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Actual Charting by Doctors

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Me_in_cocceticut_max50

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Posted about 3 years ago

 


  • “unresponsive and in no distress”

  • “nonverbal, noncommunicative and offers no complaints” 

  • “irregular heart failure” 

  • “his Hct is stable but dropping”

  • “I don’t want to be incubated again”

  • Indication for CXR - “coffee bean emesis” 

  • “pt was apprehended and guarded”

  • “pulses are fixed and dilated”

  • in asking about code status - “do you want your wife to receive artificial insemination” 

  • “Findings compatible with ileus. Bladder is still in colon”

  • “be sure to check eyes and nose” (Is and Os)

  • Reason for leaving AMA - “pt wants to live”

  • “I had a kiwi on my chest” (keloid)  

  • “that bacterial virus is a doozy”

  • “noncompliant smoker”

  • Reason for office visit - “F\U chest rumbles”

  • “partial TAH”

  • Nursing notes in the ICU - “MD @ bedside attempted to urinate”

  • “titrate Tridil to pain” 

  • Indication for flex sig - “blood when whipping himself”

  • “chicken pops”

  • “if she wants children, think about recommending birth control pills” 

  • “holy systolic murmur”

  • “pt expired and was dc’d home” 

  • “Pt has looked cachectic for the past 3 days” 

  • “She diuresed pretty well. I gave her 40 of Lasix and she put out 2000 liters.” 

  • “My back has been hurting ever since they gave me that cauterizer.” (Foley catheter) 

  • discharge dx=nephrolithiasis; discharge instructions=”drink plenty of urine” 

  • “Her CHF got much better with diaphoresis” 

  • Plan - “gently dehydrate” 

  • “nursing home called for pt acting lethargic” 

  • chief complaint - “bazaar behavior” 

  • “GERP” 

  • “depakote shot for pain” 

  • “albeauty inhaler” 

  • “I follow him for his paranoia” 

  • allergies - “yes” 

  • Order “Please feed patient only when awake.” 

  • “Check orthostasis while on the floor” 

  • “She is to wear STD stockings” 

  • “nonaudible wheezing noted” 

  • “He is allergic to wives.” 

  • “No clubbing, cyanois, or extremities.” 

  • order: “Incentive spriometry Q 1 hour until awake.” 

  • “Her stomach showed 3+ edema up to the knees.”

  • “pneumonia left femur”

  • “2-4 packs of whiskey QD”

 

Wacky_cat_max50

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Rate This | Posted about 3 years ago

 

 “I follow him for his paranoia” 


 


Me_in_cocceticut_max50

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Rate This | Posted about 3 years ago

 

I'd like to be on this jury

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Rate This | Posted about 3 years ago

 

Very funny.....and scary! I always knew nurses were smarter than docs! LOL!

Me_in_cocceticut_max50

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Rate This | Posted about 3 years ago

 

And many chapters it would be..

Me_in_cocceticut_max50

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Rate This | Posted about 3 years ago

 

Imagine that for a moment.  I would buyone or two.