Reviewing MLP charts. FUN TIMES!

Reviewing my MLP charts for the last shift. Two MLPs under my "supervision" - 63 year old with knee pain. No knee exam, whatsoever. Just an x-ray and "discharged". No MDM. No nothing. - 23 year old with abdominal pain. Nonspecific exam, just "diffusely tender". No degree of tenderness, just "diffusely tender". No discussion about peritoneal findings. No inspection. CBC/BMP/UA and imaging all not imported into the chart; had to do that myself (Thanks, CERNER!) No repeat exam. Just... Reviewing MLP charts. FUN TIMES!
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Emergency Medicine Source Type: forums