A blood donor technician falsely documents the time when a patient’s charting was to have taken place. It was determined via investigation that she was not in the room at the time she supposedly completed working with the patient.
PERFORMANCE CORRECTION NOTICEDisciplinary Level□ Verbal Correction—(To memorialize the conversation.)□ Written Warning—(State nature of offense, method of correction, and action to
Employee Name:Maryanne Velasquez Department:Blood Donor Room Date Presented:June 24, 2010 Supervisor:Dianne Xavier
be taken if offense is repeated.)□ Investigatory Leave—(Include length of time and nature of review.)⊠ Final Written Warning
⊠. Without decision-making leave □. With decision-making leave (Attach memo of instructions.) □. With unpaid suspension Subject:Documentation falsification
⊠ Policy/Procedure Violation
⊠ Performance Transgression
□ Behavior/Conduct Infraction
□ Absenteeism/Tardiness
Prior Notifications
Level of Discipline Date Subject Verbal ___________ __________________________________________ Written 10/14/09 Document falsification Final Written ___________ __________________________________________
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Publication information:
Book title: 101 Sample Write-Ups for Documenting Employee Performance Problems: A Guide to Progressive Discipline & Termination.
Edition: 2nd.
Contributors: Paul Falcone - Author.
Publisher: American Management Association.
Place of publication: New York.
Publication year: 2010.
Page number: 221.
This material is protected by copyright and, with the exception of fair use, may not be further copied, distributed or transmitted in any form or by any means.
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