Charting Bloopers

panda_181 · Jun 3, 2001

Oh man this page is hilarious! Unfortunately I don't have any funny stories that I can think of, but please keep me laughing!

Amanda

skap · Jun 12, 2001

I read in a chart "Pt complaining of headache. Tylenol given as ordered. Checked back with pt one hour later and head gone!"

Didn't know Tylenol could take off your head! Yikes!

panda_181 · Jul 1, 2001

One of my co-workers said she saw a chart that said "Pt had large bowel movement ambulating around floor!"

Amanda :)

sandigapeachlpn · Jul 1, 2001

the other night i was working with one of my best cna's. she had been working doubles for a few days, has two small children and can get a little loopy when sleep deprived. gee, can't we all. she is very sharp, intuitive and conscientous. she walked up to me after her last round, dead serious and started talking to me about one of our residents who has quite a distended abdomen due to various, reasons, ascites, etc. .... she questioned me " do you think that the reason ------';s stomach is so big is because she is compacted?" i made trash jokes the rest of the night.

nosilanurse · Jul 1, 2001

One time a MDand not a resident wrote this order;

"Bath pt od"

blueii · Jul 2, 2001

While doing clinicals as a student, I found this error while reviewing a pts chart:

0130 Pt very restless and crying all night, contacted MD who gave VO for a shot that would put her to sleep.

0245 Pt lying on back in bed. Looks very peaceful after being put to sleep.

I'm not kidding!! :rolleyes:

Pediatric Critical Care Columnist · Jul 18, 2001

One day I was reviewing a "cardiorespiratory events" record on one of our chronic ventilated patients who had a history of spontaneous desats and bradys. I was quite surprised to see a notation on this patient who has no respiratory drive and is thus totally ventilated at a rate of 30, "pt. apneic for >1 min with sats 70's. Bagged up and resolved in ~30 sec. No assoc. brady" The nurse recording the event had worked in our unit for almost three years at that time. There was nothing in the note to indicate that the kid was disconnected from his vent except when he was being hand-ventilated. I'm just waiting for the day they put this gal in charge...

Then there are the residents who just copy whatever was in the previous note. Some of those errors are humdingers!

sugoud · Jul 18, 2001

This one I found on a LTC note by a nurse:

Pt is pleasantly psychotic.

ok-rn · Jul 19, 2001

In our ER patients who do not have a physician are assigned one for admission. We have a rotating call list that we call "Dr. None".

We had a brand new intern who went in to examine a Spanish speaking diabetic with no Dr. She kept asking him who his Dr. was and I finally told her, "Dr. None".

Next thing I know, she is calling the operator to have Dr. NUNN paged!

Pediatric Critical Care Columnist · Sep 5, 2001

Just read this little gem in a patient's chart...

"Unfortunately, this young lady had no c-spine..."

I wonder what was holding up her head?

craff1 · Sep 27, 2001

ok, this is veterinary (I'm not a nurse yet) the chart for a diabetic cat who was transferred from another hospital said "gave karo syrup, sub Q) The tech's actually tried putting the syrup in a syringe to see if it would squeeze through!! hahaha

ToofunnyRN · Sep 28, 2001

During Halloween at our childrens hospital, each unit decorates pumpkins using that units theme. We also let the kids decorate them and take them to their rooms. After awhile they start to rot. I had a MD come in and write an order to bath patient stat!