I work for a homecare nursing agency. A client’s dad became upset with me because I would not put in my nursing notes that a pump was used for the childs feedings when it was not. He told me it was for insurance so she could get 16 hours of nursing care. The agency called and took me off the case.
Nancy Brent replies:
You did not indicate why the agency took you off the case, but it is assumed it was due to the family member complaining to the agency about you. Although it appears obvious he did not want you back in the house because you would not “help” him get nursing care to which he was not entitled. You need to check with your immediate nursing supervisor at the home care agency and determine what this family member said about you and why you were taken off the case.
Being taken off the case is a blessing in disguise, because if the client’s dad wanted you to falsify records to obtain nursing care, he might have made other requests that also would have put you in a legally precarious position. You were correct in refusing to document something that was not true. Not only is what he asked you to do falsification of a medical record, it is also fraudulent, especially where insurance is involved. If taken to the board of nursing and/or the local or federal authorities (if Medicare, Medicaid, or other insurance is involved), either or both of those allegations against you would create extreme problems for your reputation and your license, at the very least.
Clearing up this issue with your agency is extremely important. You need to know what was said about you and why you were taken off the case. You need to be given an opportunity to counter false statements and provide the truth about what happened in this home. Doing so will help you continue to work as a home healthcare nurse, not only with this agency, but also with other agencies where you may want to work. Being given a truthful and honest reference by this current agency to a prospective employer is essential.