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. Visit  daisie profile page
    6
    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.
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  3. Visit  laurasc profile page
    19
    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.

  4. Visit  Nole99RN profile page
    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.
  5. Visit  Terre profile page
    56
    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.
    jae501, SomedaySoonNY, vintagemother, and 53 others like this.
  6. Visit  tangrene profile page
    1
    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.
    carolmaccas66 likes this.
  7. Visit  tangrene profile page
    1
    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.
    carolmaccas66 likes this.
  8. Visit  Lynn Casey RN profile page
    5
    A collegue wrote..."pt states "slept well until nurse came in to get on patient"(instead of check on pt!)LOL!
    CrazyGoonRN, LovedRN, carolmaccas66, and 2 others like this.
  9. Visit  lpnandloveit1 profile page
    20
    from a nursing note. 7 formed fecalettes floating in the toilet. I often wondered if they all got in line and did high kicks
    jae501, BelindaLPN, Cashlee, and 17 others like this.
  10. Visit  TriciaRN profile page
    1
    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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    carolmaccas66 likes this.
  11. Visit  TriciaRN profile page
    1
    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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    carolmaccas66 likes this.
  12. Visit  TriciaRN profile page
    3
    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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    BelindaLPN, simonemesina, and yooperPN like this.
  13. Visit  TriciaRN profile page
    2
    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... :-)
    CrazyGoonRN and carolmaccas66 like this.
  14. Visit  lonestar99rn profile page
    3
    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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