Told to fake vital signs

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Has 3 years experience.

Stop, do not pass go, do not collect $200...time to turn in your notice and work somewhere else. Even if it's Pizza Hut or a car wash, totally non-healthcare, do that until you find a better environment. There are other options and why risk your CNA livelihood?

Meowzers

19 Posts

Absolutely not. When you chart something, you are signing a legal document, even for something as simple as vitals. You are legally responsible for what is on that chart, and can be held legally accountable if you purposefully chart something that isn't accurate. I was recently told a story of a nurse who didn't count respirations for a full minute, she just entered the usual "16" and moved on - therefore the Rothman index wasn't accurate, and couldn't warn of an upcoming code. The patient died and the nurse was held accountable.

I'd look for employment elsewhere. If they are faking vital signs, Lord knows what else they are doing that isn't on the up and up.

Specializes in Critical Care.

Get the **** out of there yesterday. Leave. Now. RUN. FOR. THE. HILLS.

One of the few things nurses actually lose their licenses for is falsifying documentation. If you are not a nurse, it could prevent you from ever becoming a nurse, if that was your goal. Report them to the state and CMS. NOW.

amzyRN

1,142 Posts

Specializes in ED, Cardiac-step down, tele, med surg.

A patient chart is a legal document. Technically to lie is to perjure oneself, no? I wouldn't do that, plus you'll know you didn't take vital signs. It is unethical. I would tell them you need equipment to take vitals and that you are unwilling to document things that did not happen in a legal document.

Specializes in Critical Care.
A patient chart is a legal document. Technically to lie is to perjure oneself, no? I wouldn't do that, plus you'll know you didn't take vital signs. It is unethical. I would tell them you need equipment to take vitals and that you are unwilling to document things that did not happen in a legal document.

Perjury is only applicable in a courtroom after being duly sworn, or lying re: an affidavit. While it is ethically wrong, and violates many hospital policies and laws, I'm pretty sure it falls short of perjury.

Has 16 years experience.

A nurse should be responsible for obtaining his/her own vital signs when giving meds with perimeters. CNAs should only be assigned routine vital signs.

Specializes in Psychiatry, Community, Nurse Manager, hospice. Has 7 years experience.

I might make a note n the chart "unable to assess temp, no thermometer on unit." "Unable to assess bp, no cuff on unit" "Unable to assess o2sat, no pulse ox on unit" Then document respirations and take a radial pulse manually. I would do this after informing someone though.

Specializes in ICU.

Where do you live? Make an anoymous report the the state and JACHO of its the US...oh and find a job now because you likely will be fired because they will prob figure it was you, but you do not want to work there at all.

caliotter3

38,333 Posts

I might make a note n the chart "unable to assess temp, no thermometer on unit." "Unable to assess bp, no cuff on unit" "Unable to assess o2sat, no pulse ox on unit" Then document respirations and take a radial pulse manually. I would do this after informing someone though.

While this action is entirely warranted, it will surely result in your termination.

Specializes in Cardiac Care. Has 10 years experience.

I'm going to have to echo the poster who said get the **** out now.

These people (your management) aren't providing you with the basic standard equipment to assess the most basic of patient information. They obviously do not care one whit about those poor residents. I can assure you that they don't care about you.

Please. You seem to be a responsible, caring individual who wants to do the right thing. The first step I see is to get out now.

Enurse1234

8 Posts

Agreed ^ its your job to also protect patients.

Swellz

746 Posts

Specializes in oncology, MS/tele/stepdown. Has 6 years experience.

My old staff job fired multiple techs/CNAs for making up vital signs. That's insanity.