Funniest real orders you have seen in a chart? - page 28
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
Feb 3, '07Entire page of orders on a critical patient -
Last 3 orders:
Keep taking bp until stable
Keep pt. comfortably numb
PBAB (pine box at bedside)
Feb 13, '07Quote from Maine Critical CareWe actually have an ICU protocol now called a "Sedation Vacation". It has to be ordered by a doc and has guidelines. Allows for neuro and respiratory assessments, etc. Some patients appreciate it; and I guess the evidence supports it decreases vent time. Interesting!This week a doctor wrote "propofol holiday for this patient 30 minutes every shift" The patient is miserable and certainly won't think turning off the propofol is any kind of 'holiday'!
Feb 13, '07I was writing a telephone order once to admit a pt to L&D. I accidently wrote "damit to L&D". It wasn't caught until the OB was signing orders. He never let me live it down! :chuckle
Feb 15, '07From H & P:
" patient was seen in the emergency room for removal of foley catheter from his right JV" as told by MD
Meaning - patient was seen in the emergency room for right JV thrombosis with subsequent removal of R chest port. :chuckle
Feb 15, '07I saw this the other night. Ordered for a pt with anxiety.
Valium 5mg PO q6h ATC. Valium q6h PRN. So is the med ATC or PRN. This order kinda made us laugh since the prn defeated the purpose of the atc order. Written by the neuro surg resident on call.
Feb 16, '07Had an order the other night for a patient with an unstable cervical spine - "NO COUGHING". Right under propofol for light sedation. And the patient was on the vent.... The doc was serious but its an order hard to carry out without Nimbex or something else other than Diprivan. We had Ativan and Valium, followed by the order to keep systolic >90. Ok, so if we are keeping her sedated to not cough, where are the pressors to keep her BP up?? Or just try to teach her not to cough? LOL!
Feb 17, '07A DC order written by NP for an antihistimine read ----- DC with first frost my reply to her prior to taking off order was - Define frost - would that be the first hard frost or the soft dewy kind? No verbal return reply that is quotable.
Feb 18, '07Surgeon must have been asleep:
On a pt who was FRESH post op with a LAKA, he wrote "OOB and ambulate QID."
Couldn't see making the poor pt hop down the hall along with his PCA pump.
Had this pt on Monday, Friday the order still on the kardex, but at least now PT was seeing the pt, (although NOT ambulating him).
Feb 18, '07Quote from arizonanursehahahaha sooo funnyOn the "obvious orders" note...
We had a patient admitted after the hospitalist had already left for the day, so the outpatint doc wrote the admit orders, including:
"Blood cultures x 2 - draw before starting abx." (Thanks for clarifying that, I was planning to give the levaquin first.)
"Call for temp >100."
First thing the attending did when arriving in the morning was write an order to "Change call parameters to routine standards." Guess he didn't appreciate a 3 am call for a temp of 100.2.
I can't believe I just read this thread from start to finish!
Feb 18, '07Just saw one yesterday - albumin (can't remember the exact amount) NOW an then Q1H x 2. Give each dose of albumin over 2 hours.
I handed the order to the kid's nurse and we just both busted out laughing. Her comment: "Gosh, I know I have good time management skills, but I didn't think they had that much faith in me!"
Feb 19, '074oz whiskey on ice at 4p daily. For my no lie 98 year old little lady. Brought it to her every day. If I was running late she'd put her call light on for it. She lived until she was 102 and then some. I still miss her!