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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

We just transferred a patient in from another facility. In the Discharge summary... After reviewing the tests "expensive surgery" was recommended, and the patient was transferred. ....we can only hope they really meant expensive and it was a transcription error.

hey was this doc trained in idaho? lol

Rod Rn

okay i think my husband thinks i am insane.....i have just spent 10 mins laughing so hard i couldn't speak.....these are all great

I found this once in a physician report

Amazingly well considering his erection fraction is 20%.

My turn!! 

I found this order written on the MAR:

"Pt may have Hall's cough drops PRN for cough. Apply to mucus membranes"

I keep seeing a pt and/or a nurse trying to follow the order and sticking the cough drops up the pt's nose!

Found charted in nurse's notes:

1. Pt has hemorrhoids....BIG TIME!

2. Dr. Thomas and case management both spoke with pt's family, all of whom were totally freakin out by this point.

These are great!

I had a beloved pediatrician that I used to work for that had done a ton of school physical's one day. He would often see a lot of the teenage boys that did not want to see our female physicians. I think he must have had a long day because he charted

"Testes down bilaterally" on a female patient! :)

I hope not!

I must confess that I, too, described thick, white drainage as "***** ." Luckily, it was while I was in nursing school when we all spent time agonizing over our notes and first wrote them on scrap paper. I did figure it out before it went on the record but we had a great time laughing about it at post conference and it still makes me chuckle whenever I write "prurulent."

ok, I'm dense. what is "*****". Can i at least buy a vowel?

ok, I'm dense. what is "*****". Can i at least buy a vowel?

It's another word for "purulent" meaning "pus-filled" but can also be used as an obscenity.

That help?

It's another word for "purulent" meaning "pus-filled" but can also be used as an obscenity.

That help?

Five letters and another name for pus filled can ve used as an obsenity??? Still no clue. Is there a "E" in it?

Frogbitedaddio said:
Five letters and another name for pus filled can ve used as an obsenity??? Still no clue. Is there a "E" in it?

A vulgar name for lady parts. It has 2 s's and ends in y.

Figure it out yet? Some people also call their cats by this name.

When I was a brand new nurse I also used this word in charting to describe wound drainage. A very nice nurse brought this to my attention and helped me change it. I was so embarrassed!! I guess a lot of new nurse's make this mistake.

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