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
5Jun 4, '02 by shelleyWe 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
4Jun 4, '02 by OrthoNutterHow 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.
6Jun 18, '02 by oplokFound 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.
5Jun 18, '02 by SleepyeyesI caught myself in time to correct this lil gem:
"Pt. is a/o X3, cooperative with care, pleasant, SOB."
2Jun 18, '02 by SleepyeyesOr this one, from a pt's H&P
"Pt also has heparin B"
3Jan 5, '03 by sockovI 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.
4Jan 5, '03 by baselineHad a patient the other day admitted with Internal Pneumonia........as opposed to external?
0Jan 5, '03 by nursechris1OMG I am laughing soooo hard, I have tears flowing down my cheeks!!! This was a much needed laugh!!!
1Jan 5, '03 by rnparrotthese were great.....good to know you all have the warped sense of humor to survive in this profession!!! Keep 'em coming!!!
7Jan 5, '03 by DIPLOMATICRN4HIRE, ADN, BSN, CNA, LPN, RN, CNSFound 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****
We had such a good time with this one..
4Jan 5, '03 by GotalovethekidsOne 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!
3Jan 12, '03 by JWaldronOne 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.
2Jan 12, '03 by TNcanNURSEOnce 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.