I just started working as a QA nurse at a small home care agency. They are asking me to do things I'm not sure I am legally able to do. I am an RN, BSN.
They are asking me to make changes in charts for patients I have never seen. I told them I would not, they have not asked me to do this again since I refused.
They are asking me to sign off and write orders for admitting patients to home care. I am to write these orders by basically copying old orders (for patients that we've had before). I am not taking the verbal order from the physician myself, the physician tells the clerk who they want home care to see, then the clerk tells me and I am to rewrite new orders based off of the old orders (most patients are repeat patients). I never actually hear any of this from the doctor. Is this ok for me to do? I feel like if it's going to be a verbal order, I need to be speaking with the doctor, not getting the order from the clerk who got it from the doctor. At the other home care agency I worked at, the doctors would write their own orders and fax it to the office, so this new method seems weird to me
Another part of the reason I am suspicious of this company is that I heard the clerk was photocopying nurse signatures and copying them onto missed visit notes to maintain compliance for visit frequency. And I know the director of nursing is writing in charts of patients she has not seen herself. I worked too hard for my license to lose it. Can anyone out there help me?!
