Moral Dilemma

Nurses General Nursing

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I have a moral dilemma and I'm not quite sure how to handle this. Here is the situation:

On Wednesday last week, in our clinic, an elderly man coded. Naturally, the MA ran into the nurse triage room and called for some help. I was the first nurse to arrive to see this man basically aphasic in his wheelchair. The MD and I assisted him to the floor, could not find a pulse and began CPR. Soon the crash cart arrived, and several of our urgent care staff arrived. An IV was started by one of our triage nurses. At this point, I stepped back and allowed the other staff to take over (my background is L&D and have only been at this clinic for a year and have only coded neonates in my career :eek: ) I was standing behind the exam table and was basically cornered in there, but took the time to observe. The paramedics arrived and once they assumed care, we left as it was quite crowded in there.

2 days later, on Friday, I was in a supervisor's office about to interview for a new position. Before the interview officially started, the supervisor was talking with another individual (who I do not know) and was mentioning how 2 of the urgent care nurses are filing for workman's comp as they injured their back moving the exam table.

:eek:

At this point I flipped out because I was there the whole time and no one moved the exam table! I was behind it! Alot of people didn't notice me because I actually was behind one of the urgent care nurses! My dilemma is...do I report this obvious fraud? Or do I not? I have information that I am not privy to (their medical conditions of injury) so there is a confidentiality issue. I am at a loss on what to do.

If it were me I would go to the supervisor and tell her I over heard her discussing it. I would tell her that I was in the room, behind the exam table during the code and that I think she might want to interview more of the staff that was present. If asked point blank if I knew anything I would tell the truth.

In WA you can get WC for an occupational illness-including Nurses with worn out backs (just have to know to file it as such and not as an injury without a specific precipitating event event).

False injury claims make it very hard for people with legitimate injuries to get taken care of. I have gone through total s**t over my back for the past 9 years and it started off with the employers self insured workers comp carrier denying the claim...it took the testamony of my DON and ADON who were witnesses and rendered aid to win the decision. At one point I was told by the carrier that they didn't believe me or the doctors as we are 'all in it together'. 5 surguries later and they still give me a hard time over medication refills. (Hello people...if you don't pay for my meds you will be paying for time loss!)

Sorry, I just get pretty bunched up at the hint of a false claim.

-nancy

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