A Nurses Responsibility: Report Possible Narcotic Diversion - page 2

by clebius

Drug diversion from the workplace, specifically a hospital or surgery center, is becoming more common every day. The specialty of nurse anesthesia has a near 10% of practitioners who may face a chemical dependency. It is... Read More


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    Quote from oramar
    The rule for reporting drug diversion that you personally witness is pretty cut and dried. However, what about a situation where you overhear a conversation in which a co-worker tells another co-worker that they think someone is diverting? Or what do you do if the information is third or forth hand, like when someone says, that someone says that someone says that so and so is diverting?
    Never act on hearsay. Never. You can cause a lot of undue hardship, and you yourself will lose credibility. Hearsay is never the truth, just bits and pieces of truth stuffed in a lie. Would you want anyone to act on hearsay about you. Peace!
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    Quote from Chin up
    Never act on hearsay. Never. You can cause a lot of undue hardship, and you yourself will lose credibility. Hearsay is never the truth, just bits and pieces of truth stuffed in a lie. Would you want anyone to act on hearsay about you. Peace!
    But if the hearsay is circulating, shouldn't management be made aware, if for no other reason than they will then be able to investigate and clear the wronged individual and put an end to the gossip? Because let's face it, once that rumor mill gets to churning out its garbage, it's not going to stop until SOMEthing forces it to stop. If nobody tells mgmt about it, it's going to keep getting worse...
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    Actually drug addiction as well as alcoholism takes a great damage to human body and attitude images. Thanks to explore your insight thought. it will help to prompt all of us to avoid drug addiction and other narcotic substances.
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    Quote from brillohead
    But if the hearsay is circulating, shouldn't management be made aware, if for no other reason than they will then be able to investigate and clear the wronged individual and put an end to the gossip? Because let's face it, once that rumor mill gets to churning out its garbage, it's not going to stop until SOMEthing forces it to stop. If nobody tells mgmt about it, it's going to keep getting worse...
    I think we are capable using good judgment. The post I was responding to, used, if you hear from a second or third party. The problem with this, you don't know the truth and could destroy a life, because of it. Also, when you have a suspicion, you should go immediately to your superior, not to another coworker or friend. This is how the rumor mill starts. If everyone followed policy, then you would not be hearing it from a twice removed source. Management would have taken care of it, and hopeful the person doing this, will be helped. I am in management and hear all kinds of things all the time. I take every accusation seriously, but make sure a full investigation confirms or denies such allegation. No one ever knows what we are doing and why. Only those who need to know. This way, if an allegation is false, which most are, no one got hurt in the process. Of course those guilty need to be stopped immediately. But your right to due process is greater than a "maybe this is true." Peace!
    cherryames1949 likes this.
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    i was one of those drug addicted alcoholic nurses who also diverted, but i made sure my patients were also comfortable. i never used at work and became addicted after an injury and my dr. wrote rx's for over 11/2 yrs., i do not blame her, i take full responsibilty, but addiction is a cunning disease with regards for no one. absolutely yes you should report any one you know of, suspect, or even her about in gossip because it is more than likely true, nurses have that special 6th sense and can see things others can't. yes, the offender will be extremely furious, deny everything, lie and then lie some more, but trust me in the end he/she will be grateful she was reported. i now have 2 years clean and sober and am free of my demons, and the thing i was most afraid of never happened which was facing my coworkers when i went back to work. they were understanding and helpful and never talked about me as i had feared. in closing i will leave you with this. all addiction does is hide and wait and wish you death and suffering it is always present just waiting for you to become weak so it can take over your life. we must be ever vigilant.
    brillohead, cherryames1949, and Chin up like this.
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    Just wondering: Recently I had an issue with Pharmacy sending my supervisor a Pyxis log and stated that there was a vial of Fentanyl and a vial of Versed missing from our return drawer. I have a hard rule with my nurses that after a sedation case, as soon as the patient is settled back in recovery, the drugs MUST BE IMMEDIATELY wasted/returned. I don't want any questions to come up as to our control of these drugs. When Pharmacy recovered the returned vials, there were these two missing. After three hours or so of me pulling charts, reconcilling the charts against the return logs, talking with my nurses, I gave up. Nothing found, except for those two vials, and I couldn't find where they would be missing from. I told the Pharmacy that I would be doing an Esrm and leaving it up to the powers that be to find what was going on. Imagine my surprise when I was told the next day that the vials had been found...in the return bin....go figure!! We have to have a witness to waste, but are allowed to return solo....but, who witnesses the Pharmacy Tech? They don't have anyone to monitor them, but if something is missing, the oness is on us to find it....not a good system, if you ask me! Are there just NOT Pharmacists who would divert meds? I don't think so!!
    Chin up, cherryames1949, and maryw1212 like this.
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    Quote from vablueyes
    Just wondering: Recently I had an issue with Pharmacy sending my supervisor a Pyxis log and stated that there was a vial of Fentanyl and a vial of Versed missing from our return drawer. I have a hard rule with my nurses that after a sedation case, as soon as the patient is settled back in recovery, the drugs MUST BE IMMEDIATELY wasted/returned. I don't want any questions to come up as to our control of these drugs. When Pharmacy recovered the returned vials, there were these two missing. After three hours or so of me pulling charts, reconcilling the charts against the return logs, talking with my nurses, I gave up. Nothing found, except for those two vials, and I couldn't find where they would be missing from. I told the Pharmacy that I would be doing an Esrm and leaving it up to the powers that be to find what was going on. Imagine my surprise when I was told the next day that the vials had been found...in the return bin....go figure!! We have to have a witness to waste, but are allowed to return solo....but, who witnesses the Pharmacy Tech? They don't have anyone to monitor them, but if something is missing, the oness is on us to find it....not a good system, if you ask me! Are there just NOT Pharmacists who would divert meds? I don't think so!!
    Absolutely! And why, we count all narcs when ekit is opened for any reason. I don't know your system, but with ours, if a vial of versed were needed, two nurses would take that time to count and log everything with quantities in our kit. Many, many times, we have found a narcotic or two missing. Immediately we notify administration and they take it from there. As you stated, pharmacist divert meds too, but they also make plain ole mistakes. Which again points to, being certain drugs have been diverted, before you accuse a co worker. I am not saying this to you, but other post which seem to want to report hearsay. We need to be sure, not just hear it or think it, we must then tell management and not our coworkers, and we must let the process take place unhindered, before we tar and lynch someone. Peoples lives are never the same, once a serious allegation of diversion is reported. Especially the innocent, never seem to be able to get over it or are never looked at the same. Thanks for sharing. Peace!
    cherryames1949 likes this.


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