Ok you guys i need some help. I own a home health agency and we only provide pcs services. Pcs services meaning an aide assists patient with bathing, eating, dressing, toileting, and mobility. I had a sheet where my employees transcribe tuberculosis skin results. Meaning when an employee brings their TB skin test where they got at the health department they brought it in and my administrator assistance wrote it down. I then signed my name beside it to confirm that I have seen it. After mostly looking at it it seems as if I was giving the Tb skin test and reading them. Which I did not. I got a letter of. Oncern from the board Could this be a documentation issue that the Board of Nursing can suspend or take my license?

Sounds like something you need to discuss with either your malpractice insurance carrier or a lawyer. I would not be posting publicly about a situation the BON is involved in. Anything you post online can be discovered and used against you.

Were you not either taking the documentation from the board of health or at least copying it for your records?

I imagine they will just want an explanation and for you to change your practice for this.

Im really worried. Is this considered falsifying medical records.

Depends on how you have your documentations worded. Devils is in the details. I cant imagine you getting in trouble for clearing documentation a result from Government with stored copies of such results.

If there is a question about any required testing, such as TB results, maybe you want to revise your practice so as to not document/sign on the form at all. Create your own employee file 'checklist'; check off documents via the checklist as employees submit required documentation.

To clarify you guys i had a form and where it said date given and date received my staff write the information and put the results. I then signed my name where it says rn signature. What do you guys think now.

I already have. Are the boards leneit about this type of stuff? Im very nervous. I don't know if this complaint came from medicaid or a general complaint.

It sounds like yes, you were reading results. I'm sorry but what you were doing makes absolutely no sense. You should have been copying the paper results and simply putting them on a file. You over-complicated things in some ways, and weren't diligent enough in others.

We can't answer this question for you. You will have to deal with the BON. And explain to them why you did things the way you did.

Are you dealing with Medicare and Medicaid a lot?

I think they might ask you to change the way you document, at the very most. Who reported you for this- sounds like splitting hairs to me.

Yes. Medicaid

After reading your explanation, you should not have made the document this way. It reads as the original administration record, not as a record of having checked off the requirement.