Charting Blunders Submitted by our Web Site Visitors
Section Editor Kevin L. Smith, RNC, MSN, FNP |
Medical Record Blunders
- Patient has a history of an atomic pregnancy. (as opposed to ectopic) — M. Bockerstette
- We will follow her eyes and nose with a foley catheter. — Jocelyn Ashton
- By the time he was admitted, his rapid heart had stopped, and he was feeling better. — NPInfo
- Patient has chest pain if she lies on her left side for over a year. — NPInfo
- On the second day the knee was better and on the third day it had completely disappeared. — NPInfo
- The patient has been depressed ever since she began seeing me in 1983. — NPInfo
- The patient is tearful and crying constantly. She also appears to be depressed. — NPInfo
- Discharge status: Alive but without permission. — NPInfo
- Healthy-appearing decrepit sixty-nine-year-old male, mentally alert but forgetful. — NPInfo
- The patient refused an autopsy. — NPInfo
- The patient expired on the floor uneventfully. — NPInfo
- Patient has left his white blood cells at another hospital. — NPInfo
- The patient's past medical history has been remarkably insignificant, with only a forty-pound weight gain in the past three days. — NPInfo
- She slipped on the ice and apparently her legs went in separate directions in early December. — NPInfo
- The patient had a rash over his truck. — Alicia Cook
- Dictation blunder: lasar radar response (as opposed to vagovagal response). — Alicia Cook
- On a medicare home care visit the nurse wrote, “upon arrival found patient in front yard raking leaves”. — Emily Giannattasio
- Patient’s catheter draining clear sputum — Heather Goodwin
Submit Your Own Charting Blunders!