RN job in jeopardy please help - page 3
Shell shocked. Worked last night, they called today and asked me to come in today early. Administrator there plus managers, still befuddled. I gave an Ambien to a patient at 2100, I remember pulling... Read More
Oct 26, '06I find it difficult to believe anyone dusted for fingerprints AND got a match in that short of time.
Oct 26, '06Glad to hear it. I had an incident not too long ago with the Pyxis in which I was removing oxocodone, the count was right, I removed one, and then the next person using the system reported that the count was off. It was when they were changing drug delivery systems....exactly at the same time and a lot more problems were reported. Some counts went up, i.e. available: 15, removed 1, balance 17. Duh...Ever since then, every time I remove a drug from the pyxis, I print out that little sheet of paper and keep them in my clipboard/box.
Oct 26, '06I am glad the med was found. You certainly got pulled through the ringer! They really should apologize to you. Good luck in your!:wink2:
Oct 26, '06What do you mean by this? No one said anything about dusting for fingerprints.
Quote from purplemaniaI find it difficult to believe anyone dusted for fingerprints AND got a match in that short of time.
Oct 26, '06What an experience!! You probably felt horrible!! I was getting more and more upset for you while reading through the pages of posts.Thank goodness it's over!!!
Oct 26, '06Why not just put a camera in the med room, then you wouldn't have to guess as to what happens to meds?
I thought you were innocent until proven guilty.
Glad they got it straightened out though.
I see I need to pray before every shift when I graduate.
Oct 26, '06Quote from fe3I would tell them I would want their apology in writing because they should understand my position. Then I would give my two weeks notice.Well they said something like, "Sorry you went through all that but you understand our position. You can come to work as scheduled next shift"
So that was sort of a halfway apology but I'm just happy they found it, I don't care.
Oct 26, '06Quote from MBA2BRNITA.I would tell them I would want their apology in writing because they should understand my position. Then I would give my two weeks notice.
Oct 26, '06Ok, Congrats on finding the med. I am glad they called you and offered somewhat of an apology, but understanding their position and policies that is how it may be done.
Which brings me to policies. I would double check policies or manuals on hospital standing about drug discrepancy to address a few concerns. (and to CYA, in case it ever happens again)
1) Why were you not called immediately upon the discrepancy being found. What is policy on this. Lack of timely notification, whether you are sleeping or not, shows ill faith on their part. Plenty of time for your future credibility to be torn apart by co-workers. Additionally, the call may trigger you to remember something or an accidental placement in wrong drawer etc and save EVERYBODY trouble.
2) You should have been able to come in and assist with the search and observe counts upon the discrepancy being found and you being immediately notified. What is policy on this? Even if your were sleeping, how many of us wouldn't run in to assist. provide drug screen, search, review MAR's etc to save our license and livelihood. Also, if their search of the Pyxis was so thorough, why did parm come in and open it and wah lah there it is....You may insist on a more thorough search if you could have been there. Why wasn't pharm notified initially to come "open".
3) Back to being notifed...if you are being investigated or questioned you should have a right to know if you are being reviewed. What is hospital policy on this. They were investigating you without notification, they should have notified you immediately and advised of your Admin leave pending the results of the investigation (CYA for them). They caused you undue stress hmmm...
The hospital I work at does these things along with Drug screens for anybody with access to the Pyxis within so many hours. Including those that have already gone home. Once notified you have 2h to screen.
For future for all of us...
Upon notification, request to be present to assist with search, MAR reviews and counting. In the very least, you should be allowed to observe. If you can, contact union or lawyer to fight for your rights for this.
We all stress and our minds may be blown but we are trained to work under these conditions... Think, my life, my license, my livelihood are under attack what do I need to do. Go into the mode you have been trained to do. only now it is to protect yourself, be your own best advocate. Insist on drug screen, insist on prescence. Insist on Pyxis inventory and access review. Review MAR's of all patients in Pyxis and patient's with need for same drug and nurse for pt.
We have been taught...legalities...documentation, documentation. Begin your own paper trail and write down everyone you contact or who contacts you reference the situation and what they say or advise. Right down times and note time spaces. Ask when was this noticed as a discrepancy and document what the person says and ask why was I not notified sooner etc.
Then begin a memory recall and write down everyhing you can remember in the time frame of suspected incident. Who was there, what was going on, who you had for patients, acuity level, staffing level, housekeeping, techs etc. keep reading it and reviewing and adding what this triggers for memory.
Basically do your own "self charting" to protect yourself. In this way you will begin to feel you have some control of the situation instead of letting the situation control you. Use your critical thinking skills to approach the situation with a methodical plan to direct your focus.
Again, I am glad you were cleared and happy safe nursing to all!Last edit by mrsalby on Oct 26, '06
Oct 26, '06What a relief for you! Similar situation happened to an LPN at our facility except she was reported to state before pharmacy finding the med stuck between drawers. She had been an LPN there for more than 20 yrs. She no longer works there.
Good luck with your next decision. Let time take care of the feelings surrounding this issue. Focus on established experience and career goals.