Is omitting pertinent information which explains a patient's decline, such as: "pt was found without oxygen on for unknown length of time", "pt was found without dressing on wound...", "Air mattress malfuntioning, new pressure wound identified, maintenance notified of malfunction and new mattress implemented...", "Medication not available from pharmacy and was not given and patient's BP reading 13 hours after last dose of medication is ___/___." To me these observations cover my butt as to why there is a decline, and triggers my own memory as to what really went down that day when reading it months later if such a thing ever comes into question. I have been told by the ADON and the DON that such charting raises a red flag for state to dig into the chart further and look for other things and open a can of worms. I have been asked to omit this pertinent, relevant, truthful information from my charting so as not to incriminate the facility. In doing so doesn't it provide the opportunity to incriminate myself and/or my license? So, in general omitting the truth is basically a lie, isn't it fraudulent to exclude information from charting?