Charting Bloopers - page 34

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   NotReady4PrimeTime
    :roll :roll :roll :roll

    Your tale about having to hunt for everyday items after you mom has put them away was too close to home! Hubby never knows where anything goes, even when he's put them away a thousand times. And he doesn't even misplace things consistently... because I usually look for them in the last place I found them and end up hunting anyway.
  2. by   theofficegirl
    Quote from janfrn
    :roll :roll :roll :roll

    Your tale about having to hunt for everyday items after you mom has put them away was too close to home! Hubby never knows where anything goes, even when he's put them away a thousand times. And he doesn't even misplace things consistently... because I usually look for them in the last place I found them and end up hunting anyway.
    Frequent bowl movements... and silverware and pots and pans!
    Dunno about your hubby, but my mom's a retired RN - makes me wonder what she did with her med cart!
  3. by   letty00
    pt. refused autopsy
  4. by   RNDreamer
    Quote from letty00
    pt. refused autopsy
    he he he, that's funny
  5. by   Dolce
    My favorite blooper was for my pre-angiogram patient's H&P. It read, "Patient unable to walk 112 blocks without shortness of breath."
  6. by   SN bbgrl
    Before i was a nursing student, i worked in the authorizationd department of a busy ortho clinic and had to review the dictations from the physicians in order to request procedures, etc. One note from one of my favorite docs stands out "the patient states she is extremely pleased with the results of her Rt knee arthroscopy. She has moderate to severe dementia". That was six years ago and i still laugh about it
  7. by   Texas Transplant
    I remember an order "Hamburger Stat!". Also I hate to admit it but when I was in Nursing school..I was also involved with baking bread at home.. In my note i had written "Pt well able to make kneads known." Lucky for me my Instructer had a sence of humor and was aware of my baking hobby.
  8. by   decartes
    I heard of someone charting "pt. had CXR of the right knee..."
  9. by   ElvishDNP
    Just this weekend saw that one of my pts had had a c/s with BLT.

    Want some fries with that, sweetie?
  10. by   Rizpah
    On the calendar at the nurse's station we make notations regarding upcoming appts and such for the residents. Today I found this one -

    So and so from ******** Hearing Center will be in to make a mold of *****'s R ear. (I knew what it said, 'right ear' but it just got my funny bone - taking a mold of someone's rear :roll)
  11. by   iHeartNICU
    I was spending a clinical day on a pedi medical floor and was reading through my patient's chart and came across his diagnosis: "short guy syndrome" Me and the other student were stumped as to what this may be so we did a little investigation and it was supposed to be short gut syndrome. We had a good laugh about that one.
  12. by   ElvishDNP
    Quote from 1NAmyllion
    I was spending a clinical day on a pedi medical floor and was reading through my patient's chart and came across his diagnosis: "short guy syndrome" Me and the other student were stumped as to what this may be so we did a little investigation and it was supposed to be short gut syndrome. We had a good laugh about that one.
    A bit OT, but I have heard "short guy syndrome" or "Chihuahua syndrome" used to describe docs who are short and try to compensate for it by being really 'yappy.'
  13. by   arual56
    Quote from NVsGirl
    Found in the history and physical section:
    Patient is on IV D5 1/2NS with Kay Ciel 20 meq/L.

    We got a kick outta that one! Oops.
    I agree. What a giggle. But I bet the billing department didn't share that. I would hate to be the one that had to defend that oops in court.

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