このエピソードについて
Nurses! You Need this book! pick up a copy of "Chart Like a Lawyer" here: https://amzn.to/4guzGvz
We are reading some of the wildest things nurses and doctors have actually put in patient charts, from unhinged triage notes and direct patient quotes to dictation disasters, copy and paste mistakes, questionable physician comments, and truly chaotic documentation. Then it gets a little too real when we start questioning our own charting, how much nurses should actually document, and what happens when that medical record becomes legal evidence.
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The views and opinions expressed in this episode are those of Caitlin Armstrong and Karlie Tooley and do not represent the views, policies, or positions of their current or former employers, hospitals, healthcare organizations, or any affiliated institutions. This podcast is for entertainment and general discussion purposes only and should not be considered medical advice.
00:00 Why Nurses Love a Good Triage Note
01:47 This Is Definitely Not a Charting Lesson
03:16 The Wildest Notes From Medical Charts
04:21 When Physician Dictation Goes Very Wrong
05:39 Dark Humor Somehow Made the Chart
08:11 Heroic Notes and Questionable Follow Ups
11:22 Direct Patient Quotes Are Forever
14:00 Gen Z Has Entered Triage
15:27 How Much Should Nurses Actually Free Text?
16:40 When Documentation Becomes Legal Evidence
20:30 The Patient Quotes Nurses Never Forget
21:39 When Patients Make It Personal
24:13 The Blue Eyed Devil Story
28:02 Copy and Paste Charting Nightmares
31:15 Doctors Say the Wildest Things
