False documentation... more common than you think. - Page 7Register Today!
- Apr 28, '12 by tokmomWe scan our meds and our charting is computerized. It documents when we pass meds and do notes, so no hiding anything.
- Apr 28, '12 by BonnieScQuote from ohiostudent'RNWhy do you use the phrase "creatively charted" instead of "lied"? And what makes you think so? I have never had any reason to lie. NOT because I never make mistakes.I would be willing to bet a million dollars of money that i don't have, that EVERY SINGLE ONE on this thread has creatively charted... so just STOP with the hypocrisy!
- Apr 28, '12 by psu_213Quote from ohiostudent'RNWhat the heck does 'creatively charted' even mean? If it means falsified documentation, then, no, I have not done it.I would be willing to bet a million dollars of money that i don't have, that EVERY SINGLE ONE on this thread has creatively charted... so just STOP with the hypocrisy!
If it means do an assessment at 0800, chart it at 1200 (but timed for 0800) then, yes, I have do that. I don't credit myself with any creativeness, just charting at the time something was done.
Probably not a wise bet to make.
- Apr 28, '12 by sapphire18Nope. Never once have I falsified a chart. Sorry.
- Apr 28, '12 by mindlorQuote from Teacher SueWell,No, it is not a personal affront, it is an observation. In several threads, you have stated that different issues are due to management's refusal to staff appropriately. This leads me to think that you believe all managers and administrators are greedy and evil. Yes there are some power hungry selfish administrators, but this is true in any profession. Most managers and administrators do care about patients and staff. But we are forced to function within constraints applied by state and federal governments and regulatory agencies that require more documentation and that we meet stricter standards of care. With ever decreasing reimbursement and higher acuity patients, it is becoming more difficult to provide good care and remain fiscally responsible. It is very frustrating to see staff struggling to meet patients' needs. This is why I spend most of my mornings on the unit helping with care, then stay until six o'clock every night to complete my administrative duties.
Long before I went to nursing school I went to management school and hold a degree in management. 1st day they taught us that if there was a problem on our team, it was our responsibility......
That can be read as yes, every problem is a management problem. That does not mean the manager is a bad manager, it means it is their responsibility to fix the problem.
Its none of my business of course, but I would be interested to know if you are employed by a for-profit or not-for-profit facility....
At my facility a lot of people need to be fired....sadly many of them are chums with the nurse manager........so what we have now is good nurses transferring off the floor or simply walking......
At my facility staffing is horrible, pts are treated like cattle and it is a management problem......I hope and pray your facility is different......
Please note that I do not get paid by my facility, it is where I am doing my preceptorship.....
- Apr 28, '12 by Old.TimerThe discussion is meaningless without some sort of consistency in use or agreement/understanding re definition for "false documentation".
It doesn't make a lot of sense to compare someone fabricating blood sugars, vital signs and weights (which is where this thread started) to a duly noted three hour time lapse between performing a timely assessment and documentation of the findings.
- Apr 29, '12 by Old.TimerQuote from mindlorthe fly in the ointment is this……..well,
long before i went to nursing school i went to management school and hold a degree in management. 1st day they taught us that if there was a problem on our team, it was our responsibility......
that can be read as yes, every problem is a management problem. that does not mean the manager is a bad manager, it means it is their responsibility to fix the problem.
at my facility staffing is horrible, pts are treated like cattle and it is a management problem......i hope and pray your facility is different......
please note that i do not get paid by my facility, it is where i am doing my preceptorship.....
more often than not, in the healthcare industry, administrators and board members determine the organizational goals, priorities, and budgets etc; not managers.
based on the confines of that framework, managers then make division level decisions on budgets/policies/programs/staffing etc.
if senior administration does not identify something as a problem, it is not a problem . what you are now observing is not an aberration, it is more the norm than not in this field.
staffing concerns, and the resulting consequences, rarely make it to the priority problem list.
- Apr 29, '12 by bagladyrnQuote from ohiostudent'RNYou do not know me nor do you work with me (or I'd assume most of the other posters here) so I'd suggest you refrain from stating what you think I or they would do as fact and accusing us of hypocrisy.I would be willing to bet a million dollars of money that i don't have, that EVERY SINGLE ONE on this thread has creatively charted... so just STOP with the hypocrisy!
Speak for and be responsible for your own actions only.
- Apr 29, '12 by CapeCodMermaid
If you are still a student, I'd suggest you lose your holier than thou attitude quickly.
I don't lie and I don't falsify medical records....ever.
- Apr 29, '12 by Horseshoe