Apr 12, 200521 yr written on a chart in an OB/Gyn's office:f/u ck upwas supposed to be: follow up check up (nurse who wrote it was notified)doc had to be notified of error since she also documented on page. :rotfl: :rotfl: :rotfl:
Sep 25, 20187 yr "She is walking with clutches on both side to support her."She must really like her purses! She carries two at once! (co-worker meant to type crutches)"She has intermittens throbbing pain..."Pain between the mittens?"As she gets up, urine comes out without her will."Coming out from where??"left a massage for call back"That just doesn't sound appropriate for patient care..."Smoking: 10 sticks for 25 years"I guess smoking sticks is better than smoking cigarettes? Maple or Pine branches anyone? "hospitalized for "uterus"" No details whatsoever. Never heard of someone being hospitalized for having a Uterus. Ingrown toenail pain documented under "ankle pain", (instead of foot pain) and patient experiences pain "when her nail is in her flesh"Description given by student who did not want to be there.
Sep 27, 20187 yr Experts Written by a Doc as an order: "Elevate balls between legs on 2 towels"I'm not kidding... We had to ask him the next day if he thought we would be confused as to which balls to elevate, or where to elevate them. :smackingfMaybe he didn't know "testicles" or "scrotum". Maybe he wasn't a real doctor. Or was awake too long?
Oct 3, 20187 yr First, I'll tell on an EM resident: "Return to ED for signs of infection...redness, fever, pu$$y drainage..." (This was an arm laceration!)Then, I have to tell on myself: "Pt c/o right wrist pain after admitting to 'overuse' during weekend..." (He had chopped wood, using axe/hacksaw/etc!)A nurse I worked with many moons ago wrote in the chart what the resident wrote. This was over 10 years ago. I am now a staff developer and when teaching charting techniques, I STILL use her actual note (with identifiers deleted and her permission of course) as a "how not to chart wounds." Ha ha ha.
written on a chart in an OB/Gyn's office:
f/u ck up
was supposed to be: follow up check up (nurse who wrote it was notified)
doc had to be notified of error since she also documented on page. :rotfl: :rotfl: :rotfl: