HI all. I'm working in home health doing infusion therapy and share a case with another nurse. We are to take notes q @ hours per agency policy and with this pt doing so is easy as we are changing infusion bottles q 45 minutes. Its albumin so we do vs and assessment each bottle change. Its an 8 hours shift, 4 hours of infusion. My fellow Rn did not do his charting for 2 days straight and wouldn't you know when I came on we had an emergency situation and I had no data for the the previous shift. I was able to keep pt stabilized until EMS arrived and fortunately the pt will be ok.
However my fellow Rn he became extremely defensive when I asked about his lack of notes . He told me he left a note that everything had been routine both days and his laptop had broken therefore he wasn't able to print his notes. I was flabbergasted as he could have left handwritten notes but I didn't even go that far w/ him since he was so nasty to me. I know he s going to type up the notes and insert them into the pts chart when he has the next shift. So the agency wont know about this since we turn in paperwork weekly. This is fraudulent to me.
My question is how should I approach this w./ the agency? They already know he he leaves shifts early and seem ok w/ him doing so. I'm afraid I'm going to be blacklisted for speaking up so its been 2 days that my mouths shut. Any ideas?