I saw some one chart on their assesment pedal pulses +2 on a bilateral amputee. Hmmmm. Wonder how they did that?

Walt, that is as good as the CNA who charted a dead women ate 100% of her night time snack.

I know what you mean by "follow the leader". I worked nights for 3 years and I saw it all the time. Whoever charted on 2nd shift charted the same exact way, even the mistakes. I always thought, "Why do they do that?". They must have more confidence in the nurse they are following than they have in themselves.

I read what a doctor wrote on a chart. Pt has been "dead for a while will evaluate at later date." How can you evaluate at later date? 

Nursejenny1310 says ...

I have one I have one!!!!!! Not a good one either. I saw someone chart that an admit had a new surgical scar. well healed. Well I go to check him and the man had 18 staples and an infected incision line. No flippen scar about it. It was fresh! Arggggg I hate lazy nurses. They can always do assessments from the desk! makes me mad!

I 100% agree with you on that one.  Or the nurse that charts they did a dsg change and it hasn't been changed in a week.

This is a true story.

A young GYN resident had been sleep deprived for the last 72 hours.  It was the end of his shift and I called him to come and examine a lady with new onset of vaginal bleeding S/P hysterectomy.  She had been admitted the day before for an unrelated reason.  She also was having some mental changes.

This is what he wrote in his progress note after he examined her,

"Patient with new onset vaginal bleeding, Pt, complaining that nurses have stolen her remote. 

Plan obtain labs in AM, Vaginal exam completed, remote found" 

We all were busting guts laughing at this poor doc.  He was so tired he didn't even realize what we were laughing at until we explained it.  He was TOOOO embarrassed.  Hehehehehehehehehehehehehehehehehe

prettykitty64 says ...

This is a true story.

A young GYN resident had been sleep deprived for the last 72 hours.  It was the end of his shift and I called him to come and examine a lady with new onset of vaginal bleeding S/P hysterectomy.  She had been admitted the day before for an unrelated reason.  She also was having some mental changes.

This is what he wrote in his progress note after he examined her,

"Patient with new onset vaginal bleeding, Pt, complaining that nurses have stolen her remote. 

Plan obtain labs in AM, Vaginal exam completed, remote found" 

We all were busting guts laughing at this poor doc.  He was so tired he didn't even realize what we were laughing at until we explained it.  He was TOOOO embarrassed.  Hehehehehehehehehehehehehehehehehe

 

That was too funny.... Loved it!

Krislyn says ...

I admitted a patient yesterday and his progress note from his doctor's office said, " Pt legally blind but wife still makes him do the dishes."

How funny can you get?  I just want to ask WHY     

haaa. I hope I am that lucky when i am old

 These are so funny. 

The first 2 are urban legends from a huge hospital in Maretta, GA...........I do know the doc, he looks like the type that would do this:

the same ER doc charted these:  FLK brought to ER by FLP.   <funny looking kid brought in by funny looking parents>

pt c/o flh      flh=fat lady hands

on the floor, bad/lazy charting:    Bedbound cva pt with restraints......................is up ad lib.

double amputee is also up ad lib

its a miricle! 

OMG!  These are hilarious!  I can't even begin!   Punctuation makes all the difference doesn't it?

Did the CNA assist with the BM? or being in the hallway?

smoxignal says ...

OMG!  These are hilarious!  I can't even begin!   Punctuation makes all the difference doesn't it?

Did the CNA assist with the BM? or being in the hallway?

 

We all had a big laugh but learned a lesson.

OMG!!! I can't stop laughing and it is 3am. My kid woke up and asked what the heck I was laughing at.

I have worked at a teaching hospital with a residents program. When you get those first year residents it is hilarious. One of them actually wrote in the progress notes to the attending physician " Please put the chart back or the nurses will get mad!" 

callbellcboy says ...

one of the sweetest, most caring human beings I ever knew was a doctor that I worked with on a rehab unit. We had a lot of CVA patients in addition to the ortho pts. She would always do a head to toe assessment, and then would ask her nurses if she missed anything.

Once we had a new admit, acute CVA, very mild, just there for observation really. He was 70 something and quite HOH. The doctor was very soft spoken. I was just doing his admission p/w while she assessed him. She kept having to repeat questions and even her loud voice was hard for him to hear. But, in her usual patient manner she persisted. Then she asked him "Do you have any numbness or tingling?"  "WHAT?" was the response. She tried again "DO YOU HAVE ANY NUMBNESS? NUMB - NESS?" He looked at her with this bewildered expression "What the hell kind of question is THAT? No, my nuts are not numb!" I had to hold the chart over my face and run from the room, and came back with a dry erase board so she could finish her questions.

I asked her later how she put that down in her progress note, but she just her threw pen at me.

She told me to never tell anybody, but of course the whole unit knew within 10 minutes. We had a lot of good laughs over that.

 

OMG, So Funny!!!

Reminds me of when I was working in an ER.  This old guy came in who had a laceration on his hand from trying to change the blades on his lawnmower.  He also was very HOH.  His wife was with him and was the one who gave us the history of what happened.

The ER doc walks in, pulls up his stool, getting ready to suture the man's hand.  The man's wife had just slipped out the the ladies room........the doc making conversation said, "so you were trying to get ready to cut the grass?"

The man looks at the doc angrily and says, "You don't even know me, why would you say I am already a pain in the ass!"