Charting Bloopers - page 22

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   JWaldron
    Quote from Anernurse2b
    We had a 3-4 day old brought into triage with jaundice. The pediatrician had the parents bring the child to be evaluated for elevated bilirubin. The EMT triaging wrote for chief complaint: "High Billy Rubin"
    Guess what his nick name was for a long, long time?
    Don'tcha just love it? That's as good as our recent RHB admission w/ a baloney amputation!

    Savvy
  2. by   Wen83
    In postpartum, this poor woman had undergone an emergency hysterectomy due to placenta accreta. Looking at the previous assessment, her fundus was firm, midline at the umbilicus
  3. by   Angie O'Plasty
    Quote from Anernurse2b
    We had a 3-4 day old brought into triage with jaundice. The pediatrician had the parents bring the child to be evaluated for elevated bilirubin. The EMT triaging wrote for chief complaint: "High Billy Rubin"
    Guess what his nick name was for a long, long time?
    That is too funny! Especially for someone like me, who appreciates a good (or bad!) pun...
  4. by   emeraldjay
    We have a new pharmacy for our facility and apparently the typist was having a rough day. Order read, "Prevacid 15mg PO twice a day. Do not crush capsule or allow patient to swallow." It's almost change over night, so I'm sure I'll have more.
  5. by   Jessy_RN
    Some of these are just too funny, love this thread.
  6. by   jollygreenRN
    How about this one?

    "Patient has been living with her mother for the last 15 years, who is deceased."
  7. by   liljsmom02
    last night a secretary put in for frequency under vital sign " q * sh#t one of the nurses aids brought me a set of vs's at an odd hour and said "your pt just had a bm so i took her vital signs"
    Last edit by liljsmom02 on Dec 28, '05
  8. by   UM Review RN
    Quote from jollygreenRN
    How about this one?

    "Patient has been living with her mother for the last 15 years, who is deceased."
    Hmmm...must be one of William Faulkner's relatives.
    Last edit by UM Review RN on Dec 28, '05
  9. by   Jessy_RN
    Quote from jollygreenRN
    How about this one?

    "Patient has been living with her mother for the last 15 years, who is deceased."
    Yikes! I bet she has been mummified or her ashes are in a box

    LOL
  10. by   grace90
    A co-worker of mine recently accidentally charted a male patient as having a period, and quite a long time ago charted that an 84 year old lady was pregnant. :roll :roll
  11. by   grace90
    Quote from caren19
    During clinicals, writing our notes was a bit nerve racking. we had to write it out and then show our clinical instructor, she would make changes/suggestions and THEN we would put it in the chart...Anywho, I got a little bit distracted while transcribing the note to the chart. I'll never forget when i came in the next day, and the Instructor pointed out what I had wrote. "....Pt breathing." Uhm, here's your sign!
    Well, sounds like you understood the ABC's- airway, breathing, circulation! :chuckle :chuckle
  12. by   grace90
    Quote from SRbear
    I think they should rename go-lytely to go ever so heavily !
    Or call it Ever-so-easily-poured-down-the-sink-by-the-noncompliant-abdominal-pain-patient-and-replaced-with-water (enemas til clear, anyone?)
  13. by   patwil73
    I caught this one in a dictated H/P

    Pt is married, other medical problems include (with a list)

    Still causes me to chuckle to this day.

    Pat

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