Charting Bloopers Charting Bloopers - pg.58 | allnurses

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Charting Bloopers - page 67

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
    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!
  2. Visit  AnthonyD profile page
    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??
  3. Visit  kittyvenven profile page
    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!!
  4. Visit  AcuteHD profile page
    ER report stated "discussed plan of care with passerby" I hope that was an autocorrect error.
  5. Visit  AnthonyD profile page
    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.
  6. Visit  AcuteHD profile page
    "Patient visible"

    Inadvertent mashup of "patient alert" and "access visible"
  7. Visit  cardiacfreak profile page
    Admitting diagnosis on patients face sheet: Unstable Vagina.

    Should have been Unstable Angina.
  8. Visit  AcuteHD profile page
    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"
  9. Visit  nursecathi profile page
    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!

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