I have a two nursing degrees, going for a third and have a whole lotta common sense. When I see stupid or hear stupid orders I may or may not carry them out..here are my all time favorites:
1) Male patient with active lower GI bleed...HGB of 5...Hypotensive and tachycardic..has 2 large bore IVs running with NS wide open as fast as it will go...blood bank working as fast as possible to get me my units of PRBCs ASAP...BP barely 90 systolic.
Order from resident: "We need orthostatic vitals on this patient"
I do hope you asked him if he meant 0.8 mg before you told him "if he wanted to kill the baby go ahead"....
The convo went like this
"Dr. Justgotoutofmedshoolandhasbeenaresidentaweek, Are you SURE you wrote the correct order for morphine and it's not 0.8?"
Baby Doc replied "Do you see my jacket, it says M D, Of course the order is right, What do you think I am stupid?(several explicatives were used during this answer)I'm the doctor your JUST A NURSE, you do what I say
Well Sir, the baby is 6mo old and I'm not giving that much morphine
baby doc than replied "You give it or I write you up for insubordination"
No, I'm not, if you want to kill the baby you can do so your self.
I than turned and went to the attending.
I told the attending the problem and that I wasn't comfortable euthenizing (sp) a baby due to baby doc incompentce.
She agreed. She also chewed him a new butt.
Hence the baby got 0.8 due to the attending overriding.
-My spelling is horrid today, forgive me I'm going to bed
"Dr. Justgotoutofmedshoolandhasbeenaresidentaweek, Are you SURE you wrote the correct order for morphine and it's not 0.8?"
Baby Doc replied "Do you see my jacket, it says M D, Of course the order is right, What do you think I am stupid?(several expletives were used during this answer) I'm the doctor you're JUST A NURSE, you do what I say
Ah, July ... the most special time of year.
That reminds me ... it's about time to start stockpiling adult beverages to get through that month. One of these years I'll finally get smart and plan vacation in July ... let the chips fall where they may, and sort it all out after I get back.
My favorite was when I was told to maintain pt's MAP at 97. Not 90-100, not 95-105, but 97. I can titrate drips ok, but can't I please have a range?
Range orders are a privilige...Why should the ordering practitioner spoil you? If I order the pt's MAP to be maintained at 97, that's what I expect!!! LOL!
You would have to have a patient ratio of 1:1 as well as be a clairvoyant...(is there a shift differential when u r required to use that gift?)
3) Frequent flyer drug seeker here for the 53rd time in last 6 months with chronic pain complaint. Arms are swollen and ecchymotic from hers and our attempts at finding a vein.
Doctor's order: Dilaudid 2MG IVP
Umm...you have two options doc..change that route to IM or I'll tilt the table so you can get a better look at her IJ. Cuz the last 3 charts show that my co-workers have attempted unsuccessfully to find a vein and although I'm good I'm not a miracle worker
Why was he giving in and giving her Dilaudid, if he knew that she is a drug seeker?
ErinBSN
66 Posts
The convo went like this
"Dr. Justgotoutofmedshoolandhasbeenaresidentaweek, Are you SURE you wrote the correct order for morphine and it's not 0.8?"
Baby Doc replied "Do you see my jacket, it says M D, Of course the order is right, What do you think I am stupid?(several explicatives were used during this answer)I'm the doctor your JUST A NURSE, you do what I say
Well Sir, the baby is 6mo old and I'm not giving that much morphine
baby doc than replied "You give it or I write you up for insubordination"
No, I'm not, if you want to kill the baby you can do so your self.
I than turned and went to the attending.
I told the attending the problem and that I wasn't comfortable euthenizing (sp) a baby due to baby doc incompentce.
She agreed. She also chewed him a new butt.
Hence the baby got 0.8 due to the attending overriding.
-My spelling is horrid today, forgive me I'm going to bed