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Old 05-28-2008, 12:11 PM
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Ron Ron is offline
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Talking Actual Hospital Chart "Bloopers!"

I can understand the hospitals' obsession with confidentiality. I have a feeling it has absolutely nothing to do with the actual patients themselves.



HOSPITAL CHART BLOOPERS
(Actual writings from hospital charts)

1. The patient refused autopsy.

2. The patient has no previous history of suicides.

3. Patient has left white blood cells at another hospital.

4. She has no rigors or shaking chills, but her husband states she was
very hot in bed last night.

5. Patient has chest pain if she lies on her left side for over a
year.

6. On the second day the knee was better and on the third day it
disappeared.

7. The patient is tearful and crying constantly. She also appears to
be depressed.

8. The patient has been depressed since she began seeing me in 1993.

9. Discharge status: Alive but without permission.

10. Healthy appearing decrepit 69-year old male, mentally alert but
forgetful.

11. Patient had waffles for breakfast and anorexia for lunch.

12. She is numb from her toes down.

13. While in ER, she was examined, X-rated and sent home.

14. The skin was moist and dry.

15. Occasional, constant infrequent headaches.

16. Patient was alert and unresponsive.

17. Rectal examination revealed a normal size thyroid.

18. She stated that she had been constipated for most of her life,
until she got a divorce.

19. I saw your patient today, who is still under our car for physical
therapy.

20. Both breasts are equal and reactive to light and accommodation.

21. Examination of Male reveals that he is circus sized.

22. The lab test indicated abnormal lover function.

23. Skin: somewhat pale but present.

24. The pelvic exam will be done later on the floor.

25. Patient has two teenage children, but no other abnormalities.
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  #2  
Old 05-28-2008, 12:23 PM
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Cindy Cindy is offline
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Re: Actual Hospital Chart "Bloopers!"

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  #3  
Old 05-28-2008, 01:29 PM
HeavenlyOne HeavenlyOne is offline
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Re: Actual Hospital Chart "Bloopers!"

I've seen a few bloopers written in charts where I've worked!!

A nurse I worked with showed me a blooper she'd done a few days before on a patient. She was supposed to write: "Resident was upset and combative. Several attempts to redirect behavior was unsuccessful. Resident finally taken to room to get laid down."

She forgot the word 'down'. LOL! Thankfully, she caught it a few days later and corrected it!

When I was working in the ER during clinical a few years ago, the hospital required that everyone coming in fill out a form with their name and reason for wanting to be seen. One guy wrote that his complaint was not breathing all day. We thought that was a problem.....LOL!

The hospital also would tear off the patient's names and had a notebook of funny complaints. Some of them I can't put here, but they had interesting names for body parts and what was wrong with them.....LOL!
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Old 05-28-2008, 02:32 PM
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Esther Esther is offline
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Re: Actual Hospital Chart "Bloopers!"

Humans aren't we amazing! lol
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Old 05-28-2008, 05:24 PM
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AmericanAngel AmericanAngel is offline
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Re: Actual Hospital Chart "Bloopers!"

#12, 17 & 18!

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