They say "to err is human" and medical professionals are no exception. These are actual mistakes found in patient's charts. I think it's a combination of doctors who talk too quickly while dictating and medical transcriptionists who are in too much of a hurry. Either way they give us a good chuckle.
"The patient did not lose control of his vomit today."
"The patients was hyperglycemic with a blood sugar of 59, so I advised the nurse to administer some insulin rectally." (I wouldn't want this guy to be my doctor).
'The patient is a blackmail."
"The Heart is in the lungs and both are clear."
"The patient has deceased bowel sounds in all four quadrants."-poor guy!
"There were non-audible rales and wheezing bilaterally."
"The patient presents with irregular and normal heart failure."
"Patient is alert, oriented and deceased."
"The patient was observed to be laying comfortably in bed, but appeared uncomfortable."
"I have asked the nurse to continue taking the patient's orthostatic blood pressure while he is on the floor."
"Patient presents with a chief complaint of occasional, infrequent, constant ear pain."
"The patient has had a right Below the knee amputation, but has positive pedal pulses bilaterally."
"The patient does not have any psychiatric disorders. He is not psychotic or paranoid and denies hallucinations. He believes he is a special agent employed by the military." Um,Okay!
"The patient is married, with 3 children. No other abnormalities were noted."
'The patients lungs were auscultated. They were fixed and dilated."
"I have asked him to keep a diary of his menstrual cycle."
"The patient has several visible hemorrhoids on his face." Wait, WHAT??
"The child is an 8 year-old Caucasian male, of African American Descent." Well alrighty then!
"The patient's breasts were equally round, and reactive to light and accommodation." I'm sure they were buddy!
For more charting blunder click here 30 of the funniest things ever written on patient's charts
If you have any charting blunders you can list them below in the comments section. Happy Nursing!