Med pass negligence? please feedback

Nurses General Nursing

Published

A nurse passes mediations this way:

Takes medication out of drawer or cart.

Verify 5 rights

Signs the medication sheet.

Passes the medication

If pt refuses or does not take, waste or refusal is recorded

and initals are circled indicating pt did not take.

Is this negligent?

I am stunned by my experience.

Agency nurse, travel to different facilities.

This one skilled nursing, been there before.

Approached yesterday by management regarding pm shift Oct 27 5 weeks ago?

patient wrote letter ( she is alert and watches calls state frequently) saying I had not given her BP medication that evening and I had acted unconcerned.

I replyed to admin I do not recall this medication pass but it seems unlike me to treat a patient this way but of course I would go speak with here, which I did.

She said, no you did nothing wrong, it was the nurse after you that told me you had not given me my medication and I should write a letter to nurse manager.

I told managment all is ok, what patient had said to me and I returned to my work.

little while later they approach me to complete an indident report.

I again was agreeable but said I really do not recall this medication pass as I have done hundreds since then but I will fill this out to best of my knowledge.

I looked at medication sheet that date and I had initaled it, which tells me I had given the med and she had taken it.

I wrote incident pretty muchas above with no admission of guilt.

remember I am employed by agency.....so these managers are keeping me past my shift telling me my indident report is not adequate.

I explained how I pass meds..that is when sh... hit the fan. They assumed by my method of passing I had made the error and this became the focus.I had also walked into an office and overheard one of the managers speaking to a staff nurse that was uninvolved in any way how I had made this mistake because of the way I pass meds!!!

It is now 2 1/2 hrs past my shifts end. they are having a private meeting about this , asked me to wait whiich I was trying to be cooperative so I did.

then 2 of managers came out, took me into room to counsel me basically leading to me writing a corrected incident report because obviously I had made the error because of the way I pass meds!

The DON was present at this meeting, I am exhausted and hungery, I saw what they were getting at and stood up saying under my breath as I left the room, this is Bull Sh...

My shift ended at 2:45. At 5:15 I walked out, got into my car and parked called my agency. They were very supportive of me and suggested I call them to come if ever another problem but...this situation left me feeling like I had been interrogated by the FBI and they were wanting me to confess to a crime I did not committ, perhaps to take the heat off them because this patient frequently calls the state.

I have never ever been treated this way or had a situation like this

and still feel overwhelmed by it all.

Sorry I am not whining but this , to me, is an eyeopener as to what can happen in a dysfunctional place.

My employer asked if I would want to have a meeting with them, he would go too, perhaps to sooth things over ( it is their contract) but I declined after sleeping on it. I simply do not trust them. Should I go meet management of facility? Thanks for reading.

To the OP I'm waiting for the other shoe to drop. Who told you it was negligent?

I like to DOT my med time, take the pills to the patient 5 Rs etc, and then open the package in the presence of the patient and the MAR.

When they're swallowed, then the DOT becomes my initials.

If it's not given, then the DOT becomes a circle is for omitted/held/refused and it's noted in the notes as to why.

MAR, pills, patient all are present together.

Bravo! This is how I do it, too.

Specializes in Education, Acute, Med/Surg, Tele, etc.

I have done the sign as I despense, and if a pt declines I circle the sign and document in the RN notes and back of the MAR why.

I found that that was much better than having a pt take them and me forgetting to go back and sign for it, which I have done before. For some reason because I had to document declinations I remembered to circle my initials at that time and knew I had to go to the chart too...much better system for me than leaving holes I could forget to initial because something came up and distracted me.

But this was back in the day where the MARs were huge binders in an assisted living area and not to be taken from the carts. Now I take my MAR with me now that I work in hospital! But I still sign as I despense so I know what is in that cup! (we have pixis...so I am not despensing in the room).

I like the dot idea!!!!!!

Specializes in Med-Surg, Home Health, LTC.

Pleasr refer to post #1 on this thread

That's how I do it. In nursing school they told us to never sign before hand, but I don't think that's as safe. For instance, if you are then called into another room, you might neglect to sign, then someone else following you can think you didn't give it. I always sign right before giving the med, and most people I know do the same.

Specializes in jack of all trades.

I always signed when getting the meds out and taking to the patient. If refused or not given for any reason then I would come back to circle then document in my charting why it was held. I'm more than likely not going to miss getting it circled as I it has to be charted in my nursing notes also. So no I dont believe that is negligent to sign before the patient actually ingest the medication as long as you have removed, prepped it and are in route to the patient with the meds at that time. Same with narcotics, I sign that out soon as I take it out rather than forget and end up wondering when the count ends up off. I've seen more mistakes made by not signing soon as that narc leaves the drawer.

Specializes in LTAC, Telemetry, Thoracic Surgery, ED.

can I ask....what part of it do you feel is negligence?

I think that's how most if not all places do it

Specializes in jack of all trades.

Sorry to come back on this but didnt you post this same question previously? Just found it here lol. https://allnurses.com/forums/f8/please-help-question-about-medication-pass-193673.html

Pull your facility's medication administration policy.

If you are following it, you need not worry about being negligent.

Our policy states you take the MAR to the bedside and initial each med after it is given, which is what I do. Like I said, if you follow the policy, you're safe....that is, unless you're not looking at hold parameters and the like.

can I ask....what part of it do you feel is negligence?

I think that's how most if not all places do it

I don't think it's negligence, but it is charting a task before it's done.

Specializes in Education, FP, LNC, Forensics, ED, OB.

Threads merged.

Specializes in LTAC, Telemetry, Thoracic Surgery, ED.

That's how I was taught in school, that's how it's done at the facility I work at

check - rt pt, med, dose, route, time, sign....give and if refused or held..circle and be done......

+ Add a Comment