Seasoned Nurses Looking To Tattle?

Nurses Professionalism

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One of the nurses on my unit can be a bit overdramatic, so I've learned to take everything she says with a grain of salt. That being said, she once told me that several of the more seasoned nurses often look through everyone else's charting (assessment, notes, etc) to nitpick for mistakes and bring it up to management. I kind of brushed that comment off, because no one had ever said anything to me about my charting.

Until last night. It turned out to be a misunderstanding on the other nurse's fault, my charting was actually correct, but it kind of irked me that she looked for it anyway. I totally understand looking at other nurses' charting to see a timeline of events, but now I'm a little nervous about charting. Which is dumb because apparently these other nurses have always done this and I've never been approached about it by anyone, management or not, until last night - and I ended up being right anyway.

Any thoughts?

A strange thing about the constructive criticism comment that SionainnRN made, is the nurse who gets all flustered when you pointed out something s/he missed, when all you are doing (besides correcting the situation) is trying to keep them from getting into trouble. When I encounter this kind of attitude, I always find myself wanting to reply, "So, you would prefer I bring this directly to the attention of the supervisor?" And then, they still act flustered.

Specializes in Peds, Tele, ICU, ER, Orthopedics, Psych,.

Hi SionainnRN,

Maybe I missed something, but I thought the OP clarified in her second post in this thread that she was giving report to the nurse receiving the patient, so in that case, the nurse had every right to peruse the notes. I agree that nurses or healthcare workers who are not caring for the patient (except for the case of the charge nurse, director, or QA/QI staff) should have no business in the chart. I also think I would rather have the nurse who is relieving me let me know I am missing something, rather than directly from the nurse manager or director.

Specializes in Emergency Room, Trauma ICU.
Hi SionainnRN,

Maybe I missed something, but I thought the OP clarified in her second post in this thread that she was giving report to the nurse receiving the patient, so in that case, the nurse had every right to peruse the notes. I agree that nurses or healthcare workers who are not caring for the patient (except for the case of the charge nurse, director, or QA/QI staff) should have no business in the chart. I also think I would rather have the nurse who is relieving me let me know I am missing something, rather than directly from the nurse manager or director.

You are correct, I guessed I missed the second post. If the nurse was taking over the pt they absolutely had a right to look through the chart and ask for clarification.

I've worked at 2 places where the nurses have done that. They tattle to make themselves look better. But, when it's done to them they are very defensive & then go for blood. It's like high school all over again!

Specializes in medsurg, progressive care.

Being new, I wasn't sure what the deal was / if this was allowed. I know charge nurses, preceptors, other disciplines (RT, MDs, PT/OT, etc) look and managers, but I wasn't sure if another nurse who was looking for the sake of looking, not because it was her job as a preceptor/auditer, could actually get someone else in trouble. But like I mentioned, she had misread something and my charting was actually totally correct, so nothing came of it. We had a good conversation about it. I think a lot of new grads have anxiety over charting / mistakes / losing their licenses. It was drilled into me in nursing school that every little mistake, no matter how small, could cost me my license which, if you read the AN boards a lot, seems to be a common misconception amongst new grads.

Again, thanks everyone for the responses!

Specializes in Emergency Room, Trauma ICU.
Being new, I wasn't sure what the deal was / if this was allowed. I know charge nurses, preceptors, other disciplines (RT, MDs, PT/OT, etc) look and managers, but I wasn't sure if another nurse who was looking for the sake of looking, not because it was her job as a preceptor/auditer, could actually get someone else in trouble. But like I mentioned, she had misread something and my charting was actually totally correct, so nothing came of it. We had a good conversation about it. I think a lot of new grads have anxiety over charting / mistakes / losing their licenses. It was drilled into me in nursing school that every little mistake, no matter how small, could cost me my license which, if you read the AN boards a lot, seems to be a common misconception amongst new grads.

Again, thanks everyone for the responses!

But if she was taking over the pt why wouldn't she be allowed to look through your charting?

Specializes in medsurg, progressive care.

I'm talking about the bigger picture - this nurse is apparently known on my unit for going through other nurse's charting, even on patients that are NOT hers. The part of my charting that she was looking at was not something that she needed to be looking at, as it was something I mentioned in report, but like I said in an earlier comment I have no problem with her looking at my charting if it's her patient. But other nurses have gotten reprimanded for charting errors that this nurse brought to the attention of my manager, on patients that were NOT hers. If I transfer a patient to stepdown or ICU in the middle of the shift, it would be wrong of me to continue to access their EMR, wouldn't it? Or to access the chart of a patient I had last week that someone else is taking care of tonight?

I freely admit to looking at the daily assessments / notes that other people wrote on my patients. The "mistake" that she thought she discovered was something that she was actively looking for, not a mishap that she happened to notice while browsing my charting. I honestly do not believe that she was looking at my charting just to see, her tone and the way she approached me about it indicated to me that she had been searching for errors (not information).

Specializes in Emergency Room, Trauma ICU.
I'm talking about the bigger picture - this nurse is apparently known on my unit for going through other nurse's charting, even on patients that are NOT hers. The part of my charting that she was looking at was not something that she needed to be looking at, as it was something I mentioned in report, but like I said in an earlier comment I have no problem with her looking at my charting if it's her patient. But other nurses have gotten reprimanded for charting errors that this nurse brought to the attention of my manager, on patients that were NOT hers. If I transfer a patient to stepdown or ICU in the middle of the shift, it would be wrong of me to continue to access their EMR, wouldn't it? Or to access the chart of a patient I had last week that someone else is taking care of tonight?

I freely admit to looking at the daily assessments / notes that other people wrote on my patients. The "mistake" that she thought she discovered was something that she was actively looking for, not a mishap that she happened to notice while browsing my charting. I honestly do not believe that she was looking at my charting just to see, her tone and the way she approached me about it indicated to me that she had been searching for errors (not information).

It sounds like you were already biased against this nurse before this incident. But honestly if I'm taking over a pt it's well within my right to go through the charting as I see fit, not as you see fit. If I need clarification on something you may see it as nit picking when it's not. It's all a matter of perspective.

As I've said before, if she wasn't taking over your pt that's a completely different story and a possible HIPAA violation.

Once worked with a nurse who did this kind of thing. She also took it to another level in that she actively "created" errors for other nurses and then reported said "errors" to administration. The other nurses warned each other of her behavior and complained that no one wanted to take report from her, nor give report to her. This all backfired on this nurse when she was fired after the incident where she went into the room of a resident assigned to another nurse, and that resident subsequently died from the "mistake" that she attempted to blame on the assigned nurse. Whenever one identifies such a coworker, it is best to put up one's guard and join the others in watching out for each other.

Not a "bias against" someone, but a head's up....there IS a difference, you know...

Specializes in Cardiac, ER, Pediatrics, Corrections.

I agree, it's understandable for a preceptor to want to check over your charting. I'd be open and okay with this. However if it was a staff nurse that had nothing to do with me except to nitpick, I'd be a little angry. I do not feel this is appropriate.

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