Wise Orders From Wise Doctors

Unfortunately, some nurses are born without the common sense gene and require those types of orders to keep their patients safe. They are also the same people that caused the myriad of warning labels on products, such as "Do not operate heavy machinery" after taking Nyquil. 

I agree, you'd be surprised I am so sad to say

NP here who works on the floors. I was a RN for years and didn't realize how many nurses lacked common sense until I was the one getting pages...

So yeah...this one falls flat.

1. Could be useful, as sometimes inducing is the goal, granted this one is usually not too difficult to figure out

2. Possible patient teaching suggestion? Assistive staff teaching suggestion?

3. Doesn't sound like an order, not sure what to make of it

4. Very useful with specific parameters

5. Somewhat useful, more for what it doesn't say ...puree, thick liquids, etc.

32 minutes ago, Davey Do said:

I overheard Dr. G, a psychiatrist on the phone with the intake center, say this regarding a possible admission:

"You can't admit someone for just being weird."

 

OMG Davey, I love that.

You actually wouldn’t believe what some people do.  I find some nurses just work on autopilot.  They get so focused on tasks that they don’t actually look at their patient.  
 

I've had patients with rectal tubes from stooling so much and the next shift administers all his laxatives.  Or I’ll have a patient now requiring Levo and the next shift administers their scheduled BP meds.  I always try to have the provider DC things but sometimes that one med gets missed.

It’s unfortunate.  But honestly, I’m sure this physicians have had to say those things a lot.

2 minutes ago, LovingLife123 said:

You actually wouldn’t believe what some people do.  I find some nurses just work on autopilot.  They get so focused on tasks that they don’t actually look at their patient.  
 

I've had patients with rectal tubes from stooling so much and the next shift administers all his laxatives.  Or I’ll have a patient now requiring Levo and the next shift administers their scheduled BP meds.  I always try to have the provider DC things but sometimes that one med gets missed.

It’s unfortunate.  But honestly, I’m sure this physicians have had to say those things a lot.

So true. Merely passing the Boards does not ensure competence.

Had a patient that just had abdominal surgery, was doing fine with pain, but began having a huge amount of abdominal pain a couple days after surgery. Like he wasn’t requiring much in the way of opioids for pain control, then suddenly started needing full PRN doses on schedule.

I worked nights at the time and the surgeons rounded early in the morning. I expressed my concern about this increased pain that didn’t seem to match up with the situation, incision was looking great, no drainage, and no other s/s of sepsis, although I was concerned the extreme pain was trouble brewing for an infection.

The senior surgical resident looks right at me and goes, “well he just had major surgery...” I couldn’t help myself, I said, “oh wow I did not know that, that must be the cause!” Like really dude? I know! I’m concerned something bad is happening in there!