Written up for false documentation... - page 6
i work in ltc and today i was written up for false documentation. i documented in the tar that a treatment was done when it wasn't. when questioned by the supervisor i admitted that i did not do the... Read More
Mar 25, '12Quote from kakamegamamaOnce again, I take full responsibility and do not make excuses. I don't think they are out to get me at all. I'm moving on and that is all that matters. I'm at peace with my decision.OP--while I recognize the awfulness of your situation, you DID contribute to it, so please, consider that. You CHOSE to not document correctly, and no matter how many patients we have/busy we are, that is not truthful nor good nursing practice. Neither is documenting that we DIDN't do something that we did. You said you have been written up 5 times. It's not a matter of them being out to get you, but perhaps a matter of you examining the "why" of being written up those 4 other times and if there are opportunities form learning/relearning from those. Hang in there, keep your nose clean, and press on.
Mar 26, '12I have been a Hospital Corpsman in the U.S. Navy for 6 years, and an L.V.N. in California for 6 almost 7 years now. Yes I am a pre-nursing student, I am finishing up some pre-req's for, so I guess that means in your books "hey_suz", I am not smart enough to know not to falsify my charting?!?!?!?!?!?!? I am sorry NurseLoveJoy88, what you did was WRONG!!! YOU LIED!!!!! Good to see you are brave enough to admit your mistake, but it was stupid in the fisrt place!!! Also since you were written up five times in such a short time frame, you should actually be thanking your supervisor for not just firing you earlier instead. I am glad you gave a PRN notice, because the way the picture is painted, you would have hurt someone soon enough!
Mar 26, '12Quote from whatever...Now that seems a little overkill. Nothings been mentioned about the intelligence of students or LVN's, that appears to be a misunderstanding on your part. Students lack experience not intelligence. She admits her errors and I don't think this thread is for hauling people over the coals but support and sound advice in my personal opinion anyway.I have been a Hospital Corpsman in the U.S. Navy for 6 years, and an L.V.N. in California for 6 almost 7 years now. Yes I am a pre-nursing student, I am finishing up some pre-req's for, so I guess that means in your books "hey_suz", I am not smart enough to know not to falsify my charting?!?!?!?!?!?!? I am sorry NurseLoveJoy88, what you did was WRONG!!! YOU LIED!!!!! Good to see you are brave enough to admit your mistake, but it was stupid in the fisrt place!!! Also since you were written up five times in such a short time frame, you should actually be thanking your supervisor for not just firing you earlier instead. I am glad you gave a PRN notice, because the way the picture is painted, you would have hurt someone soon enough!Last edit by Gold_SJ on Mar 26, '12
Mar 26, '12A nurse in the LTC facility I was trained in as a CNA resigned shortly after an incident that happened on the evening shift I worked one night. Let me mention that this was a very competent caring nurse I'll call K and what happened I don't blame him for at all. I got report that one of my residents was not feeling well and didn't get up for lunch. First thing I did after report was check on her; I was alarmed to find her resps were 44 and she was satting at below 88%. She was semi-conscious and practically panting. Apparently no one was checking her vitals because she wasn't on the vitals list. Quickly I interrupted nurse's report -- a very big no-no unless it's an emergency of course. When I stepped in the room to tell them what was happening, they just stared at me as if I was some kind of bimbo that didn't know how to count resps...(I was still a new employee there) -- I offered...please someone go check on her to make sure. K was just getting off shift at the time but he wanted to see for himself. He confirmed what I noted and the resident was immediately admitted to the hospital with pneumonia. Later he came to me privately saying "Good call" and shook his head sadly as he continued, "I was just in there 20 minutes before you came and told us what was happening and I somehow missed this. When you are one nurse responsible for 32 patients, this is what can happen." Last I heard he was working at the local university in Student Health Services and totally loves his job there. There's a lot of good advice on this forum, and what I keep hearing is don't stick around in a facility that isn't supportive of their employees but rather makes them put their own licenses at risk.
Mar 27, '12You would have gotten kicked out of nursing school for falsifying care. That is a serious offense.
Mar 27, '12Thank you for all your support, encouragement and opinions. I guess I'll go somewhere so that I can be stoned to death. I'm such a terrible nurse! Who is willing to throw the first stone?
Mar 27, '12I don't think anyone here (ok, the exception of a few) was implying you are a terrible nurse. You have been given support and constructive criticism throughout this thread. However, with that also comes some strong opinions. Hopefully, this was the wake up call you needed. I wish you luck in your next career venture.
Mar 27, '12Quote from NurseLoveJoy88NLJ88, please know that some of us do believe in the culture of safety and transparency, where we support each other and do try to figure out how to do this nursing thing better.Thank you for all your support, encouragement and opinions. I guess I'll go somewhere so that I can be stoned to death. I'm such a terrible nurse! Who is willing to throw the first stone?
I worked one day in a LTC that I thought would be awesome, and it turned out to be a lot of backbiting among the staff...CNA's yelling at each other about towels left in the shower room...it was such an angry place. People that write each other up about minor stuff, rather than working together to support a better culture, can be a big part of the problem.
Since you came here looking for answers, I suspect that you really do strive for excellence. There were some very good advices here. Cape Cod Mermaid speaks from experience as a culture-changer-for the better, and there was one other poster who mentioned just circling tx not given "bam you're good," I forget who that was, but that was very good advice. Of course errors in charting are never good. But none of us has never made an error. Figuring out what happened is what makes us all better.
Mar 27, '12there's a difference between writing an addendum to an incomplete or erroneous record (an acceptable action) and "falsifying." i hope you know what that difference is, and how it's done properly.
Mar 27, '12nurselovejoy, over time, you have shared a number of brow-raising stories that have concerned you.
i have already pleaded my case with you...
and yet, you walked away basically stating "i'm staying because i'm a darn good nurse."
and so, i ask you - what is it going to take for you to see yourself as hazardous and deleterious to nsg?
while no harm has come to a pt, it's just a matter of time.
you are playing a dangerous game of russian roulette, with your pts and your career, as the sacrifices.
and so, i am concerned that you are not acknowledging the gravity of the situation.
we would all love to see you succeed, w/o a doubt.
what steps can you take, to ensure efficiency, and safety?
i am sorry that i cannot sit here and feed your fantasy about just continuing on.
surely, it is only a matter of time before someone/something gets seriously hurt - your career or your pts.
i would love to see you become proactive and work this out.
i mean that most sincerely.
Mar 27, '12Quote from NurseLoveJoy88This thread isn't about throwing stones. It started with your concerns that you might (if not now, then at some point) be reported to the BON.Thank you for all your support, encouragement and opinions. I guess I'll go somewhere so that I can be stoned to death. I'm such a terrible nurse! Who is willing to throw the first stone?
Your initial post contained two problems. The first is your own admission of making mistakes on the job. The second is the unsafe and inconsistent approach of the facility. While you could well be right in thinking that you need to get away from this job because the place itself is problematic, you can't escape the fact that, wherever you decide to go, you'll be taking yourself along with you.
That's what some of us have been concerned about.
For whatever reason, you have had problems, including four previous write-ups on this job alone. That history suggests a number of possibilities, including disorganization, inconsistency, ADD, and other challenges that can undermine the best of intentions. You can change jobs, but if you don't change the underlying difficulties on your end, even the most understanding and consistent employer may discover errors and be forced to discipline you, up to and including reporting you to the BON.
That isn't throwing stones. It's telling you an unpleasant, but necessary, truth.
You have been given all kinds of encouragement to seek counseling and take other measures to identify where the breakdown occurs. Now the ball is in your court.
Of course, you should look for another job if you can see that this one isn't going to get any better. But, I encourage you to look within, as well. That way, if you find your ideal position, you'll be ready to take and keep it.
I wish you the best.
Mar 28, '12Hmmmm, dramatic much? YOU started the post about how you knowingly documented that you completed a treatment that you in fact, did NOT do. This is on the heels of a very recent post where you made FOUR medication errors in one night. A terrible nurse? I'd hesitate to go that far since I'm willing to believe that you did not do these things with malice or intent to harm. An unsafe nurse? I'm definately leaning that way in my opinion =(
If you don't like the responses that you sometimes get when posting about these cringe-worthy errors, perhaps posting in a public forum is something you should avoid....
Mar 28, '12Quote from NurseLoveJoy88Your posts concern me. I see a pattern of behavior that's dangerous. I think that your behavior as a nurse is careless. I don't believe it's malicious, but I think it's dangerous, nonetheless. I'm concerned that at some point, one of your patients will get hurt. I find it concerning that at your most recent job, you have been written up FIVE TIMES and you are still on probation. I think that perhaps you need to look within yourself and consider whether this is the right career choice for you. Based on what you post here, I don't think you are a safe nurse.Thank you for all your support, encouragement a, nd opinions. I guess I'll go somewhere so that I can be stoned to death. I'm such a terrible nurse! Who is willing to throw the first stone?