Charting Bloopers - page 60
by AHarri66 445,097 Views | 730 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
- 5Nov 11, '10 by nursetillyQuote from NuteRNI sent a specimen to pathology from surgery "portion of ileum"--the technician called me and told me I had spelled it wrong: it is "ilium." I told him "I-l-i-u-m is bone." He said, "Yes, I know." I then said "well, look at the specimen: it's part of the small intestine." He was adament and told me he was going to report me for not knowing my anatomy. I said, go ahead. I never heard anything about it, but never ran into that technician again.Like many of these, this is not exactly a charting blooper...
My wife and I were in a car accident. We both felt a little sore, so we went to the ED, just to be safe. I got a little confused when they took my wife in for an x-ray, but never did one on me. They car was hit on her side, do I just left it at that and didn't think much about it. Then, when we were d/c'd, we saw that they gave her information about spinal injuries. It didn't make sense. And then it hit me. When they asked about past medical history, she told them that she had a cirvical cerclage (an OB procedure). They heard cirvical and assumed cervical spine. Impressive that they know thier body parts.
- 1Nov 11, '10 by nursetilly
- 0Nov 15, '10 by NancyPieQuote from DutchgirlRNOMH! OUCH ... wow.... GASP... Dunno what to say....Pt telemetry alarm going off at desk repeatedly, pt sleeping w/o any distress noted, telemetry turned off at the desk.
This patient was found dead during the 0400 v/s. Needless to say, this stupid nurse lost her liscense and the hospital is involved in a lawsuit.
- 1Nov 16, '10 by nursenonblondeI was a brand new nurse. I had a patient with a very bad burn the entire length of her arm with puss pockets. Unfortunately...I charted...Pt has Pu**y drainage to entire length of arm.......no one noticed but the Dr.Last edit by nursenonblonde on Nov 16, '10 : Reason: wrong word
- 19Nov 21, '10 by nursebellamyAlthough I know this was a transcription error, it still made me laugh. "Pt is hard of hearing and wears bilateral hearing autoimmune deficiency syndromes". Also, in another chart, a doctor had transcribed in his notes something to the effect of ... "...Upon digital insertion into the pt's rectum, tonsils appear to be normal in size and structure." WOW, That is some long finger!!