Charting Bloopers

Updated:   Published

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:

Quote
"Patient vehemently denies any auditory, tactile, or old factory hallucinations."

"I did everything for patient and she's still ***.” Nice. 

3
Up Vote Up Vote ×
jobellestarr said:

"I did everything for patient and she's still ***.” Nice. 

Is this for real???

Up Vote Up Vote ×
Katillac said:

Talk to text errors just in one shift's charting:

  • Had a bed elevated city for degree.
  • Patient was asleep when this nurse arrived at the TVs to sleep at this time.
  • This is a pain anxiety on the respiratory distress.
  • 100 ml bloody irons
  • Skidmore to dry

And my favorites:

  • Adamant discretion dissolved in morphine.
  • Patient remains Ground Zero tortured.

And now in English

1
Up Vote Up Vote ×
Kooky Korky said:

Is this for real???

Yup 

Up Vote Up Vote ×
Specializes in Med nurse in med-surg., float, HH, and PDN.

"Adamant discretion dissolved in morphine" ---- / -----"Patient remains Ground Zero tortured".

Okay, then! But wth does it MEAN? ?

1
Up Vote Up Vote ×
Specializes in Med-Surg, ER.

"bowel obstruction likely d/t all the p***s the pt ate"

We notified Dr and it was corrected to
"bowel obstruction likely d/t all the peanuts the pt ate". ??

1
Up Vote Up Vote ×
Specializes in Critical Care.

Order blooper by a resident:

To administer potassium 80mEq IV continuously in one hour (with the 20mEq/50cc bags). 

I told him that I was not going to do that and kindly explained why. 

1
Up Vote Up Vote ×
Specializes in Critical Care, PICU, OR.

OMG. EIGHTY mEq? Maybe even by peripheral access.

1
Up Vote Up Vote ×
Specializes in Med nurse in med-surg., float, HH, and PDN.

I remember waaaay back when, the end of shift charting often said, "Status quo." Then you'd have to page back to find out where, when, or how the supposed status quo started.

Up Vote Up Vote ×
Specializes in LTC/Rehab, General Hospital Medical.

An order I recently D/C's due to being a duplicate and containing a swear word...

"Monitor laying, sitting and standing BP every sh*t"

??

1
Up Vote Up Vote ×
Specializes in Oncology, ID, Hepatology, Occy Health.

On psychiatry when a student. Pateint who menstruated all over the floor as she took off sanitary protection, then went off her head:

"Placed in seclusion for a short period"

As a CNS I once received a referral letter:

"...on biopsy his lover was cirrhotic"  (I think they meant liver).

1
Up Vote Up Vote ×
Specializes in Psych, Addictions, SOL (Student of Life).

The other day I was writing a narative and on proof reading I had written the word nasterbation. 

1
Up Vote Up Vote ×
+ Join the Discussion