Charting Bloopers - pg.8 | allnurses

Charting Bloopers - page 8

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  shelley profile page
    5
    We had computer charting where I used to work and I hit submit without reading my entry first. I am an OB nurse. It partially read " O2 remains on FOB at bedside. Report to oncoming sh*t. Forgot a comma before FOB and an "f" in the last word. Now it is on record forever :-I
  2. Visit  OrthoNutter profile page
    4
    How about this one......

    pt has not passed urine post-op, MD notified of same. IDC remains insitu, patent and draining well.

    And yes, the two sentences flowed one after the other in the chart.
  3. Visit  oplok profile page
    6
    Found in one of Docs order
    "Transfer patient to ICU.
    Run IV as fast as you can."

    he, he, I hope IV is not the nurse.
  4. Visit  Sleepyeyes profile page
    5
    I caught myself in time to correct this lil gem:

    "Pt. is a/o X3, cooperative with care, pleasant, SOB."
    blaundee, martinalpn, CrazyGoonRN, and 2 others like this.
  5. Visit  Sleepyeyes profile page
    2
    Or this one, from a pt's H&P

    "Pt also has heparin B"
    CrazyGoonRN and carolmaccas66 like this.
  6. Visit  sockov profile page
    3
    I work in a busy surgical ICU and a FELLOW (5th year resident), ordered.... Tylenol 650mg IV q4-6hours prn.
    I asked the doc, if he wanted me to titrate to fevers.
    my co-workers still laugh at it today. I only wished I saved a copy of the actual order.
  7. Visit  baseline profile page
    4
    Had a patient the other day admitted with Internal Pneumonia........as opposed to external?
  8. Visit  nursechris1 profile page
    0
    OMG I am laughing soooo hard, I have tears flowing down my cheeks!!! This was a much needed laugh!!!
  9. Visit  rnparrot profile page
    1
    these were great.....good to know you all have the warped sense of humor to survive in this profession!!! Keep 'em coming!!!
    carolmaccas66 likes this.
  10. Visit  DIPLOMATICRN4HIRE profile page
    7
    Found on a Progress Note:
    55 yr m admitted with signs of chest pain. Pleasant to speak with. Family aware of status. Patient states that chest pain occured while his wife was on him having dinner.
    Cardiac protocol taken.
    *** found on drs orders same patient****
    D/c viagra.
    We had such a good time with this one..
    Zoe
  11. Visit  Gotalovethekids profile page
    4
    One of my classmates had to correct her note after she accidentily wrote "pt ate 50% of lung"
    Wouldn't that be a site to see!!!

    These are wonderful but make me wonder what oddball things I've written! Oh well maybe someone will get a laugh out of me!

    Sarah
  12. Visit  JWaldron profile page
    3
    One of my personal favorites: "Pt unconscious and complaining of leg pain". How'd he do that?

    But then, I've written weird things too, especially when someone interupts me midthought an hour after my shift has ended.

    Joan
  13. Visit  TNcanNURSE profile page
    2
    Once I accidentally charted "pedal pulses present" and "pedal pushes palpable" in haste. The following shift another nurse who is quite notorious for copying rather than performing assessments charted the exact same thing. I found it quite amusing to see in her notes.
    CrazyGoonRN and carolmaccas66 like this.


Visit Our Sponsors
Top
close
close