Have you ever been asked to falsify notes?

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Specializes in Pediatrics.

Has a family ever asked you to chart more interventions than required or done during your shift in order to make the patient appear more fragile than than they really are so they won't "lose hours" or in some cases, to get even more hours? Don't purger yourself if you have, but if you have a story to tell please do!

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No but I can see how it could happen. On my case the nurses are instructed to document very thorough and detailed notes to ensure the patient keeps their hours. If ever asked to document false info I would be gone.

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Specializes in Pediatrics, Emergency, Trauma.
No but I can see how it could happen. On my case the nurses are instructed to document very thorough and detailed notes to ensure the patient keeps their hours. If ever asked to document false info I would be gone.

This.

I chart objectively, NOT what the family wants. :no:

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Specializes in Peds/outpatient FP,derm,allergy/private duty.

I've been asked to falsify time sheets but not nursing interventions. Wouldn't do either one!

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Specializes in HH, Peds, Rehab, Clinical.

No, thankfully! And no way would I. I would however seriously consider turning them in for fraud

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Yes, it's easy to see this happening, but no. I have never been asked. I have been asked to add more detail to my notes, but that was at the beginning and I needed some feedback. But, that was not from the family. Nope, not doing it either.

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Specializes in Pediatric Private Duty; Camp Nursing.

Sometimes my client wants her bipap off a couple of hours earlier so she can be more comfortable but still wants me to document that it was removed at the time she gets up. Other than that I've been pretty lucky with not being put in uncomfortable situations like this.

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Specializes in Peds(PICU, NICU float), PDN, ICU.
Sometimes my client wants her bipap off a couple of hours earlier so she can be more comfortable but still wants me to document that it was removed at the time she gets up. Other than that I've been pretty lucky with not being put in uncomfortable situations like this.

Be careful with that. Most of those machines record the times the machine is used. Its stored on the machine in case the Dr wants to review usage or for the insurance company to make sure the patient is compliant in order for insurance to pay for the machine. That could come back to you if your documentation doesn't match what the machine says. Vents and apnea monitors do the same thing. In the event something happens, your paperwork and the info recorded by the machine would be looked at.

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I've been asked to falsify time sheets so often, it is almost an occurrence with each new client. When I inform them that this is fraud and they could implicate themselves by asking me to do so, most of them give the opinion that they are immune from being convicted of insurance fraud.

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Specializes in Pediatric Private Duty; Camp Nursing.
Be careful with that. Most of those machines record the times the machine is used. Its stored on the machine in case the Dr wants to review usage or for the insurance company to make sure the patient is compliant in order for insurance to pay for the machine. That could come back to you if your documentation doesn't match what the machine says. Vents and apnea monitors do the same thing. In the event something happens, your paperwork and the info recorded by the machine would be looked at.

Yeah, she's got two machines, one at school and the other at home. The one I use is the old kind, but I don't do it anyway. Maybe I'll take it off and wash everything, get her clothes out, and then wake her up. Just so she feels a modicum of normalcy when she starts her day.

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Specializes in HH, Peds, Rehab, Clinical.

I really hope you don't oblige her!!! I know that my Dad's CPAP machine records hours of usage so he knows when it needs routine maintenance, I wouldn't be surprised if hers doesn't do something similar. If they ever audit or compare YOUR billing/notes to what the machine actually records, who do you think is going down? NOT worth it!!

Sometimes my client wants her bipap off a couple of hours earlier so she can be more comfortable but still wants me to document that it was removed at the time she gets up. Other than that I've been pretty lucky with not being put in uncomfortable situations like this.
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Specializes in Pediatric Private Duty; Camp Nursing.

It's never for more than a few minutes, like I said, I'll take it off, wash equipment, get her clothes, etc. and then she is awakened.

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