Charting Bloopers - page 3

by AHarri66

397,870 Views | 718 Comments

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... Read More


  1. 1
    oops! Never mind, then.
    carolmaccas66 likes this.
  2. 5
    Could explain the SOB. Maybe they should have just straight cathed that nare?
    SuzieeQ, carolmaccas66, rzookrn, and 2 others like this.
  3. 2
    Originally posted by janine3&5:
    On an ER flow sheet, "16 Fr foley inserted to pt's L nare." ????????
    foley's are great for stopping nosebleeds, the balloon works miracles
  4. 2
    Originally posted by ratchit:
    Could explain the SOB. Maybe they should have just straight cathed that nare?
    ROFLMAO!!!!!!!!!

    ------------------
    MARYRN2009 and carolmaccas66 like this.
  5. 6
    How about "sleeping quietly in open crib. Diapers clean and dry" on a 22 yo new MOM! Whoops.
    CrazyGoonRN, carolmaccas66, Start2, and 3 others like this.
  6. 3
    In regard to the pt. that had expired hours ago.. Where was the rest of the staff all day? I have seen badly spelled or poor grammatical work written by docs, RNs, LVNs,PTs, PTAs, and this list marches on. (I'm not a CNA by the way) All observations need to recorded for continuity of care. Don't blame the aide if you don't check your patient all day, AND WHO HIRED THAT ONE AND TRAINED HIM/HER ANYWAY??
    Originally posted by jkh:
    A visiting psychiatrist from India was at rounds one morning when he wrote the following in the patient's note,
    "He is clearly psychotic this morning. He states he has a frog in his throat."

  7. 5
    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.
  8. 17
    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.

  9. 1
    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.
    carolmaccas66 likes this.
  10. 51
    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.


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