capability

i work in a longterm care/ rehab facility. We have no wanderguard system and have patients that have eloped. We now use maintainence workers on overtime to "sit" with our high elopement risk patients. We have maintainence workers in the room at night...these workers have no patient care training and are paid by the facility. We have a family member who is upset because his mother and her 3 roomates have a man sitting in the room with them overnight. Any thoughts about this would be appreciated. One last thing, one maintainence man has breached hippa by talking about a sitting situation with a non employee of the facility.

one of my unit managers often requests that we rechart...that is, that a whole page of hand written nursing notes is distroyed and we re chart the page to make it include something that was not in an original chart entry. is this an ethical/legal practice. she will have the original nurses copy the original notes ...then add something she thinks was not clear or missing in an entry rather than having a late entry or addendum. notes that do not directly pretain to the entry to be altered are coppied as they originaly were. I work in long term care/ rehab .