Wise Orders From Wise Doctors

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So, this past week I’ve learned quite a bit at work.  I’ve really been impressed with how wise some of our doctors are.  
 

Some Words of Wisdom that they have offered:

1. If a patient is having loose stools, you should hold their bowel meds

2.  A patient with a skin tear on their arm should try not to bump their arm as this could lead to reopening of the wound

3.  A patient with a broken hip should avoid falling on that hip to prevent further injury 

4. Antihypertensives should be held for low blood pressures 

5.  Patients at risk for aspiration/choking should eat slowly, eat small bites and be supervised during meals

The intelligence and thought that went into each of these orders is incredible.  So insightful are these recommendations.

Who else has any Words of Wisdom to share from wise providers? 

Specializes in oncology.
On 4/8/2021 at 11:42 PM, SilverBells said:

4. Antihypertensives should be held for low blood pressures 

Ideally there should be parameters as Metoprolol also effects the HR.

Specializes in Med-Surg, Geriatrics, Wound Care.

For wound care:

Please do not apply sticky dressings to skin tears. Especially not tegaderm.

Please apply barrier cream if patient incontinent.

Please use incontinence wipes in peri area (as opposed to general body wipes). Yes, there is a difference.

If the limb is swollen/edematous please elevate it.

Please do not put a urostomy pouch on a colostomy.

Please do not cover the orifice with the dressing over the wound.

 

Specializes in Rehab/Nurse Manager.

If a patient declines over the weekend, there are on-call providers you can call and emergency rooms are open on the weekends too 

Specializes in Psych (25 years), Medical (15 years).
On 4/8/2021 at 11:42 PM, SilverBells said:

Who else has any Words of Wisdom to share from wise providers? 

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