What do you do when the narcotic count is off? - page 3
Last night I went into work and things were going pretty well until we did the narcotic count. According to the narcotic book, one of our residents was supposed to have 28 dilaudid...there were only... Read More
Sep 2, '06Quote from cotjockeyShe then informed me that she is and RN and that I have no choice but to do what she says.
So...she documented in the narcotic book, "Cotjockey refused to sign this count correction, despite direction from RN."
Where in the heck did she get the idea that you are supposed to sign just because she is the RN and she directed you to do so? I find this very disturbing. A less experienced nurse might have been bullied into signing. It's good to see that you were strong enough to stand up to her. You have a license and you are accountable for what you sign and she has no right to try to intimidate you into signing after her mistake. I also would not have called the pharmacist or the DON, that was her mess to clean up.
Sep 2, '06You did the right thing not signing. You should have called the nursing supervisor and had the count confirmed by that person not yourself.
Your license is first, the facility you work for is a few slots behind that, sanity, comfort, and family needs come way before your DON.
Sep 2, '06Quote from onlyanrnThis type of team work can get you in a lot of trouble. I see a lot of people ok insulin or narcotic doses without actually checking that the dose is correct. If your name is there as having checked and the dose is wrong, both nurses will be responsible. Theses types of shortcuts/team work are dangerous to the patient. The signing the narc descrepancy report in this case would have been unethical and a violation of the pharmacy and nurse practice act. Cotjockey you were absolutely correct, you handled the situation great! Keep up the good work, our profession need more nurses like you.I diasgree with most of what has been said. Whatever happened to teamwork and supporting one another? I, for one would have had no problem signing the corrected count. Do you really think someone would lie about a mere to pills? Nurses need to stick together if we expect to remain a profession. Accept her ansewrs and show her that you respect her by giuving her the trust she deserves. TYou ended up being wrong and she right, didn't you?
Sep 2, '06You did the right thing. Never document anything you did not do yourself or witnessed yourself. When we have a discrepancy a pharmacist must come to the unit and count the meds. The off-going shift cannot leave till the problem is resolved. That is motivation! Most of our units now have an automatic dispenser , so the count is harder to screw up. Not impossible, just harder.