Found in the History and Physical section of a patient's chart who had experienced visual hallucinations while ill:
Quote"Patient vehemently denies any auditory, tactile, or old factory hallucinations."
I work with a new LPN who constantly gives Tylenol for our elderly patients, which is a good thing that she cares about their pain.... However.....
She charts this...
10am --- ASAP 650mg P.O given for c/o "10" headache
Instead of APAP 650mg.....
I tease her constantly of the speedy-ness of her pain management!!!!!
Everytime I see it in the chart.... I chuckle....
I work with an older nurse who charts like she talks. A man was on go litely and she charted "on toilet-go litely working."
In my Nursing class, our instructor introduced us to Go-Litely by saying "it does anything but make you go lightly. It makes your pt go heavily, go oftely, and you go quickly when your patient rings your new friend, the call light."
I had the unfortunate experience of having to take Go-Litely several years ago, and I agreed with that statement completely. And I to this day wonder if the name Go-Litely was someones idea of a joke.:rotfl:
I was working in the ED last week when I had to call David ******* into triage who presented to the ED with lady partsl bleeding. We were very busy that day and at least an hour had gone by with his name and condition on the list before I had a chance to call his turn. I guess he found the restroom and the tampon machine because he was gone before we got to him.
Now before anyone gets upset with me because of "conditions" or choices that he may have made... I think he signed HIS name and his wife's condition to the board.... silly mistake.... and gave us a needed laugh on a VERY busy day.
Sally
RNtoJD
72 Posts
Not in charting, but a verbal blooper. A few years ago while caring for a hypertensive patient on a Med surg floor, I made 2 IV attempts and got in, but blew both veins when I attempted to advance the catheter. I must have been very busy, because I shouted down the hall ( without thinking ) to another nurse, "Can you try getting a site in the guy in bed 10? I blew him twice!"..."er, I mean his veins."