Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Fun with charting.

I review charts. Here are a few things that caught my eye over the last few weeks. Houston, we have a charting problem...or a transcription problem. What are some of your favorites that you have seen?

agreeing discontinues artery toe would keep her on discontinuing

Add Tamiflu 75 milligram twice a day pending influence that test result

56 y/o male patient who was found on the flow.

The patient has presented with a recurrent vomiting for last 3 days and recurrent scissors.

Patient feels much better and headache has notoriously decreased.

I think it is better to do a formal chest CT noncontrast to be sure there is no a tumor producing the obstruction considering his high wrist.

in to the emergency room complaining shortness of breath on mild exertion. Also at rest everything started this morning when he was having breakfast he start experiencing problems catching his hair .

PLAN: Continue with aggressive brain killer.

The patient has been 6 cents 3 days ago

  • Quote

    • Featured Replies

    New auto-transcription system:

    Pain is significant at times. Rest modifies his symptoms. She squatted her bed at work felt a pop in his knee and since that time as had significant symptoms.

    ***********************************************************

    XX is a 48 y.o. male resents to the office with a piece of right shoulder. Pain 5/10 on a constant basis. Patient had a history of one half months ago, showing in the yard hit a rock felt a snapping sensation.

  • Quote
    • Author

    Today:

    patient complaining shortness of debt

  • Quote

    gosh, I wish I had shortness of debt! I think...?

  • Quote

    Too funny...shortness of debt! This is a diagnosis I wish I had.

  • Quote
    • Admin

    I've seen quite a few humorous charting done by voice to text programs. Some of them are obviously issues with the voice recognition, some are probably influenced by accents, and some are obvious English as a second language issues. Some of my favorite with the voice recognition software is the last names that might be common words or similar to common words. For example, a certain chocolate company would be two words (female pronouns) instead of a single name.

  • Quote

    My sister is a transcriptionist, and she once called me to ask if it is possible for a client with double BKA to have pedal pulses. I told her that we may be surprised...

  • Quote

    I almost make this one error on a daily basis. In our computerized charting for care plans, I have to type what happened on my shift. Sometimes SHIFT gets typo-ed to SH*T :nailbiting:. Hopefully I have caught and corrected the errors I have made.

  • Quote

    I saw one with what looked like it was supposed to be in regard to a CT of the pelvis, except the note said Elvis. The Dragon capitalized Elvis!

  • Quote

    I saw one once where it was said the pt had c/o 'shuttering'; the pt had actually said 'shuddering' by which I took it to mean he had been shivering:sarcastic:.

  • Quote

    Under BM: Patient had a large brown stethoscope.

  • Quote
    Under BM: Patient had a large brown stethoscope.

    Ow. I'm thinking one might need a little topical lidocaine after that!

  • Quote

    I had a kid who was admitted for "accidental indigestion"

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.