Would you do this for someone else? - page 2

by onthejourney 7,763 Views | 34 Comments

I'm a new grad. I just realized I forgot to sign off on a 0600hr g-feed that I gave. I just phoned and spoke with the nurse who came on after me and asked her if she could just put my initials beside it for me on the MAR. She... Read More


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    Quote from Fiona59
    Our computerized system has a code we can use for cases like this when we know a drug has been administered but not by ourselves. We simply enter the code and the nurse's who administered it's initials. The system then flags the nurse to co-sign it on her next shift.
    I would feel better with something like this. I would not sign my initials for it, nor would I sign someone elses initials for it. I would call the next nurse on shift to let them know I did give it,and then document it when I came back to work.

    I'm not real anal about stuff like this, but I don't document something that I didn't do as something that I did...just the way I was taught.
    SE_BSN_RN and IowaKaren like this.
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    I would not sign it with my initials, nor would I forge the other nurse's initials. I have put notes on paper mars that the med was given on previous shift. On computerized mars I select given and place a comment to show that it was previously given. Some meds you want to make sure that it's documented that they were given so pt doesn't get double medicated bc the nurse gave it but forgot to sign off on it.
    SE_BSN_RN likes this.
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    It's not being "dramatic" to say something is wrong. Putting someone else's initials on a legal document is forgery and falsifying a medical record. Y'all can make any excuse you want, but it's wrong, and, frankly, illegal. If you forgot to sign something, let someone know and sign it yourself the next time you go in.
    kbrn2002, CHAVNY, and KelRN215 like this.
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    I would not have asked them to sign for you, but to write a note that the feed was given, and that she verified it with you. Things do get forgotten...and sometimes you won't even remember it. So you did the right thing calling back. She did the wrong thing in putting your initials down. All she had to do is verify that they were given.
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    No, I would not sign someone else's initials. I would document that Suzy, RN reported that pt received his full volume of Nutren 1.0 at 1800.
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    Our electronic EMR has an option to "mark as done by other." When you sign it out, you select who did it. Next time they log into the EMR they get a pop up asking them to verify or deny that they gave the drug. It's a nice system. I've never used paper charting, so unfortunately I can't help you there. I do wonder if it's legal since there's an EMR equivalent, but obviously harder to verify that something was actually done on a paper MAR.
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    absolutley not
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    This would be considered falsification of the patient's medical record. A better method may be to wait until you return to make a 'late entry'; by intitialing the G-tube feeding in the MAR and writing "late entry'.
    jadelpn likes this.
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    No, I would not put the initials of a co-worker as documentation that a medication or feed was given. That's forgery and falsifying documentation. I would also not ask another nurse to forge my signature on documentation.

    I would write a note such as, "Verbal confirmation from J. Doe, RN- feed given @ 6:10am."

    If you know you are going to be back the next shift, you could also sign off on it then.
    Not_A_Hat_Person and CHAVNY like this.
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    Just to clarify, what I was talking about was those big huge MARs in LTC that have thousands of tiny little boxes to initial. If I'm working after Jane Doe and I notice that out of the hundreds and hundreds of tiny little boxes, she forgot to initial one prilosec or one glucoscan or
    something, sure I'll initial it for her as I'm initialing my stuff. Obviously she did it and just missed that box. It's almost impossible not to mis a box in a med pass that size. Now, if she missed ALL the meds for a resident, or there's no initials at all for her entire shift (yes, I've seen that) then that's another story. EMARS are also obviously different. Guess what, I also routinely fill in the last shift's med fridge temp log, too if they forgot. And I borrow meds from one resident if I run out of anothers. And I don't ask for the PIN number from family members calling about grandma when it's a granddaughter I've talked to every week for a year. And I give insulin shots in the dining room. So I guess I'm guilty of forgery, stealing, violating HIPPA and violating "dignity rules". It's amazing I still have a nursing license! I guess my coworkers, residents and family members only like me cause they don't know my deep, dark secrets.....
    SE_BSN_RN likes this.


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