Charting Bloopers

Nurses Humor

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Specializes in Trauma, ER, ICU, CCU, PACU, GI, Cardiology, OR.

many moons ago i received a verbal order from a doctor, well i got distracted and while charting i wrote the following "pcp order verbally via phone= "pt. may shower with nurse"..... i'm still living up to that one :D

Intentional

27 Posts

Specializes in ICU, Med-Surg.

one of my favorite nursing notes explained how a confused little old woman had "vomited whole pineapple" during dinner. the image of a whole pineapple, leaves and all, coming from this lady's mouth had us all laughing pretty good!

Specializes in Emergency/Trauma/Critical Care Nursing.

I had a male patient in the ER with a submandibular and paratonsil abscess that ended up being nasally intubated for airway protection... later, I was reading the radiologists report of the pt's head/neck CT which stated:

"lady partsl fluid noted in the danger space"

Ummm... say what?!? Lol

Sent from my SPH-D700 using allnurses.com

I was charting in a deceased client's record; the client had a communicable disease. instead of writing, "contact of client agreed to arrange repeat tuberculin skin testing next week", I wrote "client agreed to..."

sharpeimom

2,452 Posts

Specializes in ortho, hospice volunteer, psych,.
gitanorn said:
many moons ago I received a verbal order from a doctor, well I got distracted and while charting I wrote the following "pcp order verbally via phone= "pt. may shower with nurse"..... I'm still living up to that one 

Where do I go to sign up and do I get to choose the patient?!

I would think that in psych and forensics that might work out better! (for me anyway!)

Zatara142

4 Posts

Intern charted that the attending's plan was to "Monitor eyes and nose" on patient with heart failure. What he'd said was "I's and O's.":icon_roll

RunninOnCoffee

134 Posts

Specializes in ICU.

Admit orders from the ER written my MD.... Admit pt, dx hypopopotassiumemia???? How about hypokalemia?!?

And my own error that luckily I caught before I hit save.... mepilex applied to buttcocks!! Oops! Never heard of one of those in A&P!

Specializes in ICU, ED, cardiac, surgery, cath lab..

My first semester of nursing school, my clinical-mate's patient's diagnosis was "SICK".

anon456, BSN, RN

3 Articles; 1,144 Posts

I work in a peds hospital and the patient list will give a brief description of why the patient was admitted. One said "Accidental medication indigestion."

Specializes in PDN; Burn; Phone triage.

So. I'm taking care of two patients one night - walky talky 20-something post-op floor pt who is only in for a 23 hour obs and an elderly, ICU status lady with multiple cardiac issues.

During my shift, elderly lady gets made a DNR, has a sixty second run of vtach (totally asymptomatic btw), starts throwing PVCs secondary to a "minor" MI which we then started her on a heparin drip for, and has an acute CHF exacerbation requiring lasix and morphine and a lot of hand-holding.

I put everything that happened in a single narrative note and forget about it.

So, early the next morning and towards the end of my shift, the medical student approaches me with this huge, saucer-like eyes and stammers: "So...WHAT all happened with Mr. Jones last night? I was reading the notes and..."

I'm just glad that it was the medical student who caught my mistake and not someone else!

Specializes in Trauma, ER, ICU, CCU, PACU, GI, Cardiology, OR.

many moons ago, I recall working the night shift and as the shift ended I was on the last of my charting. obviously, I got a little distracted when I charted the following " mr. jones a 52 yr. male c/o of eggs, milk, cherrios, dog food" :uhoh21: needless to say, I was thinking of my grocery list, of course my colleagues never let me live that one down 

sharpeimom

2,452 Posts

Specializes in ortho, hospice volunteer, psych,.

A very very tired psych resident's diagnosis... just plain nuts.

Unfortunately, I wasn't working when the attending came in. Darn it all!

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