What is this called?

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Hi All,

I have a situation where the nurse administrator returned a med sheet to me for corrections. I fixed the med sheet and resubmitted it (we are totally online). The same med sheet got returned to me again the next day saying that I did not fix anything.

Unfortunately, I went to the administration side of our charting and looked at the audit trail, and saw that 15 minutes after I resubmitted the med sheet with corrections made, the nurse administrator went in and changed all of my med entries to incorrect ones (including dosages), and then returned it to me again saying that I did nothing. In black and white with every single entry date and time stamped, she has been caught red-handed . Is this considered falsifying of documentation?

What do you suggest is the next few steps I need to take?

Thanks in Advance.

Moonjumper

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I would go one person above her and report this. If you don't believe in the administrator's ability to rectify things, you probably should consider another place of employment. This person seems to be attempting to set you up for justifiable termination. Get away from her.

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Thank you for your reply caliotter, and I have known for quite a while that this is what she would like to have happen - me being fired.

However, - is what she did false documentation? She went into the pt.'s chart and filled out inaccurate information. I'm confused on that part.

Thanks so much.

moonjumper

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Of course it is falsifying documentation. That is even more reason why you should get away from her and the agency.

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Specializes in ICU, Home Health, Camp, Travel, L&D.

Up the food chain you go. Don't let this stand, and watch your back.

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Specializes in Pediatric Private Duty; Camp Nursing.

If you can, get print outs of proof with the time stamps, emails of communication between you and her, etc. You may be the victim of a set-up and may need to CYA soon. What this woman is doing is illegal and grounds for her termination.

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Ditto all of the responses! Get proof and take it up the chain of command to her boss.

Kyasi

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Specializes in LTC, Memory loss, PDN.

Depending on who you work for, I'd go up higher than just the next boss. If you have a compliance officer or department, turn to them. Be sure to make several copies of all your evidence.

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Specializes in Home Health.

Get copies, notify upper management and report her to the Board of Nursing!

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