RN drank a bottle of codeine at night, passed out. I called 911.
RN emptied a vila of MS (RED), replaced it with NS (CLEAR). I sent it to be tested.
LPN wrote oders for oxcodone, over the course of a year. Made sure to be there to receive from pharmacy. POA called from out of state regarding a $5000 bill for oxydocone. Told him, no, patient not taking that. Not in chart, not on MAR, not in cart, no trail. Called pharmacy- they faxed me copies of his bogus orders...AND copies of every receipt he signed. BUSTED! (He even slid the original orders into the huge stack for the MD to sign, knowing that they sign anything without looking at it).
Advice: Like the digital age, the pharmacy has all kinds of checks and balances, every pill can be traced. So don't divert, and also never sign you gave a med that wasn't available- you can be found out. Don't do it.
Counting one shift, and the little tinfoil cups of cocaine solution felt a little light. Their tamper-proof peel-off covers were intact, though, so we wondered if maybe we were mistaken about how much they should weigh; they were all the same, too. Until one of us noticed the teeny, weeny needle hole in the tinfoil right up under the rolled lip. Every single one.
Our cardiac surg ICU went through dozens and dozens of morphine ampules a day (we drew it up into 1cc syringes to give 1mg/0.1 cc). They came in boxes of 25, and each box had a sheet with the same serial number on it as the box. The sheets were in a binder, most recently started in top. When we opened the box, we signed out those ampules on that sheet; when the sheet was full and the box empty, the sheet went to pharmacy and we got another box and sheet. We had eight or ten of these in the drawer at any given time, with their sheets in the book.
One day the pharmacy was looking through their returned sheets and noticed one missing. This wasn't that odd, because we didn't use the boxes in order, just yanked one out when we needed a new box. But this sheet was a coupla weeks old. So they asked us if we still had it in the drawer (with its box). Oops... both missing. One of our relief charges had taken box and sheet, and it almost never got found. Almost. She came in one Monday soon after and looked awful, said she'd had the flu over the weekend; withdrawal. She went away for awhile and came back with a restricted license. Too bad, because she was an excellent, excellent nurse, and never shorted the patients (unlike some diverters).
Last edit by nurseprnRN on Apr 5, '13
Apr 6, '13
Speaking of snorting anything. I watched a guy crush and snort a breath mint back in high school because someone "dared him to!"
edit: and I made this face the whole time I watched
Last edit by aflower1325 on Apr 6, '13
: Reason: add to the story!