As seasoned EMS providers, we know how important it is that our documentation is clear, succinct and accurate.
Apparently, these folks didn’t get the memo.
Enjoy the following list of documentation goofs that we found, and list your favorite “writing mishap” in the comment section below!
1.The patient has been depressed since she began seeing me in 1993.
2.Patient had waffles for breakfast and anorexia for lunch.
3.Discharge status: Alive but without my permission.
4.On the second day the knee was better, and on the third day it disappeared.
5.Patient has left white blood cells at another hospital.
6.Patient was alert and unresponsive.
7.Patient has two teenage children, but no other abnormalities.
8.The lab test indicated abnormal lover functions.
9.Both breasts are equal and reactive to light and accommodation.
10.While in ER, she was examined, X-rated, and sent home.
11.The patient has no previous history of suicides.
12.Healthy appearing decrepit 69-year-old male, mentally alert but forgetful.
13.The patient is tearful and crying constantly. She also appears to be depressed.
14.She has no rigors or shaking chills, but her husband states she was very hot in bed last night.
15.The patient refused autopsy.