Stupid Things People Document

I'm all for documenting RELEVANT things on our records, but I've seen some bizarre things being written down at times:

1) What number OR the patient was brought to

2) What fruit the patient is allergic to

3) "Patient's consent was obtained in holding prior to OR"

4) What size IV was started

5) "A full H&P was performed prior to OR"

6) "Patient has prior history of pneumonia." Yeah-25 years ago.

7) "Surgeon complaining patient's heart rate too high-I gave 15 mg of esmolol."

The...

Stupid Things People Document

Source: Student Doctor Network - April 14, 2017 Category: Universities & Medical Training Authors: soorg Source Type: forums