Funniest real orders you have seen in a chart? - page 17
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... Read More
Nov 26, '04HOW ABOUT THIS MIND BLOWER::: MAINTAIN BED AT LOWEST LEVEL UNLESS FLOOR IS ELEVATED?????? WHEN I READ THAT, I HAD TO THINK ABOUT IT A MINUTE....LOL
Quote from nilepocTo 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
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?
Nov 26, '04Quote from JWaldronHey, at our hospital we are not supposed to use D/C becuz it could mean discontinue or disconnect or discharge. Maybe the doc was just covering his butt by writing out which D/C he was referring to.And I had a pt. with admitting dx of "Eurosepsis". Must have gotten it on a trip.
Also had an order last week: "d/c foley (that means take it out)". You can tell that doc has a high opinion of nurses!
Nov 27, '04You all are so super in your quips. I have found like the rest of you that if you don't see the humor in things you might as well hang it up!
I so enjoy all of you and look forward to your "threads" each day that I come on this site.
I am new at this and am stumbling my way around your site.
Thanks for your answers to my comments.
Never heard of any other meaning for d/c except discontinue. Thant was interesti g.
Nov 27, '04Quote from nurse-loui know that is always a funny order to see, but in the small hospitals in this area there is always a bottle of some brand in the narc box for the DT's that the librium and the ativan can't touch.:hatparty:We had a patient once who was an alcoholic and a COPDer. The doc, a pulmonologist, would write..Black Velvet, 30cc Q6hrs,prn..I am NOT kidding either. The pharmacy had to go to the liquor store and buy a bottle of BV and then we had to keep it locked in the narc cupboard and sign out each shot of BV!!!!
Nov 27, '04this wasn't a strange order, but funny...
I had a pt. pass a kidney stone. I didn't have a container in the room to send it to lab, so (like a dummy) I put it in my gloved hand and proceeded to the supply room. Someone asked me what I had in my glove and when I open my hand the stone sprung up like I had bounced it on a trampoline. It was lost in the carpet. When the on-call doc (a real a$$) came in for rounds, I explained what happened. He made the pt stay an extra day for an IVP and wrote in the progress note "NURSE LOST STONE IN CARPET". :uhoh21:
Nov 28, '04Speaking of stones....Just last month we had a patient who faked stones to get drugs. Sent 'em to the lab and they came back "quartz"
Sure was a good one on us, til the reports came in.
Jan 18, '05I was working Neuro, and had an order for a "glass full" of alcohol of choice q4hrs. The dr. was still on the floor, I asked for a clarification, he stated "a glass full", this went on for a few minutes, then finally he stated just give a couple of shots, give or take. I has seen several orders for alcohol to be given, that was my first one, and the other nurses really gave me a hard time for a long time about requesting that clarification.
Jan 18, '05On our admit orders, we have a spot for dx and procedure. We had a repeat tongue cancer patient, and under procedure, the HO wrote "big operation." A couple weeks later, when the patient came back in for repeat surgery, the HO wrote "another big operation."
Also, we had a patient who had a glossectomy and part of her upper lip area removed and she used gum on the upper palate of her mouth to fill the space and help her eat. She had the operation several years earlier and had been doing this for years to aid in eating. HO wrote "Gum to bedside - pt. may have prn at meals. You do not have to chew it for her."
Also had "2 units PRBC if pt. requests." Okay, we give the patients more freedom to participate in their care nowadays, but this is rediculous.
Jan 18, '05From a physician notorious for ordering things that a quite obvious and part of routine nursing care like "vitals per floor routine", "call if prn meds not effective".
But my favorite: on a pretty routine average 70-something new onset seizures, but still very alert and oriented, walkie-talkie. . .
"Hold phenobarbital for RR less than or equal 8"
Hummm. . . I might do more than just hold the phenobarb for RR<8.
Jan 19, '05On my unit it is not unusual to see orders "Give patient a bath ASAP" Or "wash and cut patients hair ASAP". When you work with psch patients, some really do need a bath, but you try convincing a paranoid fellow to get into the tub. Our doc seems to think that just because he ordered it, patient will comply. Hasn't worked yet.
Used to work at LA County Hospital/USC Medical Center in the Emergency Room and one of my favorite charting techniques was lo list soap and water under allergies for some of the more odiferous patients we saw.
Jan 20, '05Quote from tigerA transfered patient from another ward had written on his transfer sheet, this patient is continent and incontinent!!!!ultrasound lle. r/o dvd
Jan 27, '05"Organize old chart in a meaningful way" - yep, I'll um get right on that one buddy. Sent it to med records with the quote....
Jan 30, '05Thought of this post when I read it this week...we had a good laugh over it.
"Please bathe patient with warm soap and water, and clothe"
Glad you clarified on the soap and water part. Might have been confused and went for the betadine instead!