Top ten reasons for being fired - Falsification of Documentation - page 2

Falsification of documentation is number 6 on the list of 'Ten reasons why we get fired' Documentation is a large part of a nurse's daily routine; everything we do, say or plan has to be... Read More

  1. by   miasmom
    Ok. A thought. What if you know noss has a personal hated toward you and is looking for a reason? Other witnessed her threats with paper?
  2. by   madwife2002
    Can you expand more missmom?
  3. by   miasmom
    I did document a urine color what I saw. Others witnessed whar I saw was accurate. Later holds it up saying I saving this for your eval. Catches me slipping then gloats. Tries to tag me on attendance first.
  4. by   madwife2002
    Have you talked with her to ask why she has this problem with you?
  5. by   miasmom
    She refuses to speak to me. I know exactly why. I am human admit my mistakes. She will not. The whole favorites game. I have seen her set other up and other get away with much more. I am just glad I am not there and do not have to deal with it. Feel bad for those still there.
  6. by   miasmom
    How ever I am finding out that that whole unit is massive terminations and still bad reviews.
  7. by   Ruby Vee
    Falsification of documentation seems to be the number one reason nurses get fired after they've successfully made it through that first year of practice. For one thing, it's objective. I may not be able to prove that your attitude sucks, but I can surely prove that you charted that Colace as given at 0800 when you didn't even get it out of the Pyxis until 0901. And it's easy to find "false documentation" because we all do it. We'll chart the Colace as given as we hand it to the patient, only to have him drop it and have to go find another one . . . we'll chart that treatment we did at 1000 when it was due because the fact that we actually weren't able to get around to it until 1130 is somewhat fuzzy in our brain at 1900. And we'll chart our assessments hours after they were done because that patient who needed to be reintubated took up so much of our time. So if management is looking for a solid reason to get rid of a problem employee, falsification of documentation is a good one to go after.

    Years ago, I worked with a gentleman who would pull the curtains around his patient's bed, set his alarms tightly and then take a nap as soon as his patient went to sleep. Sometimes that nap lasted most of the shift. In the morning, he went into a frenzy of activity giving meds, doing treatments and charting. We all knew he did it, but none of us had cellphones, let alone cellphones with cameras. Electronic charting caught him out.

    Falsification of documentation is the reason given for termination when the nurse has been diverting narcotics and it's difficult to catch or prove. If you're charting that you gave pain meds and your patients consistently insist that they didn't get them, you're vulnerable. I've known several nurses that were terminated and went straight to drug rehab.

    For the most part, management is able to overlook the occaisional Colace, treatment or assessment charted incorrectly. But you'd better make the effort to make your practice solid, and that includes charting your treatments at the time you did them.
  8. by   miasmom
    That is exactky what I am saying. I know I was preventing a fall. I see so much going on in that unit that I amso glad to be out of there. Thet was asking us to do things we are not allowed. I have the proof of that. I was so close to a transfer.
  9. by   0.adamantite
    Thanks for the advice. I am going to do my best now to charge when I did something at the time I did it. It's so hard though when you're pulled in a million directions, particularly at the beginning of the shift which is when I do most of my head-to-toe's.
  10. by   RNikkiF
    I worried about that myself when I was giving scanned medications!
  11. by   tonyfaith
    what can the organization do if this happens??

    while a patient received an antibiotic for two days, the nurse charted nothing unusual. yet, on the third day the patient had an acute episode of shortness of breath and chest pain and died later died that same day. at the time of death documentation revealed that the patient had a dark red rash on his chest. An investigation into the cause of death was conducted and all the nurses who provided care during the three days were interviewed and asked whether they had seen the rash prior to the patient's death. none of the nurses remembered the rash. however, one nurse wrote a late entry for each of the first two days that the patient was receiving the antibiotic stating that there was no rash on those days. this is an incorrect late entry. her statement is part of the investigation conducted after the fact and was not omission from her original entry.
  12. by   FNCs
    Here is another useful article about documentation errors: