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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?
Recently, amongst a lengthy catalogue of numbered orders (pertaining to one of our "frequent flyers"), the doctor had written: "(13) wash this patient's feet ASAP please". I have also often seen etoh ordered for patients with alcohol dependence, or sometimes as hs sedation, when I was working psychogeriatrics.
Originally posted by mattcastens
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You laugh, but that's becoming more common (again). Our surgeons screen patients for possible DTs after their open-heart surgery. If they're found to be at risk, they have a standing order for "Beer: 1 can PO, BID." Thank god they specified "PO".
They figure that it's easier (and better for the patient) to stem the DTs before they start. We're not going to dry them up anyway, and their bodies can put the energy into healing instead of withdrawl.
Have you ever tried to get a beer down an NG??
Back in my days on a med/surg floor I walked past my patient door and found him on fire!! He was trying to burn himself out of his posey vest with a lighter he had at the bedside (don't ask me how it got there). After putting the fire out and fighting with the patient for the lighter I called the med resident to assess the burns the patient had recieved. Mind you, during the struggle, the patient had bit me so hard that he broke the skin! The resident wrote for silvadene cream to burns qid (makes sense) and remove lighter from patient bedside( here I was thinking of giving it back to see if he could torch the drapes too). I could have throttles the resident.
ceebee
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About the BV 30cc q6h orders....
If doctor had taken those precautions with this one 35y/o male pt, he wouldn't have pulled out IV's, broken window and went out on roof of 2nd floor and was hanging from the ledge with sheer will-power and fingernails, after having abdominal surgery from seat-belt injury after auto accident. I say more power to the doctor.