Charting Bloopers Charting Bloopers - pg.58 | allnurses

Charting Bloopers - page 66

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  determined2banurse profile page
    1
    I read in a chart once, "Apply sensicare cream to open areas on scrotum and pennies."
    Another frequent entry I see in charts is, " Good pericare rendered." I always think to myself so you give bad pericare sometimes!
    brillohead likes this.
  2. Visit  AnthonyD profile page
    1
    In a post-code progress note by a cardiologist. "The etiology of patient's breast appears to be hypoxic in nature."

    Ummm... I think he meant "arrest." Freudian slip ya think??
    Christy1019 likes this.
  3. Visit  kittyvenven profile page
    1
    Quote from km rn
    As we were reviewing a chart on the Alzheimer's unit - this notation stood out:
    "resident very agitated - yelling profound statements" Profane yes - profound no ..I doubt he was yelling "To be or not to be....that is the question...."
    I'm dying!! Hahahahaha!!
    Christy1019 likes this.
  4. Visit  AcuteHD profile page
    3
    ER report stated "discussed plan of care with passerby" I hope that was an autocorrect error.
    0.adamantite, SoberGirl, and brillohead like this.
  5. Visit  AnthonyD profile page
    3
    Not so much a blooper, but a very bad order. Nursing free-text order from a PA... "Please remind patient not to drink from his urinal."

    You can't make this stuff up.
    0.adamantite, danceyrun, and AcuteHD like this.
  6. Visit  AcuteHD profile page
    3
    "Patient visible"

    Inadvertent mashup of "patient alert" and "access visible"
    0.adamantite, Sylvie864, and WKShadowRN like this.
  7. Visit  cardiacfreak profile page
    1
    Admitting diagnosis on patients face sheet: Unstable Vagina.

    Should have been Unstable Angina.
    AcuteHD likes this.
  8. Visit  AcuteHD profile page
    2
    Quote from cardiacfreak
    Admitting diagnosis on patients face sheet: Unstable Vagina.

    Should have been Unstable Angina.
    Maybe it was a more clinical term for "****** be Crazy"
    Christy1019 and cardiacfreak like this.
  9. Visit  nursecathi profile page
    2
    More and more on H&P's, even on elderly ladies , we're talking 80's & 90's!
    Not currently breastfeeding. Not a blooper. Must actually be part of the docs new charting process!
    cardiacfreak and AcuteHD like this.

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