I was reviewing shift notes and realized my coworker literally copy-pasted a note from a different patient’s chart from days ago. It’s generic enough to “fit” (meds, pain levels), but it’s definitely a duplicate. I’m not a manager, but this feels wrong. Should I talk to her directly and warn her about the ethics and risks, or go straight to my supervisor?

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Nurse’s and evil are like 5&6. In my 15 year of being a nurse, I have never sat down to be in other people’s business, let alone check who copied a note elsewhere. My job is to take care of my patients and protect my own license. I was never hired to witch hunt other people nor as a private detective.

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I think this happens pretty frequently. Many times templates are used in notes. If names weren’t used or HIPPA wasn’t violated, I don’t think it’s a huge deal.

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If the note is accurate does it matter?

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My point

I’m surprised she could even do that - we use Epic and it won’t allow you to copy and paste to a different person’s chart without a pop up warning. Then if you proceed, you knew what you were doing.

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Educate Educate Educate but make sure manager is aware too

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Are they using some kind of template that will make notes seem similar? If the notes aren’t accurate for the patient, I’d absolutely go to the supervisor. Once you are aware, even though it isn’t you, it’s still on you to say something.

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Talk to her secretly and she will correct it.

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Unless your coworkers is falsifying information why do you care? Accurate is accurate & sometimes information shift to shift doesn't change.

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ent

Why even bother with this? Do you sweetie! Life has enough problems to be bothered with something like this. Maybe the assessment is the same! As long as no one is hurt or injured or dead 😵

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