I suspect my patients other nurse is stealing time, like 3-4 hrs a shift time. Its unethical and affects patient care. Scheduling thinks hours family request are being worked, but they aren't. Family aware of nurse arrival time, but not of nurse being deceiving on time sheet. I don't want this nurse fired, just be honest so my patient can get coverage needed. Hesitant to speak up due to retaliation/ target on back as this nurse use to hold higher position, demoted due to not doing job.

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Whether or not she gets fired is not really up to you. But if you suspect unethical things are going on, you should definitely say something. If you don't and it gets found out that you knew, it could affect your job as well. I'm sorry you're dealing with that, it's an awful position to be put in.

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If the person you're describing has already been demoted for performance reasons it doesn't seem like you'd be out of line for reporting a legitimate issue. There must be some awareness that the person is problematic. What it comes down to, of course, is the welfare of the patient. If you think someone's improper actions could deny someone coverage, you should report the issue.

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Well, the place to start is what kind of proof do you have to confirm your suspicions? You may want to gather some evidence to support your concerns. Then when you have the evidence, you can decide what’s the right move ethically for you.

The family neeeds to make the call!
ethically,you should But it depends on many variables
Follow your instinct

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