discovered and reported falsification of VS

Nurses Safety

Published

Hello Nurses!

I need to vent and am interested in others' experiences... Yesterday, as I went to administer a BP med around 1600, I checked the patient's VS machine history and the last set of VS was taken at 0805. Now I specifically remember checking the electronic chart around 1230 and seeing a full set of VS documented for 1200 by my CNA. I re-checked the e-chart and confirmed that noon VS were entered. My heart sank! I printed off the VS machine history and showed my CRN, too P.O.'d to confront the CNA myself in a professional manner...took my first break of the shift (I work 7-1930, was super busy) while the CRN spoke with the CNA. The CNA proceeded to interrupt my break to chastise me for not asking her about it before going to my charge and then offered me a BS line that she took her assigned noon VS manually "for practice" because in her last review the manager said she needed more practice... YEAH RIGHT!!! I pointed out that she sure as hell didn't take the temp or SAO2 manually, so where'd she come up with those numbers????? As I expected, she couldn't explain that and walked away... I only managed to sit in the break room for a couple minutes before I was compelled (by a sick icky feeling) to go check the chart and VS machine of my other patient she was assigned to... Same ******* thing!!!!!!! GRRRRRRR. I called my RN manager @ home on her cell phone to report the CNA. My manager stated that the conversation the CNA alluded to where our manager asked the CNA to practice manual BPs never occurred... At my manager's request my CRN and I initiated a check of every single patient's chart this CNA was assigned to that day....UGH :mad:

Unfortunately, this CNA is quite popular with a lot of the RNs, to the point that many of them hang out socially. The unit is quite clique-ish, and I am anticipating that I am going to get a lot of "poop" for turning her in, as she will be fired, I'm sure. Already, some people are taking her "side", like I'm just trying to get her in trouble! I am in no way regretting reporting her. My first responsibility is to my patients. :nurse: While I would love to be well-liked by my peers, and generally am, I'm not there to be everyone's buddy. What she did is unethical, dangerous for the patients, and makes me wonder how long has she been doing this? How many patients have been medicated based on her false data? It makes me wanna scream!

Anyone else been in a similar situation or have any advise for me? :confused:

I work with a patient who has requested that only two nurses come to their home. Every time I take their blood pressure I get high numbers, this other nurse consistently documents 120/80 or 122/78, always something very close to "normal". One time the patient said "oh, __insert name here__ didn't take my blood pressure the other night" so I look at the chart and sure enough I see 120/80. *sigh*

It's disgusting that anyone could "take her side". If one of my nursing school friends who I also hang out with socially did this then it would be friendship OVER. Not for a petty reason either, I cannot associate with someone who would knowingly endanger someone's life. And that is exactly what could have ended up happening.

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