Wednesday, February 24, 2016

Foley

Somebody wrote in order to remove a Foley catheter on a patient, but subsequently the patient's husband told me the catheter should not be removed in no uncertain terms. For this reason, I wrote the below order to keep the catheter in:



I thought the order was very clear. But the next day, the Foley was removed. Can you guess why my order was ignored?

22 comments:

  1. The patient developed an infection, went septic, and died.

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  2. Because using the word please made it a request and not an order?

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  3. Because using the word please made it a request and not an order?

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  4. somebody didn't read the all the instructions before beginning the project.

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  5. Either A) You wrote please, or B) another doc insisted on the Foley being removed.

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  6. Someone misread it, thought is said "please do not reuse Foley Cath"

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  7. You didn't sign/date the order? Nikki

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  8. Patient and/or husband yanked it out.

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  9. The patient wanted it/removed it or the patient's husband changed their mind.

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  10. You didn't d/c the first order!

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  11. Nobody has gotten it yet. It's something specific to the way the order was written.

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  12. You didn't D/C the previous order?

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  13. someone missed the "do not" part of the order

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  14. They thought you were crossing out the "do not remove" but have god awful aim.

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    Replies
    1. Yep. They thought my underline was crossing out the order.

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    2. So they thought it was supposed to say "Please Foley catheter"?

      I must have missed that lesson in nursing school. I'm not sorry I did.

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  15. Some combination of not being able to read cursive and guessing that if there is a Foley in and an order about it - it must be a change - and so it was removed.

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  16. Kudos to Linda. So how the hell do you emphasize something?

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  17. Bloody hell Fizzy. I go away for a couple years and you turn into a bloomin' celebrity! And THREE books? Good on you mate. Very good on you. You're an inspiration. you are.

    Keep on truckin'! I'll be back.

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  18. Before reading the right answer, I thought the nurse didn't remove the catether from a patient named Foley ;-)

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  19. Before reading the right answer, I thought the nurse didn't remove the catether from a patient named Foley ;-)

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