Took me a sec to realize that a NURSE actually filled this out. I thought a family member did it.
Yes, I know that no one's perfect, but this just floored me for some reason. I know you can look at these and figure out what the girl was getting at, but, sheesh!
What are the worst clinkers you've ever seen on a chart, supposedly written by a medical professional?
And go ahead and flame me if you want to, it's freezing here!
I read an entry from a Dr. that said the Pt. had episodes of acute coffee :| I am assuming he meant coughing since it was a respiratory pt.
I for some reason googled the phrase "acute coffee" - and got over 1,000 hits! Sure, some of them were about an acute coffee crisis and most of the rest were research reports about acute coffee consumption/ingestion, with a few random sites I didn't click through ("Trafficking feels acute coffee for easily to two hours") and no clincial presentations of acute coffee...
I was going through an O.B. patient's chart last week and I had to ask another student to confirm what I saw written. Listed as her height was 4'12"!! I said, "Isn't that 5', or am I just sleep-deprived?" The student agreed that it was. We laughed about it, and so did our clinical instructor when we showed her the next day. AND it was written by a doctor!
I once worked with a nurse who said she was 5'13" because she didn't like the idea of being over 6'
I work in surgery and our admission history is filled out by the RN's in same day surgery. Daily thing are mispekked, one of my favorites is DNC, I know thats the way it sounds..... but come on
after the contracter doing roofing repairs on our metal roof cut his hand, he showed it to me and i drove him to the er. they sutured his hand and we returned home. he asked me a question about his discharge orders and i read his sheet. the er doc had written, "... with very gross bleeding." not "gross amount of ..." or something similar. i gave my best explanation of whay "gross" meant and that it didn't mean disgusting.
Recently, a patient came in after being injured while standing under an awning at work. The next day, I was reviewing the dictation, and it had been written as "Patient injured while standing under a can of beer at work."
I am also one that is bothered by the misspelling of "HIPPA", it's "HIPAA" people. Sadly, I wasn't surprised when I saw it spelled wrong in the preceptorship handbook of program. I'm picky about spelling (& penmanship), probably why my charting (still paper at some hospitals here) takes so long - don't want to misspell words nor have the charting look messy because of crossing out misspellings. My theory on doctor's penmanship = they write so sloppy so that no one can notice if they misspell :)
I work in surgery and our admission history is filled out by the RN's in same day surgery. Daily thing are mispekked, one of my favorites is DNC, I know thats the way it sounds..... but come on
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caeRn
75 Posts
"dubble breastectominy"
I thought this nurse can not be serious or stable. Does she realize what she just wrote!!! omg!