Charting Bloopers

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Have you seen any charting bloopers?

Found in the History and Physical section of a patient's chart who had experienced visual hallucinations while ill:

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"Patient vehemently denies any auditory, tactile, or old factory hallucinations."
Specializes in Neuro ICU and Med Surg.

I was taking some supplies for hypothermia post arrest to the ER the last night I worked and they didn't need them. The doc was saying in regards to a pt coming down off amphetamines that we should get him a tv. I said are you ordering a stat TV and he said yes, and he should watch bubble guppies. I told him that was torture and the doc said that he would find it awesome and calm down. Seemed like a cool doc.

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I was taking some supplies for hypothermia post arrest to the ER the last night I worked and they didn't need them. The doc was saying in regards to a pt coming down off amphetamines that we should get him a tv. I said are you ordering a stat TV and he said yes and he should watch bubble guppies. I told him that was torture and the doc said that he would find it awesome and calm down. Seemed like a cool doc.[/quote']

^__^ I need a doc like that!

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this one is the fault of the dictation transcriptionist:

on the H&P' "the pt is a stay at home milk of magnesia"

I wonder how many of these errors are due to transcription or scribe mis-interpretation. Still hilarious, so keep em coming!

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Specializes in Pediatric Pulmonology and Allergy.

Under PMH for a (very much alive) 3 year old: Still birth.

Was she a still birth who was somehow resuscitated? Did her mother have a still birth? Still trying to figure that one out...

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Specializes in Med-Surg, LTC, Psych, Addictions..
As we were reviewing a chart on the Alzheimer's unit - this notation stood out:

"resident very agitated - yelling profound statements" Profane yes - profound no ..I doubt he was yelling "To be or not to be....that is the question...."

Omg! I laughed out loud on this one.....to be or not to be, that is the question....I keep forgetting to ask thee.

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Specializes in Med-Surg, LTC, Psych, Addictions..
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MD actually wrote the following order:

Connect IV to F/C

I guess he had recycling on his mind!

:)! That is awesome! My eyes are tearing up. Thanks.

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Specializes in Critical Care.

Not gonna read all 40+ pages to see if this is a repeat, but somebody's admitting dx was "urinary trach infection."

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had a pt with an admitting diagnosis of constipation....apparently the fact that her Hgb was 6.8 and she needed 2 units was irrelevant to the fact that she couldn't crap

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I recently saw a "add 20 mEq Kay Ciel to existing IVF" order also. Maybe these docs were trained at the same place.

We also had an order recently that to us really brought into question the integrity of the writer. The order was for "1 baked potato p.o. bid". First, where else would a baked potato go and secondly, dietary requests do not need to be written by a doc in the orders sheet!

[This message has been edited by ClariceS (edited December 27, 2000).]

I'm dying. Great order can I get sour cream with it?

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We had someone in the call room take a message and send it along to the doctor that the "patient is calling because his finger is red and pus-sy".

Except they didn't put the hyphen in the word pus-sy sooooo you can imagine what that looked like! 

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Not a charting blooper per se but back in my volunteering days at a hospital in high school there was always a person on the ER admission board named "Holdbed, EMS" and for admission there were always different reasons like broken arm, fell off bed, etc.

Well one day I got so concerned that I brought it up to a staff member about this kid who was always in the ER. I was worried about abuse. The person laughed and explained that it meant a patient was on the way from EMS and to hold a bed for them.

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Specializes in ICU.
Not a charting blooper per se but back in my volunteering days at a hospital in high school there was always a person on the ER admission board named "Holdbed, EMS" and for admission there were always different reasons like broken arm, fell off bed, etc.

Well one day I got so concerned that I brought it up to a staff member about this kid who was always in the ER. I was worried about abuse. The person laughed and explained that it meant a patient was on the way from EMS and to hold a bed for them.

Hahahahahaha!

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