At our hospital, when the main MD "signs out" for the night and cross-cover takes over, the MD will write a little note with plan of care for reference. I found this little gem the other night:
"If pt decompenstes with generalized respiratory badness, call pulm. Okay to titrate up 02 if necessary. If pt spikes temp overnight, do not re-culture. Don't even *think* about it.... ;) "
Yes, including the winking smiley face. And "respiratory badness" is apparently a technical term now, so that's cool. Now my friends won't give me crap when I describe things as "________ badness" because we know it's officially sanctioned.
Just a little silliness to brighten up the day :)