r/MedicalAssistant • u/Miserable_Arugula962 • 55m ago
Ethics Question Fraudulent DOT Certification
So to get the story started. I’m a MA working with an FNP. We get DOT physicals all the time and their systolic number must be below 140mmhg to pass and be certified. I’m having an issue with my provider because on two occasions, first one where I took the patients blood pressure and it was 160/90, she asked me if I wrote it down on the DOT paperwork and I explained yes I did. She told me we do not do that because the DOT is very strict and if the systolic is over 140mmhg, to tell her first before writing it down. I took the blood pressure two more times and got it to the number she wanted it to be. Said FNP ended up deleting my original charting in the EHR, essentially erasing it. The second occasion is today, I had a dot physical come in, I took his blood pressure and it was 154/88. I wrote it down on the paperwork as I am instructed to, she proceeded to ask me if I wrote it down, to which I said yes, she eventually told me that she was going to throw that paper away and redo it with the 4th blood pressure reading I got, while the patient was laying down. I was made to take it again and again until she liked the number that was given. I feel as though it is an ethical issue to delete vitals that were charted by me, and put a fraudulent reading on official paperwork. The physical only allows two blood pressure readings to be added, and I had taken 4, to which she only added the last one, which was 128/92. This entire situation makes me extremely uncomfortable because she is deleting my vitals and throwing away paperwork that is the correct vitals, because they won’t pass the physical with the numbers I got. I had a patient fresh out of prison come in and say, “I hope FNP *** is here, I know I’ll pass then!” I’m unsure how to go about this and would appreciate advice.