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Discussion

Charting Bloopers

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."

Featured Replies

Elderly gentleman, mid 80-s, explained to the writer that he really hasn't been quite right since the doctor Dx him with "Cancer of the Prosthesis" several years ago...Yes, he had an aritificial limb. Should we call a tree surgeon for this one?
:rotfl: Sounds like the right one to me.

During clinicals, writing our notes was a bit nerve racking. we had to write it out and then show our clinical instructor, she would make changes/suggestions and THEN we would put it in the chart...Anywho, I got a little bit distracted while transcribing the note to the chart. I'll never forget when i came in the next day, and the Instructor pointed out what I had wrote. "....Pt breathing." Uhm, here's your sign!

i remember when i was supervising a student nurse.told her to monitor our patient's I&O and make sure it's written in the care plan.When i had a look to countersign,it reads" intake and outake" monitored and recorded:chuckle

Advice to new grads: Know what the abbreviations are before you use them.

"Pt alert, oriented X3, neuro check complete, PEARL."

:rotfl:

angie o said:
advice to new grads: know what the abbreviations are before you use them.

"pt alert, oriented x3, neuro check complete, pearl."

that must have been one alert patient. 

Laughing so hard my side hurts!

Franemtnurse said:
A new intern to our CCU once charted attempts to cardiovert a patient in the following manner:

Attempted to convert the patient with 200 jews, unsuccessful. Second attempt to convert the patient with 300 jews unsuccessful. Patient finally converted on the third attempt with 300 jews.

The mental picture of three hundred rabbis surrounding a patient's bed yelling, "Convert, convert!" was too much. We nicknamed him "Call a Code or Call a Rabbi" from that day forward.

Hee,hee,hee,hee,ha,ha,ha,ha! This one is soooo good!

I worked nights last night (normally a day shift person)......luckily I read over my charting because my patient had serious drainage :) ... hmmmm I'm thinking it should have been serous

On an ER flow sheet, "16 Fr foley inserted to pt's L nare." ????????

Hi,

Just wanted to let ya know that a foley can actually be inserted into a patient's nare all the way into the nasopharynx (I believe) and then the balloon is inflated to stop a severe nosebleed (places pressure on the site of hemorrhage). Weird though, isn't it?

-Laura :)

On an ER flow sheet, "16 Fr foley inserted to pt's L nare." ????????

Hi,

Just wanted to let ya know that a foley can actually be inserted into a patient's nare all the way into the nasopharynx (I believe) and then the balloon is inflated to stop a severe nosebleed (places pressure on the site of hemorrhage). Weird though, isn't it?

-Laura :)

Had one tonight - Lidoderm patch to scalp. This patient has a full head of hair! We could shave it off, but I think the woman would object.

And last week I got one "D/C foley (remove it!)"! Maybe 'd/c' is too complex?

Savvy

Had one tonight - Lidoderm patch to scalp. This patient has a full head of hair! We could shave it off, but I think the woman would object.

And last week I got one "D/C foley (remove it!)"! Maybe 'd/c' is too complex?

Savvy

LAB BOO BOO

Sputum spec sent to lab

Good news! The report says normal lady partsl flora....:chuckle

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