Charting Bloopers

[AHarri66]

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."

[Jeannemars]

One new nurse charted and notified MD "pt has 3 episode of fuel-smelling loose BM" LOL haha she might have pooped gasoline lmao! Instead of foul-smelling..haha

[HeartNurse3]

We give Tylenol IV all the time - most of the time it works better than narcotics post-op. The brand name is Ofirmev.

[opdahlamber]

"Rythym abnormal, regularly irregular" Well, which is it, Doc?

Actually, this is correct... it means that the rhythm is irregular but it has a beat that repeats.

[opdahlamber]

I love having nursing students on my floor. They are fun and I love teaching and interacting with them. But one of them wrote something funny on a chart today. She wrote in her nursing assessment: "Pt. is concerned that he will not be able to pay his hospital bill. He has been referred for financial counseling and is pleased with the outcome" but there was not one word in her assessment about the physical condition of the patient. I made a copy of her note and I thought about writing an addendum to her note: Pt found in cardiac arrest. Pronounced dead at 11:45. Financial counseling no longer needed.

If one of MY students ever writes something like that....please do!!!!

[kkrayon]

IN the mid-90's at a pediatric teaching hospital, the med student was directed by the resident to "write for I's and O's". What appeared on the doctor's order sheet was "eyes and nose". We laughed hysterically, but it was scary to think that person was in charge of writing orders for the patient!

[ToriGriffinJones]

After spending 3 days straight with this insane, extremely demanding pts family and the MD's constantly teasing me about having to be their nurse, I purposely left the MD alone in the room with them. Of course, this is one of those MDs that has to have his hand held by the RNs. After he had spent 45mins being ripped by the family, he left me the following order, "PTFFURC by RN STAT". I called him to ask what this was. He replied, "Pillow to families face until respirations cease"...LOL!! Of course this order sheet was removed and discarded...

[skylark, BSN, RN]

ToriGriffinJones said:

After spending 3 days straight with this insane, extremely demanding pts family and the MD's constantly teasing me about having to be their nurse, I purposely left the MD alone in the room with them. Of course, this is one of those MDs that has to have his hand held by the RNs. After he had spent 45mins being ripped by the family, he left me the following order, "PTFFURC by RN STAT". I called him to ask what this was. He replied, "Pillow to families face until respirations cease"...LOL!! Of course this order sheet was removed and discarded...

Remind me of the term we used years ago for similar families.

We called them PFA folk

"Pillow, Five minutes, and an Alibi!

( not to be confused with PFO folk, "******, fell over")

[eatmysoxRN, ASN, RN]

Too many times I see a missing "-g" on the end of a word that makes me automatically read the note with a thick Southern accent.

As far as bloopers go, I hate it when things that are wrong aren't charted. Cellulitis to BLE.. Previous charting indicated no skin problems at all. Patient had 4+ cracked pitting edema and her legs looked terrible! I wonder which patients some of the folks are looking at!

~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~

[ahamby]

This is horrible.

[roser13, ASN, RN]

What's horrible?

This is horrible.

[BostonFNP, APRN]

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

This wins.

[A&Ox6, MSN, RN]

For bladder retraining purposes, you can put a foley in to intermittent drainage.

Or CBI after TURP