Manager wants me to alter documentation on expired patient

[All4NursingRN]

I recently took care of a very critical patient who was not expected to survive (septic shock, DIC) who was to receive multiple units of blood products. The patient expired before the transfusion was complete so on the form I checked off the 3/4 box as that the transfusion was about 75% complete and indicated that patient expired before transfusion could be completed.

my manager does chart review and approached me and says that it was inappropriate to chart this and that I should have wrote all vital signs as "0" on the form and wants me to retrieve the chart from medical records and change it.

i recently took a course in critical care nursing and nursing documentation and approached the speaker who is a legal nurse consultant and has sat on numerous legal cases and asked her opinion.

she said that there is nothing wrong with what I wrote, it is accurate and I cannot document v/s as "0" if I coded the patient because not v/s were taken! It was a code! She was adamant I do not alter my documentation.

how do I now approach my manager?

[morte, LPN, LVN]

I know it is not nursing, but did you catch the story about the Mass state trooper who was disciplined and forced to change his documentation of an arrest of a judge's daughter? he is suing the state police...

[JKL33]

In the last column where final vital signs are written, I wrote verbatim "patient expired before transfusion completed please see RN documentation" the form was otherwise complete.

Well then these people are just getting dumb with this issue at this point. Ugh.

Talk with your director and/or the lab manager.

[jodispamodi]

Do you remember what volume the patient actually received? Maybe their just looking to see 100mls or whatever, our bags tend to run 300 to 340mls, but I kind of wonder if they're trying to figure out how to charge it? I feel bad that they're putting you through this OP, seems like a perfect example of computers dictating care.