She told us to just make up a weight, if a weight was missing. "Just look at what the patient weighed the day before and the day after and put something in, you know, common sense."
I can't. I won't.
I believe there is a line between right and wrong and the more times you cross that line, the easier it will be to cross it again. On a small scale, no body is being harmed by this illegal activity, but on a larger scale, we will pass joint commission by lying and in the long run this could maybe cause harm. I don't' know.
I don't directly report to her, so I'm not worried about her directly disciplining me. I am uncomfortable with performing the audits knowing she is going to go behind me and alter the medical records. I feel like I should tell someone for several reasons: 1) When she was instructing the two of us to alter the medical records, we were in an area where we could (and probably were) overheard by the Director of Medical Records. I suspect if he overheard her, he will report her and us, and I could be accused and it would be hard to prove that I didn't alter the records (the other nurse altered some of those records last night). 2) What else is she lying about and covering up? We have had a few suspicious deaths where the nurses notes from that shift disappeared and re-appeared written differently. (I end up reading the nurse's notes as part of my cushy RN desk job.) 3) I really hate knowing this, I wish she hadn't told me what she's doing because I have a big mouth and it's bound to come out someday anyway.
Who would I even talk to about this? Someone who is instructing others to make up vitals, pain assessments, ect, is probably so far gone that confronting her probably would only make her angry. I can't stand making people angry.
I can't stand moral dilemmas.