Hi there to all out there! First let me say that I have been viewing this website for quite some time and have learned quite a bit from you all but I have a question that may create some buzz.
I am currently a nursing student with one more year to go (thank goodness) and work as a PCA at a hospital in Houston, Tx. When I arrived to work the other night, I learned that computer system was down and would not be back up until morning (12 hours with no computers, it was a madhouse!) I had taken vitals for 16 patients but was unfamiliar with the hand charting process so it took me a little time to document the vitals. Well when I got to my last 6 patients, the vitals had already been charted...but they were not the values that I had, they were completely opposite.
I went and asked the RN about the vitals that were noted and she looked at me like I was stupid and didn't answer me. At least two patients had temperatures that were in the low 100s but she documented them and 98F!
I felt like if I was taking too long for her then she should have either told me or showed me how to use the form (I had never seen it) or either come and asked for the vitals but not record numbers that were not accurate, the many what-ifs popped into my head.
Not wanting to start anything I didn't say a word but I really feel that false documentation is not a good example for someone like myself who is currently going through nursing school.
What do you all think?
Dec 7, '06
ahhh... I hate to out-right say this, but if you ever work in LTC you’ll see nurses do this a lol (if she actually did fake the vitals) I wouldn’t recommend it, I’m no ‘whistle-blower’ but I’ve actually reported people for doing it. The reason they are called ‘vitals’ is because they are VITAL..... I can’t stress that enough.
Also, she could really get into quiet a bit of a trouble falsifying charts. My aunt actually got caught falsifying blood sugars; her license was suspended for 6 months, and she now works under a disciplined license (some employers wont hire you with this on your license.) It prevented her from going on to get her RN, she applied to two different programs and both denied her acceptance because of this.
Last edit by cant_not on Dec 7, '06