I am a new nurse working at my first nursing job for about 5 months. I like it pretty well and I work all over the nursing home. I had a 3 week orientation on day shift but no training on the other shifts. I am PRN and I work all shifts. We change Fentanyl patches every 3 days on the 3-11 shift. I do not always have to change them out when I work that shift because it is not always the day to change them. We have a computer system and when a nurse clicks to sign off that she has changed the patch another screen comes up and tells you what to do next. The first time I changed a patch I didn't have anyone with me because I thought the computer would explain what I needed to do. Then I kept doing it that way thinking I was doing it right.
To get to the point: I have not been clicking on the button to send an alarm to another nurse to co-sign that she witnessed me properly disgarding of the old patches. I have always known that 2 nurses have to witness the destruction of a narcotic but the way the instructions are written in the computer I thought that all I had to do was put it in the sharps. I thought I didn't need a co-signer.
They must not have noticed my error at work because they have never said anything to me about it. When I realized that I was doing it wrong I didn't want to tell the supervisor that was working at the time because she is not all that nice. So I didn't say anything. Which is also what another nurse advised me to do. I am just not sure what to do. Do I need to tell a supervisor at work about this mistake? I have fears of getting fired if I tell or loosing my license. Then again I do not want them to think I am hiding something if they figure it out on their own.
Any advice is greatly appreciated. Thanks.