My attending offered my patient with nausea a medication called Tigan, which I've never used before. I didn't know why he chose it, except to make my life harder.
Friday morning: Patient says she wants Tigan, but she'd prefer a suppository because she doesn't like to swallow pills. I write the order for Tigan 300mg PR. (PR = per rectum)
Saturday morning: Patient says she's now reconsidered and doesn't want pills pushed up her ass. She says she wants the Tigan orally. I discontinue my old order and write for Tigan 300mg PO. (PO = oral)
Saturday afternoon: I get paged and told that Tigan only comes as 200mg pills and I have to rewrite it.
Sunday morning: I get paged and told that the patient now wants the Tigan as a suppository. So I give a verbal order to give the 200mg of Tigan either PO or PR.
Later that morning: I get paged and told that the Tigan suppositories only come as 300mg tablets, so I give another verbal order.
When I finally arrived on the patient's floor on Sunday, I was approached by like three nurses who said that I need to clarify the Tigan order. I flipped to the orders in the chart and see like three pages of orders for Tigan. I said, "This is ridiculous! I've written for this like six times!"
Sometimes I feel like there must be a better way.