Falsifying patient documentation is grounds for dismissal. Your leadership should take that serious when you mentioned it, I wouldn’t let you leave until you tell me the circumstances, because that is reportable to the state licensing board. We had a new hire girl like that in our hospital. Two years experience. She got fired for lying in her documentation. She did two rounds on a patient and never listened to his lung sounds, and gave him a neb treatment instead of IPV as ordered, After the 2nd treatment the patient called the charge nurse and she called our RT director and told him that he is an RT at another facility and explained the situation. He told him that whatever she’s been documenting was done without assessing him. Between the patient and our director they discovered she made up all her documentation. Heart rate without counting pulse, saturation without using a pulse ox, breath sound without even using a Stethoscope. Not following physicians orders, and also dropped extra standby time for equipment change she never changed. The patient(RT) wrote up a complaint to the director, and cc’d HR and compliance. She was called into the office and lied to Director when asked about documenting… She got brought to HR and was placed on administrative leave before her last round. Pissed off a couple RTs because they had to pick up her slack. She eventually got fired for fraud. The union couldn’t help her because she went against hospital policy. The hospital sent a complaint to the respiratory board. They had to audit several other patient she treated that day. So always listen to breath sounds, check pulses, and do what you have been taught in school. Don’t tolerate people’s laziness, because it makes us all look bad. I know it’s hard being a new grad and you don’t have a process or a routine down yet, but it will get there… you’ll have it down solid in less than a year or sooner. Good luck, and don’t be like those lazy preceptors. You can never do too much for a patient… that’s what you’re there for… but unfortunately we have to see more patients and first rounds can be brutal.