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Doctors' Chart Bloopers



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No. 40
from chabliz
Old Jan 23, 2009, 12:38 PM

Default Re: Doctors' Chart Bloopers
really funny, can't stop laughing... thnx!!
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No. 41
Old Jan 23, 2009, 03:40 PM

Default Re: Doctors' Chart Bloopers
Originally Posted by LaceyLou View Post
How about "Put patient to bed with Happy ending."
I hope they were talking about the sundae.
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No. 42
from sharpeimom
Old Jan 23, 2009, 05:18 PM

Default Re: Doctors' Chart Bloopers
From a chart I read:... "patient's foot was amputated above the knee." huh?

Overheard two interns chatting over lunch. Mr. ___ was apparently healthy and in no apparent distress but still woke up dead.

sharpeimom
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No. 43
from LaceyLou
Old Jan 23, 2009, 10:02 PM

Default Re: Doctors' Chart Bloopers
Funny how they wake up dead, isn't it? Lol.
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No. 44
from Mr Ian
Old Jan 24, 2009, 12:09 AM

Default Re: Doctors' Chart Bloopers
ok - there are times I know the docs deliberately chart with tongue firmly in cheek... and this isn't necessarily a blooper at all...

On a secure psych ward , pt with chronic head injury (ABI) with poor impulse control frequently assaulted others when he felt angry - but was easily de-escalated and his underlying personality was very pleasant.

On one occasion he assaulted a co-pt; staff isolated him off the ward until psych review to assess risk and return him to the main unit. Entry went something like:
"Asked pt what happened and says he hit co-pt cos he was angry.
Asked if there was anything else he should have done.
Pt thought about this for a while and said "Yes".
Asked him what he should have done instead - he replied
"I should have head butted him"

....
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No. 45
from masonRN
Old Jan 29, 2009, 04:19 AM

Default Re: Doctors' Chart Bloopers
A few orders I encountered this past July:

Transfuse PRBC as necessary to maintain HGB > 24

PVR: ISC if > 25

Dilaudid 4mg IVP; per pt request, give over 5 seconds.

MS Contin 45 mg TID. Instruct pt not to chew. May be crushed and mixed with food to aid swallowing.

Kayexalate 30 mg PO. If pt is NPO, administer vaginally.

Instruct pt's caregiver on color, consistancy and taste of C-dif feces.
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No. 46
from jnrsmommy
Old Jan 29, 2009, 06:55 AM

Default Re: Doctors' Chart Bloopers
Originally Posted by masonRN View Post
A few orders I encountered this past July:

Transfuse PRBC as necessary to maintain HGB > 24

PVR: ISC if > 25

Dilaudid 4mg IVP; per pt request, give over 5 seconds.

MS Contin 45 mg TID. Instruct pt not to chew. May be crushed and mixed with food to aid swallowing.

Kayexalate 30 mg PO. If pt is NPO, administer vaginally.

Instruct pt's caregiver on color, consistancy and taste of C-dif feces.

Wow, where to start w/ these
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No. 47
from BlueHenRN
Old Jan 29, 2009, 07:42 AM

Default Re: Doctors' Chart Bloopers
Originally Posted by masonRN View Post
A few orders I encountered this past July:

Transfuse PRBC as necessary to maintain HGB > 24
I simply must know. What was it supposed to be?

Originally Posted by masonRN View Post
Dilaudid 4mg IVP; per pt request, give over 5 seconds.
Hmm...how about you give it, doc...and hang around for a bit after? Thanks.


Originally Posted by masonRN View Post
Kayexalate 30 mg PO. If pt is NPO, administer vaginally.
Nuh-uhh...

Originally Posted by masonRN View Post
Instruct pt's caregiver on color, consistancy and taste of C-dif feces.
I had to read this one twice, then a third time before it sank into my head. I suppose the first task is finding a nurse who's tasted it.

Thanks, Mason...you made my morning!

*~Jess~*
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No. 48
from masonRN
Old Jan 30, 2009, 07:37 AM

Default Re: Doctors' Chart Bloopers
Originally Posted by BlueHenRN View Post
I simply must know. What was it supposed to be?
At nearly every institution I know, the magic number to transfuse is HGB (hemoglobin) under 8.0; of course, this will vary per specific pt needs, but this is a common baseline.

Given that a HCT (hematocrit) is usually in the ballpark of 3x to 3.5x the HGB, it isn't unheard of for a MD to order transfusions to maintain a HCT of 24 to 28.

I was tempted, if only for a few seconds, to call blood bank and ask if there were any protocols I was unaware of for transfusing 16 units of PRBCs
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No. 49
Old Jan 31, 2009, 04:28 PM

Default Re: Doctors' Chart Bloopers
Originally Posted by masonRN View Post
Kayexalate 30 mg PO. If pt is NPO, administer vaginally.
What if my patient is male?
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