No wonder patients are in pain!

  1. 9
    I just got a call stating that I am on unpaid suspension because of a drug waste discrepancy. I had a shift consisting of 4 (count 'em 4) confused, agitated men swinging at us and trying to get out of bed. One of them was in a procedure where the doctor needed sedation NOW. I lost that half vial of Ativan, creating a discrepancy when I finally did get around to wasting. Yeah, I should have wasted it right then and there, but dumb me tried to be quick. I know that my drug screen will come back clean, but until then, I'm sitting at home not being paid. This is bull crap. I know that it's to protect me and them, but the last thing I need right now are druggie accusations.

    Don't get me wrong, I would never leave a patient in pain, but between all the JCAHO documentation for pre-and-post-medication, having to waste everything even if you have multiple patients in pain and no nurses in sight, it's no wonder why pain isn't better controlled and treated than it is! I've even had a few nurses and doctors tell me not to ask if the patient is in pain, as that will "encourage/remind them." Again, I would never leave someone in pain, but I can see where they're coming from and reducing their own personal liability with the "don't ask" policy.
    flightnurse2b, jellybean_1, truern, and 6 others like this.
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  4. 4
    That really bites! I'm sorry that happened. You were in a really difficult situation and I'm sure many of us would have done the same thing. Proper documentation, wasting, etc. are important and all, but so is safety of the clients and coworkers.
    jellybean_1, PeachPie, wooh, and 1 other like this.
  5. 1
    these are the kinds of stories that make me really nervous about going out on my own after i finish orientation =(

    i mean as its not enough with all of the constant updates to charting, documenting, and stuff. im sorry you have to be going through this.

    i mean i just started orientation, but man.... i hope you get it resolved quickly.
    pagandeva2000 likes this.
  6. 2
    Sorry you're going through this.
    Be prepared though- even if your drug screen is negative, there still might be displinary action. Nurses have diverted before, but not for themselves, but for a family member or their spouse. (I'm not saying you did, but even if you're clean, they could still get you on something).
    Cherybaby and wooh like this.
  7. 2
    Quote from Aneroo
    Sorry you're going through this.
    Be prepared though- even if your drug screen is negative, there still might be displinary action. Nurses have diverted before, but not for themselves, but for a family member or their spouse. (I'm not saying you did, but even if you're clean, they could still get you on something).
    Great, I'm a druggie no matter what. Why did I go into nursing?
    canoehead and wooh like this.
  8. 8
    this is a system failure in a way......if you had the proper dose, you wouldnt need to waste...
    jellybean_1, truern, canoehead, and 5 others like this.
  9. 1
    Quote from morte
    this is a system failure in a way......if you had the proper dose, you wouldnt need to waste...
    Yes, I often wonder why they don't make more dose containers. It's such a waste.

    However, it's kind of dumb too that they let it go with the whole dose. How do they know that I'm not just drawing up a partial, documenting a full, and pocketing the rest with the patient never knowing the difference? I'm not, but it goes to show that their system of witnessing only partials has holes too, although I'm going to shut up now rather than jinx it in case JCAHO decides to instate that and create even more work for us.
    wooh likes this.
  10. 3
    this is a way more appropriate place for this post i wrote elsewhere ay o'dark thirty. maybe mod will delete other?

    anyway, don't know how new or interesting this might be for anyone but fwiw

    anybody ever peruse the 'disciplinary actions' section of your state bon site?
    since we all(and even if you haven't done this particular mistake like op, don't worry, there's somethin' here for almost everyone) know that real world nursing is rarely the utopia of school/nclex-like practice scenarios where there is staffing and 1to1 care available for all
    but even i was a little taken aback by some of the egregious offenses listed. oh and the bolded emphasis is theirs:

    1. respondent removed 8mg. morphine from pxysis when physician order was for 4mg.
    (no issue w/wastage btw, that appears all good, just the discrepency in what was ordered vs. removed)
    oooohhh...
    2. respondent removed 'whatever' at 2335. documented medication given at 2330, however this was fully five minutes before med removal.

    3. respondent adminstered 'whatever' according to md order and patient was d/c at 1300. wasted 'appropriate amount' with 'appropriate witness' at 1341. however, this was almost 45 minutes after patient left department.

    let's see......only comes in 8's
    my watch/yer computer's off,
    wth? i couldn't get anyone in to waste w/me until then and oh yeah, bed c decided then would be good time to, y'know, code...

    don't know why i'm surprised anymore, and yes i know they're there for the public's protection and not ours, and no, these aren't mine nor am i in any trouble...
    just over the the ability to make how-it-is-sometimes appear all shadyand suspicious...
    anyway, just found that section today and it really teed me off.
    jellybean_1, SuesquatchRN, and Aneroo like this.
  11. 0
    Okay, I'm sitting at home worrying about what is to come. My nurse manager said that I'd be clear once the urine drug screen comes back in about 6 days. However, she also said that my Accudose records will be audited. I know for a fact that my drug test will be clean. However, the latter scares me a bit. I know that there has been an instance or two in which I forgot to waste, and a couple drugs that I didn't even know that I had to waste.

    Any advice? Sadly, I'm learning that it boils down to the crappy luck of getting caught.
  12. 1
    Quote from miss mab
    this is a way more appropriate place for this post i wrote elsewhere ay o'dark thirty. maybe mod will delete other?

    anyway, don't know how new or interesting this might be for anyone but fwiw

    anybody ever peruse the 'disciplinary actions' section of your state bon site?
    since we all(and even if you haven't done this particular mistake like op, don't worry, there's somethin' here for almost everyone) know that real world nursing is rarely the utopia of school/nclex-like practice scenarios where there is staffing and 1to1 care available for all
    but even i was a little taken aback by some of the egregious offenses listed. oh and the bolded emphasis is theirs:

    1. respondent removed 8mg. morphine from pxysis when physician order was for 4mg.
    (no issue w/wastage btw, that appears all good, just the discrepency in what was ordered vs. removed)
    oooohhh...
    2. respondent removed 'whatever' at 2335. documented medication given at 2330, however this was fully five minutes before med removal.

    3. respondent adminstered 'whatever' according to md order and patient was d/c at 1300. wasted 'appropriate amount' with 'appropriate witness' at 1341. however, this was almost 45 minutes after patient left department.

    let's see......only comes in 8's
    my watch/yer computer's off,
    wth? i couldn't get anyone in to waste w/me until then and oh yeah, bed c decided then would be good time to, y'know, code...

    don't know why i'm surprised anymore, and yes i know they're there for the public's protection and not ours, and no, these aren't mine nor am i in any trouble...
    just over the the ability to make how-it-is-sometimes appear all shadyand suspicious...
    anyway, just found that section today and it really teed me off.
    those lil sections are scary! i was reading through one a few weeks ago- found out an old coworker is losing his license for diverting meds. our state will allow you to go through a rehab program to maintain you license (you're working really strict criteria though), but it is on a voluntary basis. dude maintained he did nothing wrong and is gonna lose his career for it. (he was caught diverting fentanyl, later found out it was thousands of mic's he diverted)!
    Miss Mab likes this.


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