I have such a highly developed guilt complex, that I can't lie about things - must have been something my mother beat into me or something. A department head I worked for once told me that I could be almost 'painfully honest', altho I didn't think it was meant as a compliment.
But I still think if you just practice it, life is much simpler overall.
Last weekend, I gave one of my ladies her usual early AM Xanax. We use the bubble pac system, and for some reason, this facility does not lock up Xanax.
The card for early AM has a bright pink sticker on it - and it was there on Saturday morning.
On Sunday nite when I came in, we were short a CNA, so I decided to start organizing my stuff for morning early, in case I had to help - I'm glad I did. When I went to look for that lady's Xanax card, it was gone - thinking I had just misfiled it the day before, I looked in the slot behind it - not there.
I ended up going thru that whole med cart - several times - and it was just gone! When the MDS coordinator came in at 4AM, she flipped thru and couldn't find it.
I'd never had anything like this happen so I went back and asked the other nurse what to do - she told me not to say anything, and just to re-order it.
Hello! I don't care whether they lock it up or not - it's still a controlled substance. I wrote a note to the DON telling her what happened, and what I did, and stuck it on her door, then took a dose from her noon card, and left a note in the MAR. I also reported it to the day nurse, thinking she'd come across it somehow.
Well, she didn't - and from what I heard the DON called all the other nurses and subtley accused them of taking it!
The thing is - when you make a mistake or find something like that, I've always felt the worst thing to do is to try to cover it up, altho I've seen people do it.
A department head I worked for once told me that I could be almost 'painfully honest', altho I didn't think it was meant as a compliment.