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Discussion

Co-worker issues

I am a nursing supervisor during the night shift. I was asked by an LPN to assess a patient. This patient had not yet been assessed by her. She was simply getting report from off going nurse. Without giving too many details, her charting had many false entries regarding my involvement and my statements. I also found out that she was charting about this for over 3 hours off the clock. I do have witnesses for all events. Historically I have had issues with this nurse before with insubordination. Any advice?

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    Write her up, whether or not you expect any other involvement to get anything done. At least you will have done your part and no one can accuse you otherwise. You should also require her to correct the record. At that you might want the higher level involved because it might be decided best to terminate this person.

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    I would write her up and if/when given the chance to discuss it with your own supervisor I would make it clear that I consider it a serious matter and that in addition to whatever discipline is appropriate I want the record corrected. I would not work there if it appears that such things are not going to be dealt with on a level worthy of a serious infraction. At the end of the day it is falsification of patient records...with a twist that makes it your personal interest for other reasons as well.

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    So this LPN was delegating to you? I don't know about in your state, but in VA, an LPN cannot delegate to another LPN, and an LPN definitely cannot delegate to an RN. That's one problem right there, especially if you are an RN. She should at the very least be written up and have to correct her documentation. Charting should NEVER have opinions or disparaging remarks about other staff. It should only be completely factual. 

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    The OP was a one-time hit & run new poster. Hasn't been back since 2/3/2020.

    Just thinking - that LPN prob knew she couldn't officially finish the 'assessment'. So she would have had to ask OP to complete the assessment. I wouldn't necessarily call that 'delegating'. Now the rest of the other issues ...

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