False Documentation Complaints and Nursing License Defense Before the NC Board of Nursing
When a nurse is reported to the North Carolina Board of Nursing (NCBON) by an employer, the allegation often includes a claim of “false documentation.” If you’ve received a notice in the mail or by email informing you of a complaint against your license, you may have seen those exact words. This can be alarming, not only does the Board’s initial notice usually provide little to no detail about the accusation (leaving many nurses guessing why they were reported), but the term “false documentation” itself is extremely broad. Because of that, the potential consequences can range from a minor reprimand to suspension or even revocation of your nursing license.
Having an experienced nursing license defense attorney on your side can help you understand the allegations, gather supporting evidence, and present a strong case to protect your license and your career.
Examples of False Documentation
When facing a “false documentation” allegation, it helps to understand what types of conduct typically fall into this category. Below are a few common examples:
1. Documenting Care Not Provided
Recording that medications were administered, vitals were taken, or treatments were performed when they were not. This can also include logging a home visit that never occurred.
2. Late Entries
Depending on the circumstances, charting in real time may be difficult. However, it’s important to ensure that records are completed within a reasonable timeframe to accurately reflect patient care. If your facility has a policy regarding late entries, make sure to follow it.
3. Altering Records
Never change records after the fact in an attempt to cover up mistakes. It is almost always worse to try to conceal an error than to take responsibility for it. If you are under investigation, do not go back into the patient’s chart to modify or add information related to the care you provided.
4. Copying and Pasting Records
Some healthcare professionals copy and paste notes for convenience, but the NC Board of Nursing discourages this practice because it frequently leads to errors and inaccurate documentation.
5. Misleading Time Entries
Ensure that times accurately reflect when care was provided. While it may be tempting to make your documentation look “on time,” accuracy is far more important. The Board values honesty and transparency in documentation.
Note: These are only a few examples. Every case depends on its specific facts and context.
Consequences of a False Documentation Allegation
The consequences of a false documentation allegation can range from a minor reprimand to full license revocation. When faced with this type of complaint, it’s critical to consult with an attorney who can help you position yourself for the best possible outcome. Intent and honesty play a major role in how the Board evaluates your case. As part of the process, your assigned investigator may request an interview with you. How you present yourself and what you say during that meeting can significantly influence the result — one misunderstood statement can end up documented in your file and affect the Board’s final decision.
The North Carolina Board of Nursing has a wide range of disciplinary options. The distinction most nurses care about, however, is whether the outcome will be public or private. False documentation cases can lead to either, depending on the facts and how effectively your side of the story is presented. That’s why it’s essential to provide a clear, accurate, and persuasive defense supported by evidence and professional guidance.
Offering Reflection and Demonstrating Change
Depending on the nature of the allegation, it may help to show the Board that you understand what went wrong and have taken steps to correct it. If you recognize a mistake, be prepared to discuss what you’ve learned and how you’ve changed your practice. If you have completed additional education or continuing nursing courses related to documentation, that can also demonstrate remediation and accountability. Whether your goal is to rebut the facts or mitigate their impact, showing insight and improvement can make a meaningful difference during your interview with the investigator.
What To Do Next
If you’ve received a complaint, reach out to Brooks Peterson PLLC, where we focus on defending nurses before the North Carolina Board of Nursing. Having someone in your corner is incredibly important. The Board has investigators, external reviewers, and legal counsel all working behind the scenes to better the public’s best interest, not yours. Make sure you have a team too.
Contact our office or schedule a consultation today to discuss your case and protect your nursing license.
This is not legal advice. If you do need legal representation call the office at: 919-616-3317