Charting Bloopers - pg.56 | allnurses

Charting Bloopers - page 56

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  NurseVoldemort profile page
    While doing home med rec my finger it the p and the o when typing prn. So it said porn. Fortunately I caught it before it saved!
  2. Visit  bossfrog profile page
    I'm a psych nurse. Last night when attempting to do a reassessment on a borderline patient, she flipped me off and walked away. So I charted the following:

    "When this RN attempted to initiate a conversation for reassessment, the pt displayed the dorsal aspect of the second digit of her right hand in an erect fashion and walked away, refusing to speak."
  3. Visit  Christy1019 profile page
    Quote from bossfrog
    I'm a psych nurse. Last night when attempting to do a reassessment on a borderline patient, she flipped me off and walked away. So I charted the following:

    "When this RN attempted to initiate a conversation for reassessment, the pt displayed the dorsal aspect of the second digit of her right hand in an erect fashion and walked away, refusing to speak."
    That's awesome!
  4. Visit  Diana6 profile page
    Laughter has a way of taking the edge off a stressful day, of giving people a lift, of tickling the funny bone. Join this forum to share real-life humorous moments or pass along jokes, silly observations, and light-hearted anecdotes. Come here to give a smile or get one.
  5. Visit  Nurse J1112 profile page
    I saw an ER report stating "Pt's vomit resembled chili con carne"
    This was also a Hispanic patient.
    I am Hispanic, I died
    Did they really have to describe it as Chili con carne? Lol
  6. Visit  Nurse J1112 profile page
    Another ER report was "Pt was like really puffy all over"
    ...lol
  7. Visit  Christy1019 profile page
    I was precepting a new grad and came across a note they charted after giving an enema:
    "Pt had two big terds and said she felt relief"
    First we discussed what the proper terminology should be, then we discussed the proper spelling of turd. Lol
    Last edit by Christy1019 on Jul 29, '14
  8. Visit  loriangel14 profile page
    I was charting on a physical rehab patient. I meant to say""patient encouraged to dress self". I typed "patient encouraged to dress elf".
  9. Visit  sharpeimom profile page
    Quote from loriangel14
    I was charting on a physical rehab patient. I meant to say""patient encouraged to dress self". I typed "patient encouraged to dress elf".
    I don't know. I think elf dressing might be a useful skill at Christmastime. Think
    of all the overtime!
  10. Visit  sharpeimom profile page
    My mom was hospitalized for severe pneumonia. I had gone to school with her nurse that day. As I was leaving, the nurse showed me an admissions note the young nurse had written.

    "Patient only has one boob." What? Huh? Really?

    Maybe that's because she had a mastectomy while I was in grad school?!
    BOOB? Try right BREAST!
  11. Visit  DMfutureRN profile page
    Under "reason for visit": Artificial mitro valve. Really? "Mitro" valve. Who put that in?
  12. Visit  ICUNurseG profile page
    "Subarachnoid hemorrhoid"
    "Pt has been death since birth" (deaf)
    By docs

    I once saw another RNs charting as "removed pts clit ring"
  13. Visit  ShortFuse_LPN profile page
    Quote from liljsmom02
    last night a secretary put in for frequency under vital sign " q * sh#t one of the nurses aids brought me a set of vs's at an odd hour and said "your pt just had a bm so i took her vital signs"
    Now that's an awesome CNA!

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