Charting Bloopers - page 71

by AHarri66 | 461,917 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. 2
    had a pt with an admitting diagnosis of constipation....apparently the fact that her Hgb was 6.8 and she needed 2 units was irrelevant to the fact that she couldn't crap
  2. 0
    Quote from ClariceS
    I recently saw a "add 20 mEq Kay Ciel to existing IVF" order also. Maybe these docs were trained at the same place.

    We also had an order recently that to us really brought into question the integrity of the writer. The order was for "1 baked potato p.o. bid". First, where else would a baked potato go and secondly, dietary requests do not need to be written by a doc in the orders sheet!

    [This message has been edited by ClariceS (edited December 27, 2000).]
    I'm dying. Great order can I get sour cream with it?
  3. 0
    We had someone in the call room take a message and send it along to the doctor that the "patient is calling because his finger is red and pus-sy".

    Except they didn't put the hyphen in the word pus-sy sooooo you can imagine what that looked like!!!
  4. 0
    Pt admitted for reduction mammoplasty: "big breasts".

    Seriously? Breast hypertrophy is way more professional sounding.

    Sent from my HTC One X using allnurses.com
  5. 2
    Not a charting blooper per se but back in my volunteering days at a hospital in high school there was always a person on the ER admission board named "Holdbed, EMS" and for admission there were always different reasons like broken arm, fell off bed, etc.

    Well one day I got so concerned that I brought it up to a staff member about this kid who was always in the ER. I was worried about abuse. The person laughed and explained that it meant a patient was on the way from EMS and to hold a bed for them.
  6. 1
    Quote from chrisrn24
    Not a charting blooper per se but back in my volunteering days at a hospital in high school there was always a person on the ER admission board named "Holdbed, EMS" and for admission there were always different reasons like broken arm, fell off bed, etc.

    Well one day I got so concerned that I brought it up to a staff member about this kid who was always in the ER. I was worried about abuse. The person laughed and explained that it meant a patient was on the way from EMS and to hold a bed for them.
    Hahahahahaha!
    sharpeimom likes this.
  7. 0
    dr. *** (neurologist) walks in on night shift (very strange) in a cowboy hat and sees a patient. writes in the notes "disagree with radiology interpretation, patient has holes in head". the patient had no neuro/head problems and nothing on the ct resembled a "hole in head".. also wrote for lipitor 40mg daily "unless theres some reason that i dont know of not to give"...... ***
  8. 4
    I work with some people that just flat out can't spell... One used to continuously write: pt poisoned in bed, pt poisoned in WC etc. She meant positioned, well at least I hope she did...
  9. 4
    "Reason for visit: Cabbage"
  10. 7
    I had a sick resident who was very somnolent and difficult to arouse even with a firm sternal rub. He also happened to be four days w/o a BM, so I administered a suppository. Even the administration of the suppository failed to wake him up.

    So, in my note, I wrote "suppository did not arouse resident"..... yeah, probably could have worded that better....
    sueall, Nurse J1112, cardiacfreak, and 4 others like this.


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