Published
One of our docs is writing orders for routine nursing care. We loved her before but this might result in a group hug, or an all out riot. How about some humorous responses to some really dumb orders.
remove Bandaid
yep this was the same patient
apply Bandaid
glass of water (patient was actively vomiting)
provide water with pills
please assist patient to commode
ask family to leave please
First job as an RN; had a rage-aholic pulmonologist who seemed to write an order for an incident report every time he was on our unit. I would write one up. It was about him mentioning "incident report" in the medical record. Never got any feedback whatsoever from anyone about it. Strange business I have gotten myself into.
ANY MD (speciality or not!) that writes for an INCIDENT REPORT is gonna get TWO -
THE ONE HE INSISTS THAT BE WRITTEN
and
THE SECOND THAT WILL STOP THAT VERY PRACTICE
Honest to God - I sometimes CANNOT believe some of the things that doc's do - but the INCIDENT REPORT problem may just land me in court!
And they only way I'm EVER going to court for anything (I HOPE!) is as as member of the Bar.
However, I did like the
* EVERYONE in a gown. Idiotic, time consuming and often unnecessary
* !!!!!!!!!!!!! ohhhh, I'd had a field day with THAT one
NURSES ARE AMAZING!
:)
It was about him mentioning "incident report" in the medical record. Never got any feedback whatsoever from anyone about it. Strange business I have gotten myself into.
I once overheard a cardiologist ask the unit secretary for an SOE form because he wanted to write me up for insubordination. I walked over and said "I'll take one too because I want to write Dr______up for abandoment". Ooohhhh he was not happy. :angryfire but I wasn't either. Long story short. He was told he had no case what-so-ever against me and it was thrown out.
We had a doc that would write the same stupid orders as: put patient in gown, put on gyn exam table, cardiac monitor, etc as well. He drove me freaking nuts. He never bothered to look and see if any of it was done. It was one of the reasons I left that ED. Every time I saw one of those orders my blood pressure would go through the roof.
We have some computerized entry so he will put in cardiac monitor, pulse ox, etc. (yeah, already on 'em since they got here two HOURS ago and I ordered all the labs and xray before you added these important orders to the bottom of the list-----duh doc, thanks) and I know part of that is CYA but it's irritating since it's always already done. Like the "we should watch the BP" doc. Really? Who'd a thunk?
We recently had someone come down from the group of people who audit the charts and charge the patients for all of the stuff we do, and for us if there is no order for the cardiac monitor, then they can't charge for it. So they lose money if the doctor doesn't order it. So now if we put the patient on the monitor and the doctor doesn't order it, we have to write a verbal order for the monitor.
At one point they added up all the money the nurses in our ED were losing the department by our charting alone, and it was $33,000 for stuff like THAT.
I had a stat discharge, I was in the midst of settling two other patients. This doctor wanted the patient to discharged ASAP. I explained I would get to it in a few minutes and she went bonkers. Neverthess, I told my manger and director and this. There will be no more stat discharges in my hospital. I can honestly say the mangers really take up for the nurses and don't allow abuse of us from the medical staff.
canoehead, BSN, RN
6,909 Posts
I used to work in an ER where the PA's insisted that everyone be undressed. Someone would come in with a sore eye and have to strip to their undies and put on a gown.