Using Creative Charting...

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Just wondering if there is anything that you have ever "creatively charted"? I had a pt awhile ago who had a SBO and had a projectile emesis. My charting went something like this... Pt had approx 500cc brown emesis, 200cc of which was collected in the emesis bag and the rest was distributed throughout the room". My coworker heard me chuckle as I was charting... I had to share!

Specializes in Palliative, Onc, Med-Surg, Home Hospice.

I had a pt fall out of his chair and land face first on concrete and tile floor. I was the nurse taking notes/giving orders, etc. At the top of my notes, I wrote "Resident face planted and hit lt side of face. Unresponsive. Dude didn't even respond to sternal rub"

I completely forgot that I wasn't going to transcribe this note, it was going in his chart. thankfully my DON and admin found it amusing.

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