ATTENTION! TGN'S ANNUAL BEST AGENCY SURVEY IS LIVE. CLICK HERE TO TAKE IT!

By The Gypsy Nurse

July 3, 2019

17484 Views

ADVERTISEMENT

Beyond the Scrubs: Side Hustles and Passive Income Ideas for Nurses

Nurses Notes…Charting Errors

We have all been there at least once. Reading through the previous shifts charting, you’ve seen it. The nurse note charting error that makes you laugh out loud. When we are in a hurry or stressed, sometimes spellcheck isn’t enough.

OOPS! Moments

  • “Patient ambulates independently in hell with a front wheeled walker.”
  • “the patient may shower with assistants…”
  • “The patient was prepped and raped in the usual manner.” Found on Post-op patient chart
  • “Her pap smear was done on the floor.”
  • “Shortness of breath on excretion.”
  • “Patient lying in bed. Easily aroused” – the patient had a penile implant; easy mistake for a first-semester student.
  • “Scrotal dressing intact” – when last seen was a sacral dressing.
  • “Pedal pulses diminished” – which was reasonable, as both of the patient’s legs had been amputated.
  • “Patient nauseated but refused anti-emetics as he stated he’d feel much better if he could just get it up.”
  •  “Patient found this nurse in bed hot and diaphoretic.”
  • “Pt has been hospitalized for constipation twice within the last 60 days. Several tests were run, but nothing concrete came out.”
  • “Large brown stool ambulating in the hallway.”
  • The patient is awake and alert, with many visitors in bed.
  • “She was sick after coming back from the zoo as she had eaten too many penguins.” (Chocolate bars)
  • “The patient states that he has been feeling much better since he stopped drinking and going to church.”
  • “She is numb from her toes down.”

What nurse note charting errors have you found? Share your humorous finds in the comments below.


Want to be a Travel Nurse?

START HERE


Need some tips on Charting?

Leave a Reply

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab