Charting Bloopers - page 40
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
Dec 17, '09Quote from NVsGirloops just browsing and this user doesn't know what Kay Ciel is... ^_^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.
and someone even agreed with her telling about another person
who used the term..Last edit by jaybenRN on Dec 17, '09
Feb 3, '10Quote from Jay-JayI know this post is now more than 7 years old. However, I think it's very important that we all know that once a physician ordered for a patient to "suck balls 4 times a day"I think it's posted elsewhere on this site: the physician couldn't think of the correct name for the incentive spirometer, so he wrote: suck balls QID!
Yay for this thread and more than 500 awesome bloopers! Read and be happy!
Feb 3, '10Quote from fiveofpeepNIIIIICE. The mystery of medical doctoring is solved. Defer to the nurse.one grumpy anesthesiologist wrote for a diabetic patient under orders "give her something" ... no scale or type of insulin specified... how classy
Feb 10, '10Written on our Cardiologists Progress Note today: Pt has end stage constipation.
I kid you not!
Feb 10, '10A very common abbreviation used at my facility is NAD (No apparent distress). We have a nurse that constantly charts " No NADS". I asked her one day why all of her patients were missing testicles. She gave me a confused look. Love her to death but....
Feb 11, '10I work with a very sweet asian nurse who always charts that the patient has 4+ pitty edema. Having that much fluid in their legs, I feel sorry for them too.
Feb 12, '10I have a few. I used to work with an RN who was constantly charting bizarre things. She at one time had to clean up a patient who had managed to get BM all over their body, and mostly on their stomach. She charted it as: Fecal material in Abdominal cavity...
She also one time wrote an order for Toxic water instead of Tonic Water for a patient who drank it for leg cramps.
And now I'm going to make fun of myself.
I work midnight shift, and when I have slow time, I will stock the charts with blank physician order sheets. I write the Patient name, room number, our facility name, and patient allergies at the bottom of each new sheet. Well I have a home cake business on the side, and apparently one night when I was stocking charts, I must have had a cake on my mind that I was going to do because I managed to somehow replace on the words in our facility name with the word "fondant". The bad thing is that I didn't catch it until the next week and the sheet had already been used to write new physician orders and had been faxed to pharmacy a few times. Nobody else had caught it, haha.
Feb 14, '10A colleague once told me of an order to "watch patient" (said patient was in congestive heart failure). As she said, "I had 30 patients that night with one aid. I watched him run down the hall, out the door and down the street ..." She called security who caught up with him 2 blocks away.
Thirty patients was a fairly standard assignment, with usually 3 total staff--but they weren't as sick as they are today--many if not most could be relied on to sleep much of the night.
Apr 1, '10OK I have 2 for you
An excerpt from a chart: "Pt c/o pain OU feet"
I had to tell the nurse that OU meant both eyes and not plain old bilateral
So, you know Ankle Foot Orthosis = "AFO"
After seeing "FAO boots in place" over and over I told the nurse FAO is the toy store,
AFO stands for something different!
We love our abbreviations, don't we?