A coworker persistently falsifies fingerstick data. Yesterday evening on her shift she had 6 fingersticks. There were only 2 recorded fingersticks in the glucometer. All data entered for patients was fictitious. One resident is at our facility because of her uncontrolled diabetes and this nurse doesn't even check her blood glucose levels or has checked it and gotten a reading of 510 and entered 310 on the MAR.
DNS was informed via email and responded to me more than 3 weeks ago. I have sent her probably 7 emails over that time frame outlining the issue. The same nurse is passing meds that are scheduled for 4:30pm at 12:30am. 8 hours late. 3 Weeks and nurse still working and continues same behavior.
I sent this email to DNS this morning. Names were changed.
Francine,
]Evening of 8/19/14 between 3-11pm there were only 2 recordings on the glucometer. 3:54pm 409, 3:27pm 193.
]Smith has 2 finger sticks recorded in the MAR 198 & 249.
Jones 184 recorded
]Roberts 156 recorded
]Johnson 206 recorded
]Taylor 192 recorded.
]
]2 Readings recorded on the glucometer but 6 fingersticks recorded for residents in the MAR.
]
]I am confident that the glucometer records all fingersticks taken.
]
]Fingerstick readings remain for an extended period even if the batteries are removed/replaced.
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]It seems strange that whenever someone besides Norma works in the evening Smith's blood sugars are in the high 300's low 400's & Johnson's fingersticks are much higher when someone else is working. Furthermore would it not seem coincidental that Johnson's finger stick on both 8/14 & 8/15 is exactly 200 and on 8/18 her HS blood sugar was recorded on the morning of 8/19 at like 12:30am with a reading of 206 and the next day 8/19 her blood sugar was also 206? Should the 3-11 nurse still be working the floor at 12:30am?
]
]The unit is down 4 beds and has relatively stable residents at this time.
