okay... i know it's a stupid question but a friend of mine lags when she writes on her nursing notes.... so what we did is i wrote on her nurse's note and then she would sign it at the end. i would copy exactly what she wrote on the 24 hour report. i know it's bad. but the important thing is her signature, right?! :redbeathelegally i know it looks bad but is it okay? can we get away with it? thanks thanks!
caliotter3 38,333 Posts Jun 12, 2010 Imagine yourself testifying about this in court and I think you will have your answer.
DeepFriedRN 207 Posts Has 8 years experience. Jun 12, 2010 Agree with the above..You are hanging your behind out there writing out things about a patient you have not assessed, and she's hanging her behind out there assuming you have written the correct info on her patient. A lawyer would have a field day.
pennylane18 55 Posts Specializes in LTC, Rehab. Has 2 years experience. Jun 12, 2010 Oh GOD! what can we do from here then?
pennylane18 55 Posts Specializes in LTC, Rehab. Has 2 years experience. Jun 12, 2010 can we go back to the record and have it as error? or what? :redbeathe
loriangel14, RN 6,931 Posts Specializes in Acute Care, Rehab, Palliative. Jun 12, 2010 Make her write her own notes from now on.
pennylane18 55 Posts Specializes in LTC, Rehab. Has 2 years experience. Jun 12, 2010 thank you loriangel14... but what do we from now? can we make the whole charting as error or what? i feel sooo stupid. i know better. but what done is done.
showbizrn 432 Posts Specializes in Behavioral Health, Show Biz. Jun 12, 2010 your friend has to write her own notes.you can't correct what's already done. just don't repeat it. i'd hate to see or hear about this in court!
mamamerlee, LPN 949 Posts Specializes in home health, dialysis, others. Has 35 years experience. Jun 12, 2010 I can't even wrap my head around this one.What's done is done. Do not repeat it.
allnurses Guide nursel56 7,065 Posts Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 47 years experience. Jun 12, 2010 If you are copying exactly what she wrote on her 24 hour report that means you can read it. If you can read it, why can't anyone else? There may come a day when you and your friend aren't working together. She needs to learn how to write. You'd be doing her a great service if you offered to tutor her, whatever the root cause is (ie language and/or legibility) Good thing you checked it out here! :)
morte, LPN, LVN 7,015 Posts Jun 12, 2010 i dont see were the legal issue is here......your name/signature is not on the note, hers is.....basically your are transcribing for her......if this goes to court she is the one being called, not you.....