Charting, done by the amazing psychic nurse

Nurses Relations

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The gifted nurse who charts what he/she never did, seen, or acquired about.

Does it ever catch up to them?

A RN here said they charted fake vitals

:

"Usually it doesn't catch up with anybody, because usually it isn't a big deal. I've known a ton of nurses who "write in" vital signs, restraint documentation, CIWA scores, pain scores, and other things. In nursing, "writing in" is another term for "making up." I've done it a few times

I would never do that but I'm also not gonna judge anyone on here. All I'm gonna say is if the person is due for BP meds it's really important to check. I recently had a patient who had a BP of 78/40 when I checked before preparing her beta blocker. If I had not checked, she'd be in a bad way.

So I agree that crucial assessments are important but when it comes to those post-pain levels.. I'm always running around like an idiot to get those done right to the last minute. There's a lot of pressure on nurses. And yes I have been tempted to just to just write in a pain number and I know nurses who do this.. But at the same time I also wanna make sure the patient is not in pain. I guess this topic just isn't black and white. Lots of grey areas

Specializes in ICU.
A RN here said they charted fake vitals:QUOTE]

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A RN here said they charted fake vitals:QUOTE]

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I was quoting desi I didn't see the post. I highly doubt that if an rn did this that it was for a BP or critical assessment. Maybe for routine vitals on stable pt? Some of my CNAs do that and as the nurse I have to tell them not to.. But I don't know if they actually listen.

Specializes in Hospice.
A RN here said they charted fake vitals:QUOTE]

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Oh, dear, that would have been the whipit guy...[emoji33][emoji33][emoji33] (See post #4).

Specializes in Med-Surg.
Read any article on the case. The problem with precharting since most charting today is done with computers (at least in hospitals). It is permament, even if you delete it what will remain is a red slash with the old message.

Pre charting is not possible with the electronic charting system that my facility uses. It's literally not possible to chart ahead of time (ex- chart at 04:00 when it's only 02:00). You can still falsify charting by documenting things as complete they weren't (ex- q2hr turning), but you can't "future chart".

Oh, dear, that would have been the whipit guy...[emoji33][emoji33][emoji33] (See post #4).

Wow.. Just read that. That's really not ok. Vital signs are not hard to take and could save a patient's life (and a nurses license!)

Being a "physic" nurse can land you in prison with a hefty fine and no hope of a career.

It's called falsification of records and the State Board takes those accusations VERY seriously.

If a manager gives you grief or sends you emails about things that were omitted, explain that you have to prioritize due to the nurse/patient ratio and that you will NOT put your license on the line by writing a false entry. The more times nurses band together in this matter, hopefully management will realize the need for adequate staff.

For those of you that don't have psychic powers, please don't make assumptions about those who are fortunate enough to have psychic powers. People with psychic powers are either gifted or have undergone serious training to harness their psychic powers. Have any of you even heard of Salon Maiden Anabel? Or Sabrina? Two of the biggest household names in the art. I admit that I tried to acquire psychic powers many years ago, but failed in my quest. The one thing I did learn was to stay out of the way of those with psychic powers as we humans without them could seriously be injured by those with psychic powers.

See:

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Specializes in Critical Care, Float Pool Nursing.
Being a "physic" nurse can land you in prison with a hefty fine and no hope of a career.

It's called falsification of records and the State Board takes those accusations VERY seriously.

If a manager gives you grief or sends you emails about things that were omitted, explain that you have to prioritize due to the nurse/patient ratio and that you will NOT put your license on the line by writing a false entry. The more times nurses band together in this matter, hopefully management will realize the need for adequate staff.

You will likely not lose your license or have any license related action taken against you for falsifying a medical record. More likely you just have to take a short ethics class. I had to do this as part of my monitoring program.

You will likely not lose your license or have any license related action taken against you for falsifying a medical record. More likely you just have to take a short ethics class. I had to do this as part of my monitoring program.

With all due respect its one thing to falsify a post- pain level or something that won't kill a patient (still haven't done it though) but it's another thing to falsify vital signs. As I stated before I had a pt due for pain meds and when I checked her BP it was critically low. Can you imagine if I chatted fake vitals and gave the med? she could be dead!!! Seriously it's very important to not make up crucial assessments

Also can I add.. We should be thinking more about our or safety than our license and our own asses. And by doing so our asses will have nothing to worry about!

Specializes in Emergency, Trauma, Critical Care.

There are also typos that happen. I charted a temp of 94.5 the other day a nurse thankfully caught it and it was 97.5. I'm gonna guess many nurses flub on their charting a bit. In the ER we put wdl on a lot of charting unless the pt is expressing a complaint in that area or we notice theyre a bka so no pulse to check, etc. it gets hard to keep up with the level of charting and patient care, etc. I've noticed at my current ER tho is that most nurses do no charting, including no assessment. That shocks me more than anything. They put in vitals and meds, and a note. That takes balls.

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