had an order come through our computer system which read: "____, please call me back. I tried to contact you, but your phone was engaged. ___, MD."

Dictated Progress Note: "I met with Mr. X this morning. This grey haired, blue eyed, ex- railroad worker has minimal complaints. Also, he is not pregnant."

[divinelove]

doc wrote order for apply lotion to arms and legs stat

[DedHedRN]

When I was a student I saw some beer in the refrigerator and thought that the night shift was getting a little crazy and having just a bit to much fun. It wasn't until later that I learned that it was for a detoxing patient.