Funniest real orders you have seen in a chart?

[nilepoc]

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 resident. Well the attending did laugh, but it was not the highpoint of that residents day.

so do you have more?

[JWaldron]

I had one tonight: enteric coated aspirin PR. Doesn't seem the route of choice to me!

Savvy

[UM Review RN, ASN, RN]

I had one tonight: enteric coated aspirin PR. Doesn't seem the route of choice to me!

Savvy

Of course the enteric coating is to keep the pill from dissolving in the stomach.

(say that with a straight face)

:roll

[kcalohagirl]

"May place foley if pt desires" Like anyone really looks forward to that?

"Foam tape foley catheter to pt's leg"--There was foam tape sitting at bedside, I was charting right outside the room, yet the doc felt the need to take the chart, write the order, and hand it to the clerk. Gotta love the baby residents in July. . . . . .

[Nightcrawler, BSN, RN]

not an order, but we found a resident's report sheet last week. The residents will update it with the day/nights changes and admissions and discharges..... We got such a laugh out of some of the entries

1. EMS stated found patient covered in own feces, under comment heading the form read, "what's worse you say? someone elses"

2. Attempted LP- no harpoon in kit

and my favorite......

3. STAY AWAY FROM TB GUY Under to do , it read LEARN VIETNAMESE

[grace90, LPN, LVN]

"May place foley if pt desires" QUOTE]

I've seen that order quite a few times. Sometimes a patient may want it, such as if they're on IV Lasix or debilitated (I'm thinking of onc patients) or in a lot of pain. This way they don't have to have one if they don't want one, but it leaves it open for them to have one if they do. It also saves the doc a wee hours of the night call requesting one.

[squeakykitty]

on the coffee enemas...if one likes to smoke with coffee...where would one put the cigarette.....huuuummmm, and who would want to light it ?????

:chuckle :smilecoffeecup: yeeeouch!!! :rotfl: :smilecoffeeilovecof:roll :roll :roll

[Elvish, BSN, DNP, RN, NP]

Not in orders but a progress note....a med-student wrote the following:

"possible d/c home today" which is not so bad....except that

a) pt had a c/section the day before

b) pt still has epidural

c) pt is not going anywhere w/ her baby just yet because her and her baby's UDS were +cocaine. CPS has a say in that one....

What's worse, the resident came by and wrote below: "Agree c above." Sigh.

[mjsobrn]

I work in OB and recently we had a PT that was beeding internally the OB doc refused to come see her when her BP hit 80/30 and was tachy at 180 he told the charge nurse to call the ER doc and have him see her but he also refused and said he only sees PT's after admission if they are coding and to call the internist on call, the internist refused to come and only ordered a hand full of labs, the charge nurse then called the OB back with an update and the OB insisted the ER doc come see the PT, The charge nurse told the OB that he only comes for Code Blues and so he gave a telephone order to call a code. Ever feel like your swimming up stream?

[mjsobrn]

We had a nurse on our floor that had a total hystorectomy she cam to the ER with abdominal pain on the left side the PA who was on duty ordered

pregnancy test and an ultrasound to r/o tubal pregnancy because she had not had a period status post hyst.

[prmenrs, RN]

I work in OB and recently we had a PT that was beeding internally the OB doc refused to come see her when her BP hit 80/30 and was tachy at 180 he told the charge nurse to call the ER doc and have him see her but he also refused and said he only sees PT's after admission if they are coding and to call the internist on call, the internist refused to come and only ordered a hand full of labs, the charge nurse then called the OB back with an update and the OB insisted the ER doc come see the PT, The charge nurse told the OB that he only comes for Code Blues and so he gave a telephone order to call a code. Ever feel like your swimming up stream?

I'm afraid this one is NOT funny.

[Sugar9486]

please weigh pt on a real scale [we just look at the pt and pick a reasonable # ! ]

Sometimes md's order this in my hospital, we have the beds that weigh the patients and they really want the patient to be weighed on an actual scale.

[Jamesdotter]

MJSOBRN's story about the run-around reminds me of an incident that occurred in the early 70's with a pt on the GYN floor who was pregnant with triplets. In the middle of the night, of course, L&D got a call from the male nurse in charge on GYN informing them that "Mrs. X had broke her water". The L&D charge called the second year resident per protocol because the pt was high risk. The (lazy bum) resident told her to call the intern. Now in those days interns did a required rotating internship including a total of 20 days on OB, no matter what their specialty was. This guy was new (kind of like July every 20 days, LOL) and didn't even know where the GYN floor was. Before the nurses even got the poor guy awake, another call--Mrs. X had delivered baby #1 in bed. The nurses got the patient and baby #1 up to L&D, finally sorted out the (lazy bum) resident to see the patient, called the fourth year resident and they sectioned her for #2 and #3. I think the attending was called, too. I don't remember what happened to the (lazy bum) resident, but I suspect he listened to the nurses after that.