Charting Bloopers

[AHarri66]

Found in the History and Physical section of a patient's chart who had experienced visual hallucinations while ill:

Quote

"Patient vehemently denies any auditory, tactile, or old factory hallucinations."

[futurepeds]

Oh my these are so funny and so scary too. I am just waiting for me to be the topic of laughter. lol

[tes85]

In my class my prof went over some charting blooper some where:

"both patients breast were equally and symetrically reactive to light and accomodation" instead of "...eyes were equally..." another was "the patient was raped in the usual fashion" instead of reading "...patient was draped...".

I thought that was kinda funny (aswell as the rest of my class)

[IvyDrip]

I would attribute this type of chart bloopers to medical transcriptionists who are either in a terrible hurry, or don't speak English very well ...

[marymack57]

Order given: "Fortified foods at all meals and HS"

Order written by charge nurse: "Four to five foods at all meals and HS"

Now THAT one took me a while to figure out!

[anissa]

was supposed to read Shift Summary...somehow the f was dropped! Must have been a long day ...

[Diary/Dairy, RN]

Hey there everyone- Reading this forum made me and my co-workers crack up.

I also had one of my own to add.

One of our graduate nurse's accidentally put a note in a pt.'s chart that said, "Jeff is Kool-Aid man," speaking about the RN, who kept saying to him "Oh, yeah."

OOPS- He was really embarassed when the RN found that in the chart.

Keep the laughs coming!!!

[Diary/Dairy, RN]

Hello again!!!

Forgot another funny story.

My mom, who is also an RN, recently created a thong depends!!! (apparently she had way too little to do that night!!!) She and another nurse even made a poster and got someone else to model it over her scrubs and took pictures of their "trial product" from depends. It's still in their break room!!!!

[superbratnurse]

When I first Graduated from school I worked in a small hospital, that would frequently put noncontagious pts such as kidney stones or chronic pain, on the post-partum unit, when the hospital was full.

Found in a Male Kidney stone patient's progress note written by his Primary Physician... "fundus firm"

.....geeeez where was HE feelin'? 

[cute_but_psycho0804]

My sister tells me of interesting stories...she works in ICU ( as I am yet only nursing student...) here goes.

Reading her patient's chart, this popped up:

Healthy-appearing, decrepit 69 year old male, mentally alert but forgetful.

and how do you like ths charmer:

Patient was released to outpatient department without dressing.

[burn out]

when referring to placement of pulseoximeter on patient "Sat on forehead"

[Gompers, BSN, RN]

The other day I was caring for a Hispanic baby whose father spoke English and mother did not. Nurse wrote in the chart:

"Mother is Spanish speaking, but father speaks good English."

Maybe he could teach the nurse a thing or two?

[cindyjean]

I still laugh at this one...( a patient with restless leg syndrome) a student wrote "sleeps with jerks" ha ha ha!!!!!

also saw charted on notes one time years ago... " HWB ( hot water bottle) turned on low." ....