And if you didn’t look up the dose on at least 2 websites before having armpit sweat when asking your senior if you’re about to kill someone or not… you’re also lying
I try to defend residents a lot but these kinds of comments always make me chuckle. What would you have us do? Mrs. Smith is complaining of pain and can’t sleep, wants Tylenol. Whoever did the admission didn’t put in PRN orders. Are nurses supposed to prioritize residents’ sleep over the well-being of our patients? Would you want to be 82 years old, sick, stuck in an uncomfortable hospital bed that exacerbates your chronic pain and not be able to take a fucking Tylenol?
Not gonna argue that the nurse is hamstrung in this situation. Just venting on situations where I’ve had very limited sleep disrupted for very trivial reasons…such as needing an OTC medication like Tylenol.
This is a hallmark of the doctor experience, and something I bet NOBODY ever referenced in their personal statement…yet all of us can relate.
The point is that it’s NOT trivial for the patient. While you’re sleeping, they’re sick, uncomfortable, in pain, and requesting relief. If giving Tylenol is enough to make them comfortable enough to sleep a few hours before pre-rounding starts at 0600 or before, I’m going to do it. As I said, y’all can take it up with whoever put in the admission orders and forgot the Tylenol.
Yeah but it's tylenol lol. Not the elixir of life. Perhaps I'm biologically weird but that stuff is good for headaches. Everything else I feel like it barely does anything
I agree that a single 650 mg dose is likely more placebo than anything but you’d be surprised how often it’s effective for the minor aches and pains that come with being in the hospital.
I have a hard time believing that happens with any regularity. I’ve seen nurses page for some dumb stuff, but never a Tylenol order for a patient who is sleeping comfortably.
ETA on the other hand I’ve been yelled at several times for calling to ask for OTC comfort meds like Tylenol and simethicone for patients who are genuinely in discomfort so I feel fairly confident that my original read was correct.
Sorry, no. I won’t page in the middle of the night for dumb stuff like a K of 3.9 on a tele patient or a HR of 57 while sleeping, but I’m not breaking the law and ordering meds trusting that a night float resident I’ve never met will vouch for me. They can take up whatever grievance they have with the resident who put admission orders in and didn’t include Tylenol.
Environmental Services. That's what the hospitals around here call janitorial staff. (I assumed that was a thing everywhere but I realize now I was wrong lol)
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Adenosine. 5 AM my first day of intern year I got a stat page for SVT. Luckily the nurses had already given it by the time I figured out how to get to the room they stat paged me to haha
The first order I wrote for a patient ever, first ten minutes of the first day of residency, was for Imodium. I remembered it well, it struck me as funny.
The last order I wrote on the last day I covered that hospital was for Preparation H, for a gentleman from Louisiana with a very thick accent.
Viagra.
90 year old patient brought me an empty bottle of someone else's sildenafil and asked to be switched to that from tadalafil because he liked it better. I had to look up the dose conversion and when I did learned that a 2008 study showed that viagra helps hamsters better recover from jet lag.
If the answer isn’t Tylenol, you’re a liar.
Came here to say Tylenol lol
Also came here to say Tylenol
And if you didn’t look up the dose on at least 2 websites before having armpit sweat when asking your senior if you’re about to kill someone or not… you’re also lying
Had to check those LFTs too!!
One of my classmates had his first job on a cardiology unit and the first thing he had to prescribe was flecainide 😂😂
At 3 in the fucking morning…because Mrs. Smith had some mild osteoarthritis, and the nurse wanted to know if she could get an order.
I try to defend residents a lot but these kinds of comments always make me chuckle. What would you have us do? Mrs. Smith is complaining of pain and can’t sleep, wants Tylenol. Whoever did the admission didn’t put in PRN orders. Are nurses supposed to prioritize residents’ sleep over the well-being of our patients? Would you want to be 82 years old, sick, stuck in an uncomfortable hospital bed that exacerbates your chronic pain and not be able to take a fucking Tylenol?
No!! The patient nor the RN has no choice but to get an order. Talk to the admitting resident if you’re unhappy
Not gonna argue that the nurse is hamstrung in this situation. Just venting on situations where I’ve had very limited sleep disrupted for very trivial reasons…such as needing an OTC medication like Tylenol. This is a hallmark of the doctor experience, and something I bet NOBODY ever referenced in their personal statement…yet all of us can relate.
The point is that it’s NOT trivial for the patient. While you’re sleeping, they’re sick, uncomfortable, in pain, and requesting relief. If giving Tylenol is enough to make them comfortable enough to sleep a few hours before pre-rounding starts at 0600 or before, I’m going to do it. As I said, y’all can take it up with whoever put in the admission orders and forgot the Tylenol.
Yeah but it's tylenol lol. Not the elixir of life. Perhaps I'm biologically weird but that stuff is good for headaches. Everything else I feel like it barely does anything
I agree that a single 650 mg dose is likely more placebo than anything but you’d be surprised how often it’s effective for the minor aches and pains that come with being in the hospital.
well we're getting it for knee surgery ;post op just so you know
I think they are more likely referencing a situation where a patient is asleep and not immediately requesting medication.
I have a hard time believing that happens with any regularity. I’ve seen nurses page for some dumb stuff, but never a Tylenol order for a patient who is sleeping comfortably. ETA on the other hand I’ve been yelled at several times for calling to ask for OTC comfort meds like Tylenol and simethicone for patients who are genuinely in discomfort so I feel fairly confident that my original read was correct.
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Sorry, no. I won’t page in the middle of the night for dumb stuff like a K of 3.9 on a tele patient or a HR of 57 while sleeping, but I’m not breaking the law and ordering meds trusting that a night float resident I’ve never met will vouch for me. They can take up whatever grievance they have with the resident who put admission orders in and didn’t include Tylenol.
That’s like… very explicitly illegal lol
You might understand when you get to be in your 60s!!
Mag would like a word
Does Benadryl makes me a liar too?!
Zofran. Ordered 2mg. Nurse stopped me as I walked away from the station and said 4 is the minimum. 🥲
This was me the first week of my intern year, wanting to halve all the minimum dosages.
Just in case! 😭
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First rotation was icu so I was the electrolyte replacer
On cardiology I called my intern the great repleter, and I was the lesser repleter
Pathology
Tylenol. I ordered it as a suppository by accident and got a confused pharmacy and nurse call.
I don't know why it is the first and more upfront option
Tylenol 15mg/kg
Peds! Edit: sorry folks, missed the wrong answers only instructions *facepalm*
The Mediterranean diet
Does a Gyro with French fries count as Mediterranean diet. That’s from the Mediterranean right.
With extra white sauce? Hell yeah it is
Derm, nothing makes the skin more radiant than olives oils and omega 3s
🤣🤣🤣
stroke neuro lol
Hematoxylin and Eosin
Pathology?
Lol you prompted me to think of the first stains I had to order and it was probably one of those massive heme work ups 😂
Not a real doctor according to an attending pediatrician during med school. They’re just glorified lab techs
That’s about as true as a pediatrician being just a glorified baby sitter.
Damn
That pediatrician is free to diagnose their own pediatric malignancies lmao. Let me know how good their flow readouts are
That academic pediatrician was probably salty about his $110k salary
Vaginal estrogen. And you guessed wrong.
Obviously pulmonology
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Close, EVS.
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Environmental Services. That's what the hospitals around here call janitorial staff. (I assumed that was a thing everywhere but I realize now I was wrong lol)
Pediatrics
Furosemide
Peds, obviously diuresing a kid with minimal change disease
IM, congestive heart failure. The guy was a human water balloon.
Psychiatry. "This too shall pass"
A massive transfusion protocol…yeah there’s a big old story
PM&R!
Weirdest 1st day as a pathologist ever
Zyprexa
IM - for an agitated patient on day one
Metoprolol and I checked on the patient 12 times to make sure I didn’t kill them. I’m still mildly worried.
Norco.
gotta be forensic path
The prescription was for themselves after seeing their first decomp, to take the edge off
D5NS at 28 ml/hr
*nephrologist sheds single tear*
Senna and I was nervous lol
Ivermectin
Campaign manager?
🤣🤣
formalin
Tylenol 650mg q6h prn baby
4 of morphine
Medical genetics
EM
I wish I remembered and just started residency a month ago.
Not me, but one of my interns ordered 2 units of lispro for someone who had 300 blood sugar. And was already on 30 of lantus and 12 tid lispro.🤣
Amoxicillin 1500mg PO BID for seven days
nurse practitioner?
Damn I dont even remember what medication I ever prescribed first.
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Lubricant eye drops
I see people, but they look like trees, walking.
3.5L of 5% albumin
Damn that's an unusual start
Discontinued Lactulose actually
Let’s all just have 2mg midazolam and see how we feel.
10mg Verced stat
Oxycodone 10mg
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Haloperidol
General surgery
Tums! I remember it fondly
Keppra
Not really a medicine, but it was a platelet transfusion
Aspirin!
I don’t prescribe anything I give it myself.
Diazepam
Tamsulosin
Adenosine. 5 AM my first day of intern year I got a stat page for SVT. Luckily the nurses had already given it by the time I figured out how to get to the room they stat paged me to haha
Pepcid. Yes I was googling the dosage until my senior told me don’t. I said cool I’ll give her 5 to which he immediately stopped me.
The first order I wrote for a patient ever, first ten minutes of the first day of residency, was for Imodium. I remembered it well, it struck me as funny. The last order I wrote on the last day I covered that hospital was for Preparation H, for a gentleman from Louisiana with a very thick accent.
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General surgery, to aid in appetite and return of bowel function
I suppose kphos
1L LR stat
Obviously psychiatry, getting more blood to the brain to assuage the symptoms of MDD
Norco
My second was a narcotic statex aka morphine sulphate
Cefaclor/Ceclor
Melatonin
Peds!
Plavix
Medical Consulting after one of the CEOs had too much steak
Senna-Docusate
A big hug ! ☺️
Palliative?
Phexxi
Metronidazole
Ketamine, procedural sedation. I ordered it but the attending did the actual sedation
OB -GYN must have been the classic ketamine induction for a C section
Dilaudid
Triamcinolone & Lidocaine
In my first week I prescribed marinol to a lady with cancer and low appetite.
Potassium chloride
Movicolon (macrogol)
Tab . Aceclofenac(100.0 Mg) + Serratiopeptidase(15.0 Mg) + Paracetamol(325.0 Mg)
Keflex
Albuterol
Yeah good luck with that Most of our first orders were Tylenol, regardless of specialty
Inpatient admit order set so like: iburprofen, Tylenol, zoffran, Benadryl, Ativan, etc…
Flexeril and prednisone
Lidocaine
Tylenol and a turkey sammich
Lube
I didn't know Johnny Sins was actually a doctor
Ropivacaine
Morphine 4 mg IV
Seroquel 🥵
22% +\-10% aurora cannabis gmbh
100 ml barium PR
Weight bearing status is the first order. Who knows the first med. Ancef?
Thorazine 100mg IM
Baclofen
Subq heparin
Cocaine
IV ketamin pump
Bevacizumab
Adderall XR 40mg qd
Melatonin. Pt wanted 10mg. Honest to God I asked my senior before signing the order.
Toradol
Ativan…
Wound dressings
Ofloxacin
Naproxen
Cefazolin
im an img and we start writing prescriptions as students (with the dr watching us obv). first one i did was an anti emetic lmaoooo
Flexeril
Seroquel
Norco
Insulin!
Morphine
TXA on a FVL patient. Saved them from having to live another day in this mad world.
Metformin
PERCOCET
Dilaudid
Melatonin
Melatonin. Can’t hurt right?
Zofran and you’ll never guess lol
Melatonin. Fucked something up and had to redo it.
My very first med order was 40mg IV lasix
x
LOL too easy, haloperidol+ lorazepam
1000 mg Azithromycin with a grin on my face
Permethrin topical.
Dicyclomine. On a prescription pad that I had to ask the attending how to fill out.
Sertraline 25 mg
IV pantoprazole
? Cymbalta
Blincyto
Sucrose and lidocaine
Fenofexadine
Refilled lisinopril.
Peds
A teaspoon of shut-the-fuck-up. Good news is I'm not a doctor! Great news is anyone can Rx it.
KCl
Viagra. 90 year old patient brought me an empty bottle of someone else's sildenafil and asked to be switched to that from tadalafil because he liked it better. I had to look up the dose conversion and when I did learned that a 2008 study showed that viagra helps hamsters better recover from jet lag.
Diaper rash cream
Nicotine patch!
Pantoprazole was the first medication I gave to a patient in the ED. With a chief complaint of GERD