I've also seen secretaries staple a 5.25in disc to a covering letter.
Another instance (relatively harmlessly this time) one was instructed to copy a disc, did so using the copier. On to a sheet of A4.
Another one didn't know about saving documents. After typing up a letter she printed it then closed without saving. A few times she saw a mistake after typing up a long letter from the dictating machine, so had to re-do it from scratch.
All of these took place in a Kent hospital in the early 1990s.