Charting Bloopers - page 55

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  schnookimz profile page
    0
    We had someone in the call room take a message and send it along to the doctor that the "patient is calling because his finger is red and pus-sy".

    Except they didn't put the hyphen in the word pus-sy sooooo you can imagine what that looked like!!!
  2. Visit  dansamy profile page
    0
    Pt admitted for reduction mammoplasty: "big breasts".

    Seriously? Breast hypertrophy is way more professional sounding.

    Sent from my HTC One X using allnurses.com
  3. Visit  chrisrn24 profile page
    2
    Not a charting blooper per se but back in my volunteering days at a hospital in high school there was always a person on the ER admission board named "Holdbed, EMS" and for admission there were always different reasons like broken arm, fell off bed, etc.

    Well one day I got so concerned that I brought it up to a staff member about this kid who was always in the ER. I was worried about abuse. The person laughed and explained that it meant a patient was on the way from EMS and to hold a bed for them.
  4. Visit  sapphire18 profile page
    1
    Quote from chrisrn24
    Not a charting blooper per se but back in my volunteering days at a hospital in high school there was always a person on the ER admission board named "Holdbed, EMS" and for admission there were always different reasons like broken arm, fell off bed, etc.

    Well one day I got so concerned that I brought it up to a staff member about this kid who was always in the ER. I was worried about abuse. The person laughed and explained that it meant a patient was on the way from EMS and to hold a bed for them.
    Hahahahahaha!
    sharpeimom likes this.
  5. Visit  MB-mom.RN profile page
    0
    dr. *** (neurologist) walks in on night shift (very strange) in a cowboy hat and sees a patient. writes in the notes "disagree with radiology interpretation, patient has holes in head". the patient had no neuro/head problems and nothing on the ct resembled a "hole in head".. also wrote for lipitor 40mg daily "unless theres some reason that i dont know of not to give"...... ***
  6. Visit  lindseylpn profile page
    5
    I work with some people that just flat out can't spell... One used to continuously write: pt poisoned in bed, pt poisoned in WC etc. She meant positioned, well at least I hope she did...
  7. Visit  jlnolan1986 profile page
    4
    "Reason for visit: Cabbage"
  8. Visit  BrandonLPN profile page
    8
    I had a sick resident who was very somnolent and difficult to arouse even with a firm sternal rub. He also happened to be four days w/o a BM, so I administered a suppository. Even the administration of the suppository failed to wake him up.

    So, in my note, I wrote "suppository did not arouse resident"..... yeah, probably could have worded that better....
    xoemmylouox, sueall, Nurse J1112, and 5 others like this.
  9. Visit  BrandonLPN profile page
    1
    another one:

    a foreign RN I work with documented "resident has pusy drainage from penis"

    But... she hasn't yet mastered English spelling, and the word "pusy" had an extra 's'....
    xoemmylouox likes this.
  10. Visit  sapphire18 profile page
    0
    Quote from BrandonLPN
    I had a sick resident who was very somnolent and difficult to arouse even with a firm sternal rub. He also happened to be four days w/o a BM, so I administered a suppository. Even the administration of the suppository failed to wake him up.

    So, in my note, I wrote "suppository did not arouse resident"..... yeah, probably could have worded that better....
    Haha!
  11. Visit  miasmom profile page
    3
    Almost wrote. In bed playing with himself. Caught it. Sigh. Playing quitely.
  12. Visit  kngl profile page
    3
    Progress note: "the wound be healed"
  13. Visit  CaliGirl0629 profile page
    3
    Psyche dr once wrote an order to send pt back to guatemala...lmao
    xoemmylouox, sharpeimom, and nrsang97 like this.


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