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nrsnangel

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  1. Hi! I am a new LPN and have come across a strange problem at my job. We had a resident die last week. She was a diabetic, grossly obese, in renal failure and non-compliant with all nursing and doctors orders. The night nurse is the only nurse on(this is a nursing home)and does get busy with rounds. She had a nurses note on this resident("Sally") at 0100 that had Sally "up in her w/c watching tv and eating a snack". Her next entry was at 0430. At this time she found Sally "in her bed, unresponsive--no BP, no P, and no R". She called the doc who had her call the mortician etc.The next afternoon, I was asked to rewrite my nurses note, verbatim,onto a new page. I was unsure why I was asked to do this until I read the following page--the night nurse had made entries every 2 hours exactly from the time I left at 2300 until the time she found Sally dead and thru the end of her shift. She was covering her butt making it look as though she had made rounds consistently and each entry had a comment about how Sally was "in no apparent distress"--until she was found dead. Should I have rewritten my entry? I don't feel right about doing so. I feel like I am deceiving the family. I did make a copy of th original entries and kept that at home. What should I do??

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