Published
Well my immediate thought is if something ever came under review/went to court, who believes what when people chart under other people's login? I would think any time someone can question whether or not you're being truthful (even if you are being truthful, imagine how it can be construed if you charted under someone else's name or visa versa?) you are opening yourself up to have your integrity questioned in EVERY aspect of the care you provide. Your charting is your legal document...any time you do anything remotely questionable with that legal document you are opening yourself up to question. I don't know if that's exactly what the legal aspect of it is, but that's how I see charting...it is my legal record of care of my patient and my patient's legal record of my care.
Having (or allowing) someone else chart under your name means that you're taking full responsibility for everything that was charted by that other person. Since EHR systems aren't able to distinguish different persons, there's absolutely no way that anyone can claim you or someone else was charting in a particular patient's record because to the EHR, it's entirely YOU! With paper charting, at least there's the potential to have the handwriting to be obviously different from yours. However, once you sign the chart, you're still stating that you agree with, and are responsible for everything charted under your name. There's a reason why you can easily cross out entries easily in pen...
DQstatus
7 Posts
Does anyone know why it's illegal for nurses to let other nurses chart while they are logged in?
I saw my nurse have her friend nurse come chart while she was logged in.
Thanks