Falsifying nursing documentation

Wow... do they realize what would happen to your stroke designation, if TJC were to become aware of false documentation?? (in addition to the universal issues that come with falsifying legal documents)

If the nurse manager really believes this is okay, why doesn't she falsify the charts herself? Rhetorical question... she knows darn well her demands are illegal.

TJC can see who documented the VS, it would be obvious if one nurse documented every four hours and another nurse filled in the remaining times. The false documentation will also show the date, time and the nurses name who entered the falsified documentation.

She will throw the nurse under the bus if it is discovered and denies she ever told the nurse to falsify the documentation.

Hmmm. In a desire to uphold their facility's high ethical principles, they should "consult" the Compliance hotline.

I'm only being half facetious. I know its a tricky situation; I have no faith in promises of confidentiality with regard to things like this.

Report it. That's ridiculous. Make it an anonymous report if you're worried. But your compliance officer is not going to go talk to your manager and throw you under the bus. Your license is more important than your job (but I doubt you lose your job). On that note, do you really want to be working for a place that endorses this?

I'd rather lose my job than my license or my freedom.

When your boss wants you to do something unethical, say no. Then dust off your resume and start looking for another job.

Darn those loose licenses. Somebody catch them!

This is where that boring part of orientation and the yearly mandatory education about corporate compliance kicks in and is actually beneficial. Report her, there is a way to do so confidentially/anonymously within your system. Don't falsify, report, and I agree with the pp it's not worth your job to stay at this place if the higher ups support this kind of nonsense. I'd walk if it wasn't addressed and corrected immediately.

Do yourself and family a favor. Quit this job. Tell them you have an emergency or something and QUIT....DO NOT GO BACK!!!!

Your manager is a nut.

What exactly does she think will happen when JC sees that neuro checks were documented q4? They will see the q4, then they'll see that the orders where placed for q4. I mean....maybe you'll get dinged. But JC is either going to see that your floor is falsifying info or that your floor is following orders (orders which apparently simply need to be modified for future cases). Which scenario does your manager really want to deal with?

On the floor where I used to work, similar thing happened to me. The manager demanded to document a certain assessment (pertaining to the speciality) q4 in the first 24 hours of post-op to satisfy one of JC requirements. Sadly, the nurses on the floor was falsifying documentation because it was impossible to perform the assessment that often due to heavy workload. It is one of the reasons why I left the floor.