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black_widow192

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  1. I am a fairly new nurse, and I am working my first job. Is there a proper way to chart what a resident says? I was taught in school to ALWAYS ALWAYS chart exactly what a patient/resident says no matter what it is. Tonight when I got to work a co-worker yelled at me for putting his name in my nurses note because it made him look bad. The only reason his name was in my nurses notes was because the resident stated "so & so didn't give me my medicine all day, and he told the aides not to come in my room." This resident is very paranoid, always yelling at the staff, saying things like "i'm gonna F**K you up" & "it's my word against yours, i'm gonna have your license." Was I wrong to chart exactly what she said? Was I wrong to put his name in my notes?

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