i have seen some pretty stretches of the truth in doctors h&p's, notes, etc. however, the absolute worst i encountered was a respiratory therapist, who liked to tell us he was going after his MD. our facility has another agency come in for RT, so for instance we get someone on a bipap or has a trach, call up the respiratory place, and a therapist comes out. this one particular RT charted on one patient completely made up vitals, SP02, etc...on a patient whom i had sent out to the hospital....on another patient, the respiratory place brought a BIPAP to a new admit. the same RT as before charted notes that he oriented the pt to the BIPAP, vitals, etc...yet the RT came in when the patient was in PT, not even in his room. i asked the patient if he knew what the BIPAP machine was, to which he said, "where did that come from? i have one at home but I've never seen this before". needless to say, my DON and administrator were made aware and he was banned from the building. ass.