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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:

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"Patient vehemently denies any auditory, tactile, or old factory hallucinations."
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    • Featured Replies

    • Expert
    jobellestarr said:

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

    Is this for real???

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    • Expert
    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

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    Kooky Korky said:

    Is this for real???

    Yup 

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

    Okay, then! But wth does it MEAN? ?

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    "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". ??

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    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. 

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    OMG. EIGHTY mEq? Maybe even by peripheral access.

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    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.

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    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"

    ??

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    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).

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    • Guides

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

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    RNkat said:

    From the physician progress notes on a patient with a glass eye:

    "PERRLA"

    That's a good one 

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