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
) 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.
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.
Apr 22, '02
...let them know that you were there & saw everything. there was no one on the exam table during the emergency; how & or why could two people trained in using body mechanics be able to put their backs out...together. it's not like they lifted the table with a patient on it or anything...my question would be to them...if they injured themselves as they claim, have them demonstrate exactly how it was done.
once you talk with them & they realize that you're not willing to be a party to fraud..tell them that you'll step back to allow them to do the right thing & retract their claim...you know... as long as their back injury has a"sudden recovery" ...you won't report them. but if they play stupid...then you'll have no other recourse except to report them. i'm not sure if that sounds like black-mail or extortion :imbar but perhaps it'll be effective.
Last edit by SKM-NURSIEPOOH on Apr 22, '02