Oncology RN Forced to Resign - page 2
by Done 10,996 Views | 46 Comments
For my second year of nursing, I was hired to become an Oncology Nurse. It was not my first choice because of the multiple cancer stricken family members I have in my life right now. Eventually, I made peace with it since I... Read More
- 4Nov 22, '11 by mazyI really worry sometimes about whether it is a good idea to be posting such specific information about an ongoing investigation on a public forum.
Done, it sounds like you have had a lot going on in your life, both personally and professionally. A hard road to travel for someone just coming into an already difficult profession. I hope that you can find the answers that you need and that you are able to move on from this awful experience.
- 8Nov 22, '11 by pumpkinseedsYour post is very interesting from a statement analysis perspective. I didn't read anything in it that says "I did not take any drugs." Instead, it's a rather rambling account of how you fit the diverter profile, and how there's nothing an "investigator" will find in your "background."
I had a similar problem a few years back. I was new to the pyxis system and I forgot to witness my narcotic wastes. Of course, my boss eventually had to talk to me, but the first words out of my mouth were "I don't take drugs, and I will take drug urine and hair test right this minute."
If you are innocent, then tell them straight out you didn't do it, and prove it any way you can.
If you are guilty, admitting it is the first step to getting help. We are all vunerable to diversion. It's one of nursing's dirty little secrets, how many of us fall prey to addiction.
If you did it, please get help, because it will only get worse. Addiction thrives on secrecy and denial. If you didn't, get a lawyer and clear your name. I wish you all the best.
- 4Nov 22, '11 by applewhiternI hope this doesn't make oncology nurses afraid to give narcotics. My son suffered cancer for 8 years before he passed away 2 years ago. We had to beg and beg and beg for pain meds. Cancer was in his colon, liver and both lungs, then finally in his brain, but everyone looked at him like he was just a drug-seeker.
- 3Quote from applewhiternI am so sorry to hear that. I've never had a problem in hospice with being able to get adequate pain control for my patients but that is an integral part of the hospice philosophy.I hope this doesn't make oncology nurses afraid to give narcotics. My son suffered cancer for 8 years before he passed away 2 years ago. We had to beg and beg and beg for pain meds. Cancer was in his colon, liver and both lungs, then finally in his brain, but everyone looked at him like he was just a drug-seeker.
- 1Nov 22, '11 by leslie :-DQuote from tothepointeLVNone would think it would be part of the 'cancer' philosophy as well.I am so sorry to hear that. I've never had a problem in hospice with being able to get adequate pain control for my patients but that is an integral part of the hospice philosophy.
applewhite, your son's experience was unconscionable.
i'm so sorry for your loss.
- 0Nov 22, '11 by demylenatedQuote from tothepointeLVNWhen I worked hospice, we never took the medications away. They belonged to the patient, and just as if a patient would pass with us not there, it was the families responsibility. We would ask them if they wanted us to destroy them, and they would have to countersign, but it was their decision.Had one company I was staffing for instruct me to leave all medications in the house after the patient passed and not destroy them with a witness because they had had "problems" Really so leaving them in the families hands until a field nurse can pick them up is a better solution? The field nurse did come before I left counted the medication ( did not ask me to countersign) and left with them.
When my father passed away, we had 3 bottles of morphine in the cabinet. Because I was afraid of some of my family misusing it, I dumped it. I don't want them getting into something that could spiral out of control. People aren't educated enough about narcotics and medications.
Hospice is great with eol issues. That is one thing that we ensure is patient comfort. There is no such thing as developing an addiction when you have a death sentence, yanno?
I'm sorry you had to lose you job, but it is a great learning experience. Documentation is the NUMBER ONE thing they stress in nursing school, especially with Narcotics. You cannot CYA enough as far as I am concerned. Please use this to learn everything you can about documentation. As someone said - other people rely on your documentation as well.
- 1Quote from demylenatedThis is usually what we do but only with the medications provided by the hospice (basically the only ones that the crisis care nurses use) though often the family will take the opportunity for use to document and destroy everything. Usually I do it with the nurse that comes to do the death call. Never had a problem.When I worked hospice, we never took the medications away. They belonged to the patient, and just as if a patient would pass with us not there, it was the families responsibility. We would ask them if they wanted us to destroy them, and they would have to countersign, but it was their decision.
It was just weird that they thought the best solution to avoid misuse was to have one nurse document it and then transport the medication in her own car. I just documented that I received the verbal instructions from x nurse and witnessed her taking them from house. Documenting and destroying them together would have protected both of us. Of course this particular company doesn't have a proper MAR and I have in the past been instructed to "give whatever I like" or "whatever it says on the bottle" even when the bottle has no directions.