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I've seen this phrase many times so far on this forum. For me, it would have to be a totally serious offense to go and tell on a co-worker. I get the feeling that some people here are tattletales and like to get their co-workers in trouble.
Have you ever reported something about a co-worker to your manager? Have you ever been reported? What would make you turn in a co-worker?
I've witnessed 'pre-charting' being done by other nurses. While it is unethical, dishonest, and a falsification of the patient's medical record, I still wouldn't have reported it, as long as the patients were not grossly harmed.
I havent reported anyone either... and I have seen this pre-charting before. I have seen it come back and bite a nurse in the butt before.
No, the patients may not be harmed at that time... but what if something did happen to the patient. What if there was a sudden change in the patient's status (especially if the patient is in ICU) and the nurse doesnt know and charts them being in the same condition as the previous nurse did. I think knowingly falsifying a patient's record is totally WRONG.
I dont know, maybe its just me. If I saw someone deliberately falsifying records and charting on a patient they haven't laid eyes on... I think I would probably say something to the nurse first (maybe depending on the particular situation). I really think that things like this should be reported because it can possibly cause harm.
It's when the nurse charts on the patient for the entire shift, but he/she is doing it all at the beginning of the shift.Precharting? That's a new one on me.
For instance, the nurse's shift starts at 7am and ends at 3pm. By 8am, the nurse has charted a day's worth of falsified notes on the patient through 3pm, even though the shift has just begun. 'Precharting' will really come back to haunt the nurse if something adverse or extenuating were to happen to the patient that contradicts the charting for the day (unexpected death, MI, etc).
I got reported so many times on little stuff that my head spinned...That is probably how I lost my last two jobs...
By the way, I was a charge nurse at a skilled nursing facility..I told every CNA who worked under me that that no one reports on my shift because morale will go down and I wanted a pleasant work environment..
I dont report because I dont like to inflict harm on people..I tend to like people rather than trying to destroy them..Human kind should be a lot kinder and gentler..
But again, I am male, so I probably think differently..
It's when the nurse charts on the patient for the entire shift, but he/she is doing it all at the beginning of the shift.For instance, the nurse's shift starts at 7am and ends at 3pm. By 8am, the nurse has charted a day's worth of falsified notes on the patient through 3pm, even though the shift has just begun. 'Precharting' will really come back to haunt the nurse if something adverse or extenuating were to happen to the patient that contradicts the charting for the day (unexpected death, MI, etc).
heard a story once about a pt being found long deceased on the 6am round (ie, pt was cold). when checked, nursing notes reported 'pt sleeping comfortably when checked' every hour from 11pm, and there were even two turns documented, one of which was meant to have taken place at 5am.
I remember at school at our clinical rotations, a student nurse snitched on another student about something that did not concern patient safety..The student who got snitched on failed the clinical rotation because the instructor did not like the particular student and also because of the snitching..
Well after that, the person who told on the student was an outcast..
Well at least there is some good in this world, females and males a like thought that the snitch was an outcast..:)
That's one advantage of computer charting. Even though you can change the time to reflect when you did something, it also documents the time you charted it.It's when the nurse charts on the patient for the entire shift, but he/she is doing it all at the beginning of the shift.For instance, the nurse's shift starts at 7am and ends at 3pm. By 8am, the nurse has charted a day's worth of falsified notes on the patient through 3pm, even though the shift has just begun. 'Precharting' will really come back to haunt the nurse if something adverse or extenuating were to happen to the patient that contradicts the charting for the day (unexpected death, MI, etc).
1 work on a very busy large unit with a total of 30 nurses for day shift only. And trust me, there are some of them that I really would love to report to someone who would take action. Just last night I walk into a aptient room and found one of the nurses washing the trach patient's inner cannula in emesis basin with tap water. This is the second time I caught her doing this; I warned her the first time but I guess she did not listen. When I spoke to another co-worker about it, he told me not to bother to report her b/c that was not the first time she was caught doing things like and that she had been reported many times but no one follows up. She is a friend of the supervisors and she cook ackee and salt fish (a form of carreabian dish) for them all time. He told me something that she did at one time but I can not tell anyone b/c it is too bad. And those at the top don't really care, so a lot of the nurses do sloppy jobs and get away with it.
Did this get reported up the chain of command as far as possible?
One thing that does bother me is the possibility that someone could just quit a bad facility with neglect/abuse/safety issues and not report it. As for me, I always thought that I can always get another job if I got fired in retaliation for reporting, but the resident who is helpless just can't pack up and go somewhere else to escape these things, they are basically stuck there, and someone needs to step up to the plate and advocate for them, so I would report anyway.
I have reported a co-worker one time in my years of nursing for abusing patients. She would jerk them around roughly while barking orders at them and she would even leave bruises. The DON had said I was not the first person to report this and this CNA was gone soon afterward.
I know who the tattle tales are where I work and I try to steer clear. You know, many people can't seem to transistion from grade school to adulthood.
I have been at my new job for all of three months. When I meet nurses from other departments they all say the same thing "You're never getting out of there." Staff frequently write each other up for every little thing. If you have a write up, you can't transfer out. This is bad news for me because the manager of ICU said he would take me after six months on the floor, it probably won't happen
Thing is they get excited about it and look for things to write up. A new nurse on the floor went back on orientation after her first three days on her own. She had a heavy load and a bad night so she was behind on paperwork (I helped her out a little bit but I was busy too). The oncoming nurse was in a huff because she was behind, the new nurse promised that she would stay until she finished the paperwork. The oncoming nurse wrote her up for not having her chart checks done by 6AM. The new nurse went back on orientation for four weeks.
So far I have dodged the bullet but I know two nurses on the day shift who are out to get me. My time is coming. I openly admit my mistakes even when others hadn't noticed and try to fix/address it appropriately but they don't care.
TheCommuter, BSN, RN
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