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missing documentation

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(votes: 5)


I'm a brand new Director of Cllinical Services One of our nurses doing a chart check discovered that a recently fired nurse did not have her nursing visit notes in her charts. All gone! Disappeared! What recourse do we have? She has already collected her final paycheck. Is there a charge we can file to "force" her to give us the proper documentation?
Report her to the BON? Get risk management/facility lawyers involved? The notes do not belong to the individual or even the patient, they are property of the facility.

Comment:
I would make one request by certified mail. No response within seven days, report her to the BRN. Consult with your risk management. BTW, in home health, I often see where nurses don't bother to provide their charting in the field chart. The supervisors never do anything about it.

Comment:
Oh. I think the charge would be theft of property. Your risk management should follow up on this.

Comment:
Was the charting removed, or never done?If actually removed, involve risk management. Removing patient documentation from the chart & premises is likely a HIPAA violation.
Author: alice  3-06-2015, 17:42   Views: 511   
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