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- by nurseruby Jul 28, '12Because there have been so many "holes" (missing initials on MARs), our DON has established a new policy that if a nurse forgets to initial a med or treatment given,
that nurse AND the nurse who worked right after her
would both be written up! The outgoing and oncoming nurses are supposed to stand there together and look through the whole MAR while the outgoing nurse checks for holes, then both nurses have to sign this daily. The main trouble I'm having with it is ----how can I be responsible (& written up) if another nurse won't initial her work ?? This just doesn't seem legal. Are they just trying to scare us and don't actually intend for the oncoming nurse to be written up along with the outgoing nurse? Crazy!!!!
- Jul 28, '12 by lifeisgood2012I didn't know being written up had something to do with the legal system - I guess someone else can chime in on that one.
In the limited amount of time I have worked in LTC I have come to find that being written up,, at least at my facility,, does not carry a lot of weight. Maybe ask the DON, especially if it is bothering you or if you do get written up, the same question you are asking us - about how is it that you should be held responsible for another nurses behavior.
See what she/he says.Last edit by Esme12 on Aug 3, '12 : Reason: formatting
- Jul 29, '12 by SparrowhawkI don't understand why they would the nurse right after her, possibly because she didnt catch the whole and flag it?? Or they could just be threatening *shrug*
- Jul 29, '12 by adriane192I agree with Sparrowhawk- it sounds like the write up is for not catching the mistake and getting it corrected before the prior nurse leaves.
- Jul 30, '12 by SP1CEGRLthis policy doesn't seem like it will last too long.......i wouldn't worry about it too much.
- Jul 31, '12 by Asystole RNI would imagine that the nurse following would only be written up if that nurse did not catch, and bring to attention, the missing documentation for the patients that the nurse takes responsibility for. If the following nurse brings the missing documentation to the attention of the previous nurse and that previous nurse does not correct this then it would be the responsibility of the oncoming nurse to either take corrective action and/or report this to someone of authority.
When I receive patients from the ED or other units I do not get a free pass if I do not receive the patients chart, labs, or consent. I must personally take action to correct the missing documentation.
- Jul 31, '12 by LindaB73Quote from BrandonLPNExactly!!!Legal? Yes. Stupid? Yes.
I would laugh my butt of if my management came up with a gem like this. I wish they *would* try to make both nurses go over the whole effing MAR looking for holes. The fireworks would be amusing.
- Aug 1, '12 by CapeCodMermaidWhen I worked for the big K, we were supposed to go through the other nurses' MAR before end of shift to make sure all the meds were signed off. It lasted less than 2 weeks. And, to top it off, the DON and ADON would call all the managers to the conference room for "signing parties" where they expected us to sign someone's initials in every blank spot. I was one who wouldn't even sign off an A&D on the treatment sheet if I hadn't personally applied it, so you can imagine how eager I was to falsify medical records to make them look good.
I have never asked any nurse working for me to sign her/his initials to something they haven't done.