Inquiring Minds Want To Know: Outrageous Orders! - page 7
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 28, '02We have a pulmonologist who never listens to lung sounds. He will read the nurse's notes or other physicians' notes and write what they wrote. Or he will ask what the patient's lungs sound like, and write what you tell him verbatim in his note. If he can't do that he just writes "distant breath sounds." I guess they all sound distant if you listen from six feet away. Some day I'm going to tell him I hear Beethoven's Fifth in the patient's lungs and see if he writes that. Another MD, an internist, uses ourto do his H&P, never even examines the patient himself.
May 28, '02Had a doc once that came to see a post partum patient, but she was visiting her infant in NICU. Doc wrote in notes "nurse states pt. doing well."
I paged him and asked him to come back and change his note or see his pt.
May 29, '02I worked with one doctor who was a sweetheart by day, but when the sun went down, his "dark side" definitely came out! When I called in the middle of the night to tell him that his cirrhosis patient was coding, he growled, "Give her a liver transplant!" and hung up on me. I asked around, but couldn't find any volunteers to donate. Can't think why...
May 29, '02"Take Dwayne into a quiet room away from others to feed....he possibly has ADD" this was an order for a 2 month old preeme :lol
May 29, '02Pt is NPO including meds, then the MD orders about 20 PO meds. First year resident...early morning...need I say more?
Jun 2, '02I've SEEN a foley to wall suction!
The strangest order I've received from a Dr. was about a pt on tube feedings with a kangaroo pump...pt was not tolerating the feedings with outrageous residuals, and vomiting copious amounts...the doctor on call ordered that we INCREASE the feedings...I kept asking him " Did you hear what I told you? Are you serious?" Needless to say, I did not follow that order! I conferred with my CN, and the Night Supervisor who, consequently, agreed with me. Turns out pt had an ileus! Boy, was his PCP pissed at the on-call doc!
Jun 2, '02Just from this weekend:
Please place fan in patient's room.
For crying outloud, just tell me the patient would like a fan and I will go find one.
Jun 2, '02Just thought of my all time favorite:
Call M.D. with any concerns. (DUH!!)
Bit of trivia here: Know what MD stands for? Make Decisions. (Yeah, right). :chuckle :chuckle
Jun 3, '02I love this thread!!!
Minor funny order was one of the Dr.s acting silly: Start IV at 6:36pm. I took the order into the patient's room with the IV kit and told him that I couldn't do the IV start till 6:36pm so to please watch the clock and let me know when the time was right. Fortunately, the patient had a great sense of humor and did just that and reported back to the Dr that I had followed his orders to the letter.
Craziest order I ever saw had everone laughing including the pharmacy who actually kept a copy of the order:
I'm not sure if the Dr. was in a hurry, tired or if she was thinking of something totally not related to medicine.
What she ment to write was Fosamax 1 qam ac.
What she actually wrote, and it was extremely clear and not scribbled, was Phonesex 1 qam ac.
We were all rolling on the floor when we read the order. Too bad she had already left the unit or we might have brought it to her attention. Yes, we even showed the order to her partner and he read it just like we did because it was so clearly written.
3 years later, the order still hangs in the pharmacy on the staff bulletinboard.