Charting Bloopers

As I was reading through the chart of a pt I was taking care of I noticed that the clinic doc, one of the most loved in the facility charted, "Cyst on left tit" I almost peed myself reading that note. But it was true, she did indeed have a cyst on her left tit!

Not a blooper, I actually wrote this in a pt's chart.

D: Pt had large loose BM this evening.

R: Pt reports feeling much better

One Co-worker had a mental block. On the ER chart she would write, "C/O head" everytime some came in with a headache. I guess she preoccupied.

Just today I wrote " Lung sounds CDI (clean dry intact) " I was doing a discharge and was looking at my note . I meant to write that his lungs were clean and dsg cdi .

My coworker and I were at the nurses station and she was filling out an incident report. She hands me the paper to proof read. I got to the end of it and did a double take and shot soda out my nose. I told her what she did and we just about died laughing. We still laugh about it.

We had a patient who hurt her finger in her wheelchair. At the end of the report, I knew she meant, "will continue to monitor the patient." What she wrote was "will continue to finger the patient."

Thanks! These really cheered me up this morning!!

Saw a good one years ago!!

"Patient not eating, but taking po urine well."

YUCK!

Under diagnosis, a UK Dr wrote: GOK

After trying to figure this out, the nurses finally asked the doc what it stood for - "God Only Knows"

(he got into trouble for this one!!)

and...

"deceased lung sounds" written on RN charting.

also...

"confused family at bedside"

I read this one on our twenty four hours nurse report: antifungal in urine!

Just came across a funny note from a newly grad nurse:

"Received patient on bed, comatose, GCS 3/15 but patient is ambulatory with assistance. "

hahhhahaaha

I once saw an order that said: O2@4L/Foley cath. I think he meant it to be 2 separate orders.

This one I could actually see happening if the doctor was using the balloon to apply pressure to a bleeder. God, I hope that was what was going on. I would hate to hear that there was like 200ml of clear yellow urine returned.

Haven't you heard people say they have to go so bad their eyeballs are turning yellow? This is one way of dealing w/ the situation!

Savvy