Charting Bloopers - page 40
Found in the History and Physical section of a patient's chart who had experienced visual hallucinations while ill: YIKES! https://allnurses.com/bb/eek.gif Angela... Read More
Dec 17, '09Joined: Dec '09; Posts: 1Quote from NVsGirloops just browsing and this user doesn't know what Kay Ciel is... ^_^Found in the history and physical section:
Patient is on IV D5 1/2NS with Kay Ciel 20 meq/L.
We got a kick outta that one! Oops.
and someone even agreed with her telling about another person
who used the term..Last edit by jaybenRN on Dec 17, '09
Feb 3, '10Specialty: 5 year(s) of experience ; From: US ; Joined: Mar '07; Posts: 654; Likes: 892Quote from Jay-JayI know this post is now more than 7 years old. However, I think it's very important that we all know that once a physician ordered for a patient to "suck balls 4 times a day"I think it's posted elsewhere on this site: the physician couldn't think of the correct name for the incentive spirometer, so he wrote: suck balls QID!
Yay for this thread and more than 500 awesome bloopers! Read and be happy!
Feb 3, '10Specialty: 5 year(s) of experience ; From: US ; Joined: Mar '07; Posts: 654; Likes: 892Quote from fiveofpeepNIIIIICE. The mystery of medical doctoring is solved. Defer to the nurse.one grumpy anesthesiologist wrote for a diabetic patient under orders "give her something" ... no scale or type of insulin specified... how classy
Feb 10, '10Specialty: 4 year(s) of experience in cardiac & vascular surgery step down ; From: US ; Joined: Feb '10; Posts: 9; Likes: 16Written on our Cardiologists Progress Note today: Pt has end stage constipation.
I kid you not!
Feb 10, '10Joined: Aug '03; Posts: 731; Likes: 473A very common abbreviation used at my facility is NAD (No apparent distress). We have a nurse that constantly charts " No NADS". I asked her one day why all of her patients were missing testicles. She gave me a confused look. Love her to death but....
Feb 11, '10Occupation: Dialysis Nurse Specialty: Dialysis ; Joined: Feb '09; Posts: 18; Likes: 26I work with a very sweet asian nurse who always charts that the patient has 4+ pitty edema. Having that much fluid in their legs, I feel sorry for them too.
Feb 12, '10Occupation: Longterm care nurse Specialty: 8 year(s) of experience in LTC, peds, rehab, psych ; Joined: Apr '07; Posts: 91; Likes: 102I have a few. I used to work with an RN who was constantly charting bizarre things. She at one time had to clean up a patient who had managed to get BM all over their body, and mostly on their stomach. She charted it as: Fecal material in Abdominal cavity...
She also one time wrote an order for Toxic water instead of Tonic Water for a patient who drank it for leg cramps.
And now I'm going to make fun of myself.
I work midnight shift, and when I have slow time, I will stock the charts with blank physician order sheets. I write the Patient name, room number, our facility name, and patient allergies at the bottom of each new sheet. Well I have a home cake business on the side, and apparently one night when I was stocking charts, I must have had a cake on my mind that I was going to do because I managed to somehow replace on the words in our facility name with the word "fondant". The bad thing is that I didn't catch it until the next week and the sheet had already been used to write new physician orders and had been faxed to pharmacy a few times. Nobody else had caught it, haha.
Feb 14, '10Occupation: Retired Specialty: 38 year(s) of experience in Women's health & post-partum ; From: OR, US ; Joined: Aug '02; Posts: 567; Likes: 176A colleague once told me of an order to "watch patient" (said patient was in congestive heart failure). As she said, "I had 30 patients that night with one aid. I watched him run down the hall, out the door and down the street ..." She called security who caught up with him 2 blocks away.
Thirty patients was a fairly standard assignment, with usually 3 total staff--but they weren't as sick as they are today--many if not most could be relied on to sleep much of the night.
Mar 25, '10Joined: Dec '06; Posts: 306; Likes: 272"Discussed with the patient dangers of living AMA..."
Apr 1, '10Specialty: Hem/Onc, LTC, AL, Homecare, Mgmt, Psych ; Joined: May '08; Posts: 501; Likes: 527OK I have 2 for you
An excerpt from a chart: "Pt c/o pain OU feet"
I had to tell the nurse that OU meant both eyes and not plain old bilateral
So, you know Ankle Foot Orthosis = "AFO"
After seeing "FAO boots in place" over and over I told the nurse FAO is the toy store,
AFO stands for something different!
We love our abbreviations, don't we?
Apr 2, '10Joined: Jan '10; Posts: 600; Likes: 1,268i saw where a PN student wrote, in a chart....Iv INFILTRATing as ordered.. hehe