:stone Hi I am new to this forum and I have come across a situation at work that I wanted to get more input on. Here's the situation: I had to give pt. 2 units of PRBC's. I did the pre vitals and they were all fine. Including a normal temp of 98.8 orally. 15 min. vitals were also normal. I then was ending my shift and passed this patient on to another RN to finish the transfusion and also complete the next. When I came back to work the next day it was reported to me that the pt had become confused in the night. I happened to glance at the blood vitals with the transfusions and noted that my charting of the temp had been altered to include 98.8 AX and that the post transfusion temp was 100.9 Ax and the box next to the transfusion reaction was check marked as None. I notified my supervisor of the change and made her a copy. I am not sure what will happen next with this particular nurse, if anything and am wondering what you all feel the appropriate steps should be for her. This nurse is notoriously known on our floor as being able to get away with A LOT. I would like to be prepared. Thank you.