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

Inappropriate Charting

I try to be careful what I write in documentation about patients. My guiding principle is to "chart as if the patient were going to read it." Upon occasion, I have read documentation written by someone who is angry or disgusted or is a terrible speller or has no clue.

At one job, a CNA was told that charting "Patient had a BM" was not descriptive enough. Later that day the CNA charted on another patient, " Had a BM at 2 o'clock. It was brown, about a foot long and as big around as a broomstick." Sometimes you get just what you ask for. Do you have any charting gems?

  • Quote

    • Featured Replies

    • Admin

    Not so much inappropriate charting as a "What were they thinking?" scheduled surgery:

    Peritoneal craniotomy. Supposed to be parietal craniotomy. Obviously, our surgical schedulers don't take medical terminology. Or, we were going to do a crani through a very interesting approach. Or, the patient had his/her head up his you know what.

    But for other examples, here's a thread that's been going for the last 15 years.

    For some reason, the link isn't working for me. If you search for charting bloopers, it'll come up.

  • Quote
    • Author

    Thanks, that thread looks like a gold mine.

  • Quote
    • Expert

    Nope, good link to good thread. Thanks.

  • 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.