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Discussion

Most dreaded Dr.'s orders

What are your most dreaded Dr.'s orders to hear- you know, the ones that tell you that you're in for one heck of a night? For the past couple of nights, I had a patient with ammonia levels in the 260s, who had an order for a Lactulose drip (at first, it was full-strength via DHT- yeah, THAT worked out well ;) ). Needless to say, it went how I had envisioned it: the DHT kept occluding, until I finally got new orders for 1/2 strength via NGT, the pt was out of it, and was code-browning the whole time. Man, I hope I never see orders like that again! What are some of your dreaded orders?

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enemas till clear are alway fun to do on the elderly nursing home pt:D

edited to add: on the same note, some docs order digital check q day then administer enema..

  • Author

Oh, yeah! Especially if they're non-ambulatory, or too big for the bedside commode! I had a hairy incident a few months ago where I didn't think about a pt fitting the BSC- she had soap-suds enemas until clear ordered. Needless to say, after the first enema, I had to go take a shower, and we had to get housekeeping up to clean the room and change the curtains. One of my bigger dingbat moments, for sure!

Yeah, pretty much I'd say any doctor's order that has the word **enema** in it. Lactulose and kayexalate are also dreaded words.

  • Author
Originally posted by michelle126

edited to add: on the same note, some docs order digital check q day then administer enema..

At least the digital checks were ordered for after the enema.:chuckle

Most dreaded in this order:

1)Nurse, set this patient up for a pelvic! (350 pound scanky woman with abdominal pain)

2)Nurse, get a cath specimen on this patient (same 350 pound scanky woman with abdominal pain..on her period!)

3)Nurse, irrigate this patient's ear with saline until you get the earwax out (scanky woman's significant other who hasn't had a bath since Moby Dick was a minnow)

4)Nurse, do a hemocult on this patient (same patient as noted above, oh look, the bottom set of dentures stuck where the sun don't shine and what IS that stuck between the teeth!) :eek:

Oh well, just another day in paradise...oops....ER!:chuckle

Pam

  • Author

OMG, Pamela! Did they bite? :chuckle And I can imagine cathing that patient- ew!

  • Author

Accuchecks Q1 with sliding scale Insulin (usually because there are no beds on the floors where the pt can get an Insulin gtt.). These poor pts get sooo tired of being stuck twice an hr, too.

Anything preceding the words "for constipation".

I'm only an aide right now, but i usually get to join in on the fun of the "Code Brown" that results.

  • Author
Originally posted by LPN2Be2004

I'm only an aide right now, but i usually get to join in on the fun of the "Code Brown" that results.

Yes, I have to admit that the Techs have it way worse than us with these situations!
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Any order mentioning the word "Golytely".........:eek:

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Lol...or Mucomyst

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Before we got new beds at my hospital, I most dreaded "daily weights".......seemed like it was ALWAYS ordered for our 300+ pounders who had to be hoisted like beached whales on an old-style Hoyer scale, or the poor old souls who needed 2-3 people to get them onto the chair scale. Talk about the bad old days.......

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