The worst or strangest orders you have seen...

[MadisonsMomRN]

This may have been done before but I would like to hear about some off the wall orders you've seen MD's write...

Here are a couple from me...

Give 2mg Coumadin qd and prn :uhoh21:

Zantac 150mg q6hours and prn

I have more too but need to think:lol2:

[Xbox Live Addict]

Andreas - we had a nurse let some one chew up a dulcolax suppository when the patient said "You aren't sticking that up my butt!"

Ooooh, that's gross. Although, I can't really blame the patient in question either. If something is available in PO form, I'll take that, thank you very much.

[Peepsaretasty]

and she says that if there's a warning like that on something, someone screwed up somewhere. She says that Claymore mines carried the following warning on their packaging: "This end towards enemy. Not a food product."

I can attest to that-they're curved, and one side says "This side towards the enemy"

[P_RN, ADN, RN]

Obtain 3 pair of silk, satin or finely woven cotton gloves for patient. Massage hands with glycerine and rosewater then apply gloves every hs.

Written by our Head of Service. I had to call him and say Central supply was not able to obtain, so then he ordered ______cab co. to go to ______ department store and obtain.

Uhhh doc. we can't do that either. This was a patient in for same day surgery and 12h observatiion post op.

Would have been nice though to know where I can get some glycerine and rosewater, haven't seen that in years.

[Daytonite, BSN, RN]

We had a older doctor that would write:

Massage scrotum TID

on some of his male patients. No one ever did it.

[CRNI-ICU20]

admit to icu

vital signs q 4 hrs. and prn......

-------------------------------------

200 mg. labetolol iv push every 20 mins. prn systolic bp >160......luckily i didn't give this dose....ahem

_______________________________________________

heparin gtt. 1000u per hour

this was ordered on a fresh post op patient who had active bleeding in the bladder after a huge bladder tumor was removed and his urine was the color of this writing....and his hct was 12....

uh no!__________________________________________________

d5w 150/hr on a head injured patient.

________________________________________________

send to icu

intubate

ph 7.35 p02 96 pc02 26 .......resps. 18......

____________________________________

order written to give two units packed rbc's

at 0800 in er....hgb. 5.0...freq. pvc's

room avail. to icu 1300.....

hgb still 5.0......er didn't think they should hang the blood until the room became available....

pt infarcted....pt 45y/o woman

--------------------------------------------------

14y/0 female pt. admitted to icu from er

scratched up/bruised on face, thighs, inner thighs, back, buttocks

dx. etoh toxicity 0.028 on admit......

pt. was reported to have left home with "friends" but was returned to home with clothes missing and not with the same people she left with....basically dumped off on her own doorstep...stuporous and incoherent.....

er assumed etoh only....

tox screen showed barbituate (ruffies are barbituates) in her urine....

lady partsl area noted to be ?excoriated?

no rape kit done....sent to icu....

ugh.

[CRNI-ICU20]

after seeing MY BIG FAT GREEK WEDDING:

"windex per ETT" Prn for pulmonary toilet.

[Elvish, BSN, DNP, RN, NP]

I've seen med/surg docs way to easy with their long time pts, give orders like " do not wake between 11p & 6a unless tele off", and "may have ice cream regardless of glucose level" grrrr!!!

I hope their stricter with their kids!

I can kinda understand that last one. If I have an 85-yo LOL that's diabetic, I don't care what she eats, regardless of her blood sugar. She's 85, let her do whatever the heck she wants.

Also, I had a friend who diuresed 12 liters in 24 hours with postpartum cardiomyopathy....if I had been in her shoes, I would have DEMANDED a foley!!

Weirdo orders....Talking with a doc whose antepartum patient was 32 weeks preggy with quads & contracting: "Well, put her on the monitor & see what she's doing. And try to pick up all 4 babies." Thanks doc, I was gonna just try for 2 or 3 and hope for the best on #4....

[HeatherB,CST]

Obtain 3 pair of silk, satin or finely woven cotton gloves for patient. Massage hands with glycerine and rosewater then apply gloves every hs.

Written by our Head of Service. I had to call him and say Central supply was not able to obtain, so then he ordered ______cab co. to go to ______ department store and obtain.

Uhhh doc. we can't do that either. This was a patient in for same day surgery and 12h observatiion post op.

Would have been nice though to know where I can get some glycerine and rosewater, haven't seen that in years.

Wow, sound more like a spa treatment than a medical one...can I get one of those with a milk&honey pedicure and an algae facial? Thanks ever so much......

[pirap]

This has to be my all time favorite:

"Do not remove Foley even if an order is written to remove it!"

I laugh everytime I think about it...don't do it even if I tell you to do it!!

[Xbox Live Addict]

I can attest to that-they're curved, and one side says "This side towards the enemy"

The "this side toward enemy" I can understand.

It's the disclaimer of "not a food product" on a LAND MINE that is rather unsettling.

[MadisonsMomRN, BSN, RN]

We had a older doctor that would write:

Massage scrotum TID

on some of his male patients. No one ever did it.

I don't think I would do this either... maybe the doc could do it?

[MadisonsMomRN, BSN, RN]

This has to be my all time favorite:

"Do not remove Foley even if an order is written to remove it!"

I laugh everytime I think about it...don't do it even if I tell you to do it!!

:roll:rotfl::roll