Charting Bloopers - page 49

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  DixieRedHead profile page
    3
    LOL, just in case anyone wants to know, it's gluteal cleft.
  2. Visit  just keep swimming profile page
    8
    When reading one of the dictations on a patient with a buttonhole being used for hemodialysis I read, "pt currently using BUTTHOLE on left upper arm AVF". LOL! We were laughing about that one for weeks!
  3. Visit  nola1202 profile page
    0
    Quote from AsatruRN
    "catheter exit site positive for gram positive cock site"

    oh no! seriously? ya gotta watch out for those bad boys!
  4. Visit  al586 profile page
    4
    I'll admit to one of my own charting mistakes....

    The computerized charting in our facility uses a standard assessment form for PT, OT, & Skilled Nursing, so we have to list the department for which we are charting. And, thanks to my mediocre keyboard skills, skilled nursing became:

    "Killed Nursing"

    I'm never going to live that one down....
  5. Visit  09LPN profile page
    9
    Best one I have seen:

    "PRN Tylenol deemed effective. Pt no longer suicidal."

    That is great stuff that tylenol!
  6. Visit  CrazierThanYou profile page
    4
    Yesterday, at the hospital, I was reading a patient's H&P. The following was charted:
    "The patient is homeless, severedly depressed and was talking to his hands. He is incompetent of urine. He was admitted from jail but the reason he was incinerated is unknown."
  7. Visit  NayRN profile page
    2
    "and secondly, dietary requests do not need to be written by a doc in the orders sheet!"

    Not necessarily...
    When the doc orders "Pt may have 3 beers per day, AC/HS" We should probably have an order for that-especially when the patient is discharged, and we are left with a 12 pack in the nutrition room with no supervision...
    Punkrocksn and Not_A_Hat_Person like this.
  8. Visit  NayRN profile page
    1
    Quote from traumaboy
    foley's are great for stopping nosebleeds, the balloon works miracles
    And in other uses for foleys- patient in for labor induction had foley bulb inserted to assist in dilating cervix. Patient (not a genius in human anatomy) "What happens when I have to go pee?" (apparently women only have one orifice down there)
    Not_A_Hat_Person likes this.
  9. Visit  NayRN profile page
    2
    And then there are the male patients who have the "no" checked on their med history next to "hysterectomy." Whew, that's good to know.
    I always like to test the new admits who seem like know it alls or seekers by asking (males) about hysterectomies and (females) about their prostate health. I am usually right, and it is amazing how many women have severe prostate problems!
    sauconyrunner and sapphire18 like this.
  10. Visit  mr_nurse_drew profile page
    9
    I once read: "Lungs congested. Sound like wind rustling through Autumn leaves." LOL.
  11. Visit  Not_A_Hat_Person profile page
    1
    Quote from NayRN
    I always like to test the new admits who seem like know it alls or seekers by asking (males) about hysterectomies and (females) about their prostate health. I am usually right, and it is amazing how many women have severe prostate problems!
    When I was in school, 2 or 3 of my patients had grandmothers who died of prostate cancer.
    Punkrocksn likes this.
  12. Visit  GitanoRN profile page
    3
    Quote from crazierthanyou
    yesterday, at the hospital, i was reading a patient's h&p. the following was charted:
    "the patient is homeless, severedly depressed and was talking to his hands. he is incompetent of urine. he was admitted from jail but the reason he was incinerated is unknown."
    lmao
  13. Visit  sharpeimom profile page
    2
    md note on a psych pt.'s chart: "he doesn't mean to be such an xxx. if he really tried, he could be a lot worse."
    LovedRN and roser13 like this.

Need Help Searching For Someone's Comment? Enter your keywords in the box below and we will display any comment that matches your keywords.



Nursing Jobs in every specialty and state. Visit today and find your dream job.

A Big Thank You To Our Sponsors
Top
close
close