Charting Bloopers - page 56

by AHarri66 | 462,189 Views | 733 Comments

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 hallucinations." YIKES! Angela... Read More


  1. 1
    Quote from crazierthanyou
    not a charting blooper but the other night i was having a conversation with a female resident about her recent surgery. she said "i'm going to have to go back to the doctor and have my prostate checked because it is really bothering me". i said "um ______, women don't have a prostate." she looked at me like i had lost my mind and said very indignantly "well, when i had my surgery (cholecystectomy) the doctor told me that he would have to be very careful of my prostate so he didn't damage it". she is still insisting that she has a prostate and must get it checked asap.

    in 2002, female paraurethral glands, or [color=#0645ad]skene's glands, were officially renamed the female prostate by the federative international committee on anatomical terminology



    lol
    carolmaccas66 likes this.
  2. 1
    Quote from lindsayisxblonde
    in 2002, female paraurethral glands, or [color=#0645ad]skene's glands, were officially renamed the female prostate by the federative international committee on anatomical terminology



    lol
    hmmm, i did not know that. news to me.
    carolmaccas66 likes this.
  3. 2
    Quote from Lola77
    "No cowboy boots in bed"

    What's so wrong with that?
    nola1202 and carolmaccas66 like this.
  4. 2
    We had to admit a pt on L&D one night, and she had all of her meds with her. The unit clerk diligently listed all of her meds in the chart. When I reviewed it, she had written, "Pt has side attack in med bag upon admission." Apparently, the nurse was calling out the meds, and the clerk had never heard of Cytotec.
    carolmaccas66 and Davey Do like this.
  5. 11
    I work on a neurosurgical floor. Our population usually will have a back brace or a cervical collar (soft or hard) fitted for use post-op. It is added to the chart whether or not the brace is in the room for the patient. Rather than saying hard cervical collar the secretary was trying to type hard one, what ended up displaying on the chart was "Patient has hard on in room."
    nola1202, finn55, SuperWes_CNA, and 8 others like this.
  6. 10
    here's an error i made once after a very bad day, thankfully only on the report sheet for the next shift (and DON, CEO,CFO, ect) and not in the actual charting:
    pt: jane doe, A/O/A, smoker since she could hold a cigg, lungs sound like ****.
    this is what i normally think in my head but gets automatically translated into proper term (crackles throughout bilat lung fields) w/o any conscious thought, but that day, there was a major break down of communication between my brain and my hand. oops.
    0.adamantite, annietart, nola1202, and 7 others like this.
  7. 13
    Here are two pretty funny ones...
    We had this patient come in to investigate abdominal pain...After several tests, cultures, and consults, the GI doc reviewed the notes, and wrote`I have no idea what is going on here`... hmmm
    Also had this one doc who had horrible handwriting, even by doctors standards...comes in one morning and starts yelling at the charge nurse because a lab he ordered hadnt been done. Well, we had spent a good hour passing his note around, trying to decipher what he had written(it looked like a pretty flower), and finally gave up...the charge nurse shows him the note, and goes `We would love to follow your orders doctor, if you could tell me what this word looks like to you`. The doc checked his note, and answers...`hmm, looks like a flower` Needless to say he forgave us for not following the order lol
    0.adamantite, Hygiene Queen, nola1202, and 10 others like this.
  8. 3
    Quote from brandiashley
    pt: jane doe, A/O/A, smoker since she could hold a cigg, lungs sound like ****.
    hey, you gotta call 'em like you see (hear?) 'em!
    carolmaccas66, sallyrnrrt, and pca_85 like this.
  9. 9
    Dr in to examine wound. Odor present. Dr. Smith present.

    I'm not sayin'......but I'm sayin'.
  10. 3
    Quote from brandiashley
    here's an error i made once after a very bad day, thankfully only on the report sheet for the next shift (and DON, CEO,CFO, ect) and not in the actual charting:
    pt: jane doe, A/O/A, smoker since she could hold a cigg, lungs sound like ****.
    this is what i normally think in my head but gets automatically translated into proper term (crackles throughout bilat lung fields) w/o any conscious thought, but that day, there was a major break down of communication between my brain and my hand. oops.
    Oh how funny! Sometimes I wish I could write things like that in my charts without getting in trouble!


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