Charting Bloopers - page 20

Found in the History and Physical section of a patient's chart who had experienced visual hallucinations while ill: "Patient vehemently denies any auditory, tactile, or old factory... Read More

  1. by   NrsBetty247
    Noted by a new RN in her assessment of a 5 month old with a prominent hemangioma.

    "Pt with large round blue face per baseline"

    First I stared, then I giggled, then I showed it to all the other "old" nurses. We got quite a kick out of it.
  2. by   SFCardiacRN
    As an RN student I had a patient with positive pedal pulses on every shift during his 2 week stay. However, he was a double amputee.
  3. by   Adam D. RN2005
    Quote from SFCardiacRN
    As an RN student I had a patient with positive pedal pulses on every shift during his 2 week stay. However, he was a double amputee.
    Well, you've heard of phantom pain, well, this is phantom pedal pulses.
  4. by   CardiacJennLPN
    I was reading the progress notes on a pt. who had just arrived on our floor. He was admitted with shortness of breath and a high temp. Someone working in the ER had charted "Hot-headed SOB with fever". We all got a kick out of it!
  5. by   magellin1
    One tired overnight RN at our facility charted that a child had recently returned from orthopedic surgery, pt had "MANSTRINGS" lenghtened.
  6. by   grace90
    Quote from RNkat
    From the physician progress notes on a patient with a glass eye:
    "PERRLA"
    We read that once in the neurosurgery progress notes of a patient that was sp lumbar surgery and had one glass eye. :chuckle Makes ya wonder!
  7. by   grace90
    Quote from CardiacJennLPN
    I was reading the progress notes on a pt. who had just arrived on our floor. He was admitted with shortness of breath and a high temp. Someone working in the ER had charted "Hot-headed SOB with fever". We all got a kick out of it!
    Were they talking about the patient or the doctor?
  8. by   grace90
    Quote from xmaxiex
    We had two pts with almost exactly the same name (one letter off) .However one was male Leslie . And the other was female Michael.


    Poor Leslie varied between BPH and vaginal irritation .

    And michael was status post removal of penile implant one day and candidas the next .
  9. by   tlhubbard
    Not a charting blooper--verbal.
    0300 in ER (by squad no less) comes a minor with parent. Minor has not had BM in 1 week (it's emergent NOW??)
    Order for milk/molasses enema was given.
    Parent approaches me at the nurses station out of hearing for the minor and says, "She doesn't like milk"
    I thought give me 5 minutes she's really not going to like it.

    That girl must have taste buds a lot further back than most of us!! hee, hee, hee
  10. by   LearninRn
    Not a blooper, just read as a blooper. I work in a group home for MR patients. One patient (who is blind) went to her opthalmologist for routine visit. The progress note he sent back with patient said "Patient seen for f/u, no change in status, will see in 2 years). One of our nurse aids called this patient's mother and told her "Great news! The doctor said she will be able to see in 2 years"

    Now. . . that's a darn good Doc!
  11. by   rainfallrx
    I recently saw on a patients H&P:

    pt. was found at home by husband.....unable to move extremities.....HER SALIVA WAS DROOLING. What the heck is that. Everything else sounded so professional. I just busted out laughing. The other nurse on the floor just looked at me and shook her head. Hey it was a long night.:roll
  12. by   rainfallrx
    I recently saw on a patients H&P:

    pt. was found at home by husband.....unable to move extremities.....HER SALIVA WAS DROOLING. What the heck is that. Everything else sounded so professional. I just busted out laughing. The other nurse on the floor just looked at me and shook her head. Hey it was a long night.:roll
  13. by   kadokin
    Quote from lpnandloveit1
    from a nursing note. 7 formed fecalettes floating in the toilet. I often wondered if they all got in line and did high kicks
    FECALETTES!!!!:chuckle

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