Published
I thought I had seen some AH orders but yesterday took the all time win! I had a 97 year old man admitted from ER with impaction and the order said---- "Give oil retention enema and have pt. hold for one hour." I am LMAO as I am thinking "OK where am I going to find a cork.:roll :chuckle
I finally have something to add to this thread. This is one of my favorite threads by the way.
Last week I had a patient that wasn't doing so hot. His urinary output was 100ccs the first day, then 50ccs the next day..bun/creatinine slowly rising...got himself an ARF diagnosis. A resident came through, didn't even bother going in to assess the pt, and wrote something along the lines of, "Bladder training, clamp foley 2 hours then unclamp 2 hours"
I dutifully carried the order out (I was in the patient's room every hour or so anyways...so why not). Total output on my shift? 30ccs...I'm sure the 3 or 4ccs that came out each time I unclamped the foley worked wonders for his bladder training. The next day the attending wrote, "Leave foley in." Sometimes I wonder if some of the residents even bother reading through the progress notes/labs/VS/I+O/etc.
Novolin 70/30 NPH insulin 40 units q a.m.
Two totally different insulins. This order got by the charge nurse, the pharmacist and 3 days of nurses before I found it. I called the primary physician and explained the problem with the order, so he said "Well, which insulin has she been getting?" I said "I couldn't tell you sir, I just started as her nurse this a.m."
I had to write this up, hated to do it, but it got by two many people. The failsafe's in the system totally failed in this instance.
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Another order I received was Morphine, 20 mg Iv q 15 minutes prn. I called the physician and said "This can't be right" he said "It's what I ordered" I said, sir, the patient is a 1 y/o with pneumonia, do you really think this order is appropriate? He hemmend and hawed, and realized that he was thinking about another patient - and d/c the order on the child. I suggested that without knowing the other patient, the 20 mg Morphine might be appropriate, but he really should put a max dosage in for safety's sake, also dropped a PCA hint as well. Don't know if he ever did.
truern
2,016 Posts
Sorry, just can't resist:
A fart it is a pleasant thing,
It gives the belly ease,
It warms the bed in winter,
And suffocates the fleas.
A fart can be quiet,
A fart can be loud,
Some leave a powerful,
Poisonous cloud
A fart can be short,
Or a fart can be long,
Some farts have been known
To sound like a song......
A fart can create
A most curious medley,
A fart can be harmless,
Or silent , and deadly.
A fart might not smell,
While others are vile,
A fart may pass quickly,
Or linger a while......
A fart can occur
In a number of places,
And leave everyone there,
With strange looks on their faces.
From wide-open prairie,
To small elevators,
A fart will find all of
Us sooner or later.
But farts are all bad,
Is simply not true-
We must never forget.......
Good old farts like you!