Inquiring Minds Want To Know: Outrageous Orders! - page 4
IVE RECENTLY HEARD SOME FUNNY AND SOMETIMES DISTURBING STORIES IN REGARDS TO PHYSICIANS ORDERS.SO I WAS JUST WONDERING: WHATS THE MOST OUTRAGEOUS MD ORDER YOU EVER HAD TO TAKE OFF OR WERE EXPECTED... Read More
May 11, '02Originally posted by fedupnurse
Hey Scrappy! You know what I would've said to that one get some lips and kiss my a$$!!!!!
May 11, '02I work in OB, Midwife called doc about a pt with PIH who was 39 weeks. His orders Mag and Just get her delivered. Like we were going to let her stay pregnant with bp of 160/100
May 11, '02"D/C from breast by the time the patient goes to college." This is what doc dictated after trying to convince the mom to wean her 4 year old daughter who was, by the way, a failure to thrive, and introduce more solid foods.
May 12, '02The first time a Swiss MD ordered to put EOSINE and phoen of a stage 2 ulcer on a coccyx my mouth dropped.. Seeing as Eosine is mercurocrom and a pheon is a HAIRDRYER!!...
So theres me dowsing someones already sore backisde in Eosine then proceeding to apply a hairdryer ( set to low..) QUITE THE EXPERIENCE! (I havent got a scientific answer to this practice either... Despite my questioning!!!)
May 12, '02A friend received the following admission order from a cardiologist: "Write whatever the hell you want." So, she did--2 pages. Then she copied everything and made an incident report.
:angel2: :angel2: :angel2: :angel2:
May 12, '02Originally posted by Marj Griggs
Order on a CHF pt: (The unit had about 30 pts and 1 RN, 1 SN and an aid) "Watch Patient" My colleague said "I watched him---run down the hall, out the door and down the street", dressed only in a hospital gown. Security caught up with him about 3 blocks away.
May 12, '02New one....'Turn left". received at 2 am from a sleepy resident when asked for a diet order.
May 13, '02"D/C from breast by the time the patient goes to college."
l.rae, your story reminded me of the time I had to call a surgical intern in the middle of the night. Spent about 10 minutes going over vitals and labs and he gave me some orders, then asked me what patient we were talking about again. So I went through it again, confirmed the orders and hung up. 30 minutes later he wandered into the ICU all rumpled and sleepy and sheepishly asked who he'd just been talking to and whether the orders he'd given made any sense! LOL! I think he thought he'd dreamed the whole thing.
May 13, '02Originally posted by kaknurse
I once had an order for 30cc Black Velvet q6hrs prn. Pt was an alcoholic. I know the doc wanted to prevent DT's but there are other ways to do that.
I have seen a similar order. We cared for the town drunk when I was working at a small rural hospital. The doc dried him out but he turned into a gork, so the doc gave up and ordered his whiskey for him.......I think it was Wild Turkey. The poor old guy was never the same again. We kept the booze locked up and counted it jusst like the narcs!!
May 13, '02we have a chf pt on aspiration precautions with no gag reflex that nurses must supervise with all meals. order ,lasix 40 mg if pt eats more than 50% which she barely eats at all. dnr but needless to say she's out to the hospital q week in chf and pneumonia. he's our med director and will not change it!
May 16, '02Originally posted by micro
what troubles me is when pt. has definitively indicated and all legal paperwork is in place......that they are a dnr/dni........but yet everything i mean everything is done.........why...........
also when you know what the patient wants done and not done.....but procedures are done anyway......
sorry for the somber response........but sometimes in nursing this is what we see...............
And what's up with "Chemical Code Only" orders as opposed to DNR??? We're going to ONLY give the ACLS MEDS and NOT do chest compressions or ambu with oxygen- I've never witnessed that to work. I say either Full Code or No Code.
Oh Yeah-- How about "Up to chair QID" for a total-lift patient who is half comatose. YEAH RIGHT!!
May 16, '02Couldn't agree more Curlytop! We just went from a Level sytem of DNR (dirt nap request) to code or no code. BUT, you knew there ahd to be a but, that only means for an arrest situation. If their BP is low we have to treat it, they still get blood products, they are still aggressively treated until they go apnic or pulseless.
And the false hope!!! OMG!! Don't even get me started on THAT one! I have gotten to the point where I tell families that "unfortunately, Dr._____, tends to paint a very rosy picture. Here is what I have seen in 10 years of doing this..." Most families are grateful for the truth.
May 16, '02How about "Get correct insurance info from patient". I informed him politely this was NOT my job nor a good idea; he persisted in writing it as an ORDER.
This one I sent directly to risk management, and my boss...as it creates a conflict of interest and is not good PR..