Charting Bloopers - page 3

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   daisie
    I work in a nursing home. The other night one of my aids called me over the call and said, "Mr. ____ has a bad rash on his prenatal area and needs some cream." I was laughing so hard and she came out of the room and said, "Are you laughing at me?" I could only shake my head 'yes.' I finally explained to her what prenatal was and told her she meant perineum.
  2. by   laurasc
    This happened years ago when I worked on a general surgery floor. A med student had to do an admission physical on a rather voloptuous young woman. On the assessment sheet under "breasts" he wrote "Big and beautiful."

    Needless to say this med student got his posterior cooked by the staff doc.

  3. by   Nole99RN
    In response to the KAY CIEL post...That is an actual name brand of KCl which is obviously known as potassium. Just thought you should know.
  4. by   Terre
    A new intern to our CCU once charted attempts to cardiovert a patient in the following manner:
    Attempted to convert the patient with 200 jews, unsuccessful. Second attempt to convert the patient with 300 jews unsuccessful. Patient finally converted on the third attempt with 300 jews.
    The mental picture of three hundred rabbis surrounding a patient's bed yelling, "Convert, convert!" was too much. We nicknamed him "Call a Code or Call a Rabbi" from that day forward.
  5. by   tangrene
    OR he wanted to irrigate the patient! IV BAG of 1000cc or 3000cc of ns, depends on how much you want to irrigate. IV is just a standard term in charting in this case. Or maybe the patient didn't have a Foley... LOL.

    Connect IV to F/C

    I guess he had recycling on his mind!

    [/B][/QUOTE]



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    ********Current motto: It's even worse than it appears.
  6. by   tangrene
    UHHH could the patient have had a nose bleed or some sort of facial injuries?? Foleys work great to put pressure in areas you can't pack with guaze easily. Remember the Caldwell Lucs?


    Originally posted by janine3&5:
    On an ER flow sheet, "16 Fr foley inserted to pt's L nare." ????????


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    ********Current motto: It's even worse than it appears.
  7. by   Lynn Casey RN
    A collegue wrote..."pt states "slept well until nurse came in to get on patient"(instead of check on pt!)LOL!
  8. by   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
  9. by   TriciaRN
    Originally posted by ClariceS:
    I recently saw a "add 20 mEq Kay Ciel to existing IVF" order also. Maybe these docs were trained at the same place.

    We also had an order recently that to us really brought into question the integrity of the writer. The order was for "1 baked potato p.o. bid". First, where else would a baked potato go and secondly, dietary requests do not need to be written by a doc in the orders sheet!

    [This message has been edited by ClariceS (edited December 27, 2000).]
    LOLOL, I had to write in on this one. Like potatoes would go other places? hehe.
    Oddly enough, I did see a dietary order like the potato one- on my patients charts once as well. It was something like 6 oz Rice po BID. It looked kinda funny, but I think it was for some GI purpose, LOL... Thanks for the laugh.

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  10. by   TriciaRN
    Originally posted by RNkat:
    From the physician progress notes on a patient with a glass eye:
    "PERRLA"
    Hmm, guess that doc needs a new assessment class, ROFL!!!!!!!!!!! :-)

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  11. by   TriciaRN
    Originally posted by 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
    only a nurse can relate to this one, lol bowel chat... too funny the fecalettes. :-O

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  12. by   TriciaRN
    Originally posted by AHarri66:
    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 hallucinations."

    YIKES!
    Angela
    lol, what about the new factory ones, sorry. I just had to say something... :-)
  13. by   lonestar99rn
    I read one the other day, from a history and physical:
    "Has remote family history of broken ankle"

    Geez.....my sister got 3 stitches in her ear lobe after a go-cart accident in 1973.....
    hummmm.....whould that effect my current hospitalization I wonder?
    He (the MD) must have been tired because the whole H&P was riddled with strange, disjointed thoughts and statements.
    I guess he'll fix it when he signs it.

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