bignursedude

I work at a SNF. These last couple days, I've heard that management is telling nurses that some of them forgot to chart on insulin administrations dated about 2 weeks or so ago and that they need to go back and fix that. With the charting database at my facility, when you document insulin administration, it prompts you to enter the blood sugar, so to go back and chart it you would have to magically remember what the patient's blood sugar was from 2 weeks prior. Ergo, they are asking nurses to make them up. One of the nurses they've asked this of have told me they are 100% confident they administered the insulin, they just must have forgotten to chart it. So the fact they administered the insulin wouldn't be fraudulent necessarily, but they would have to fabricate a blood sugar in order to chart it. What is the proper course of action for nurses in this position? Even if they did chart it, anyone who goes back and audits is going to see charting on blood sugars that happened 2 weeks prior to the chart date, which I would think would flag. The managers have eluded to the notion that they want these missed chartings fixed by the time state is here, so it feels like they are asking nurses to put their licenses at risk in order to make the facility look better. Would nurses be in as much trouble for administering insulin properly but forgetting to chart it? I was always told that if it wasn't charted, it didn't happen, so to everyone but that nurse it looks like a missed administration. It altogether feels like an ethical dilemma.