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ltcnightrn

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  1. We chart almost daily, nothing was put in my missing notes place. The nurses notes go from 10-15-10 and then skip to 10-27-10. So a few pages are missing.
  2. Is it legal for the DON to make pages of nurses notes ( paper charting) disappear ? I documented 2 pages of notes on tuesday on a resident about the resident complaining of pain and not recieving prompt calls back from the md and pharmacy. It took 4 hours to get the pain medicine. And when I came in to work today all my charting was gone. The other nurse I work with said the DON has the tendency to make certain charting "disappear " if she does nt like its contents. Is this legal ?

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