Violation?

What you wrote belongs in an incident report. Manager or charge should have been notified ASAP of insubordination that adversely affects patient care or welfare.

Do you use paper charting? At the start of the shift chart review is necessary (you are making assumptions on their intent) so that would not be a HIPAA violation. You are assuming they are seeking information to use against you if you reported this it would not look good for you

Looking at your post history you are likely not going to be hired as a nurse in this facility. As a non nurse it's not your job to document your impression that the neglect of others caused pain. That is assessment. You are working as an unlicensed assistive staff member and should have directed the increased pain to a licensed nurse.

You appear to be looking for reasons to document. You were wrong to write such info in a patient chart and not an incident report

And I did let the nurse know. I put on the chart that the nurse was notified. Then I immediately moved on to documenting her BM. And that's fine if they don't hire me there as a nurse. And although I realize it was wrong now, how was I supposed to know that beforehand until someone on the next shift told me? Management sucks so badly. I've asked the supervisor for help and all I get is rolling eyes and him walking away. Have to chart by a specific time, but NO ONE will sit with my 1:1 pt. These people don't care about the patients. I couldn't possibly expect them to care about me either. I wish I would've had guidance, but apparently that's too much to ask for.

So it takes every single staff member on the current shift and those on the next as well to do "chart review?" And I'm "assuming on their intent" when they walk right by me and say all kind of crap about me and what I just wrote? Yeah, I sure am "assumming."

My point is that only those caring for the patient, nurses, and whoever checks off on the charts should've been looking at it. But there was no reason for the entire unit except the patients to look at the dang charts. And besides, I was told by numerous people to chart what I see when management won't do anything. So I did. That is all.

My point being is that they won't likely be considered violating HIPAA in this instance. If you reported this, it might backfire on you especially in this facility.

Fundamentals of nursing 1 we covered what goes in a chart vs incident report before we were allowed near a clinical site. Reading posts (not just hours) clearly this is not standard practice but perhaps the facility made the erroneous assumption you did have this knowledge.

You have a lot of emotion involved in this job it may be best for your future career and personal sanity to start looking for other employment now as has been advised in your other threads. Your coworker's have confronted you and are may decide watch you very closely for the tiniest mistake and report away. The issues and concerns you have are not likely to be readily resolved. Your only option may be up file a complaint with the department of health/mental health, office of aging or state ombudsman to protect the residents and resign. It's clear you care for their well being.

You now know charting that a patient's exacerbation was the direct result of another staff member's inaction opened you, the nurses, administration and the facility for legal action. Neglect of an elderly mentally ill client can be a widespread investigation resulting in sanctions & fines including loss of Medicaid/Medicare funding. Incident reports are a way to mitigate complaints to show the incident was noticed and corrective action can be taken.

Be mindful of the deficits in your orientation that way in your next job or your first nursing job you know what questions to ask and what information you need to know

Going forward, make sure that the primary nurse caring for the patient is aware of when the patient is in pain. If there is a 1:1 that is to be happening, and it is not, ensure the immediate safety of the patient, then advise the primary nurse that you did so, and that there is no 1:1 with the patient. (which sounds to me as if the 1:1 person chooses not to do that, knowing when whomever finds this patient in immediate risk will intervene--AND then have to do the 1:1). If you are not being spotted to even use the restroom, then that is a union issue, if you have a union.

These are incident report situations. If the licensed nurses are not responding, then there's a parent company website where you can report risk. If patients are being neglected and abused(meaning that they stand around watching as a patient struggles to dress) then as a mandated reporter, you can and should report to the state and elder affairs.

Take emotion out of this. It is patient safety that is at risk.