Charting Bloopers

Nurses Humor

Updated:   Published

Have you seen any charting bloopers?

Found in the History and Physical section of a patient's chart who had experienced visual hallucinations while ill:

Quote
"Patient vehemently denies any auditory, tactile, or old factory hallucinations."
Specializes in Med surg, Critical Care, LTC.

Ractated Lingers

"No complaints this sh*t." (shift)

Specializes in Medical.
For a #: "Closed reduction internal fixation"

That's quite a feat!

Specializes in mental health + aged care.

Yep. As the M.O. reading it said, "Interesting". Admittedly, that seemed to be his favourite word, lol

Specializes in Med/Surg and LTC.
I once picked up a pt from LTC who pulled out and damaged her PEG tube. The narrative area on the transfer sheet stated, "PEG tube busted. Please replace."

I also once saw eurosepsis and hyperpotassemia written in a chart.

What the??????? Lol.

Specializes in ED/ICU/TELEMETRY/LTC.

I swear, absolutely swear: Red, blancheable area at top of butt crack.

Specializes in Geriatrics, Home Health.
I swear, absolutely swear: Red, blancheable area at top of butt crack.

Have you been reading my charting?!

Specializes in ED/ICU/TELEMETRY/LTC.

LOL, just in case anyone wants to know, it's gluteal cleft.

Specializes in Nephrology.

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!

AsatruRN said:
"catheter exit site positive for gram positive cock site"

oh no! seriously? ya gotta watch out for those bad boys!

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....:grn:

Best one I have seen:

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

That is great stuff that tylenol!

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."

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