Gericare25

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1. Nurses secretive about getting another job

   Gericare25 replied to Emergent's topic in General Nursing

   Well I started a per diem home care job in March and only told a few coworkers. I recently decided to go per diem at my full time job. Today the scheduler overheard me talking about my home care job and got pissed saying she thought I went per diem t...

2. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   Our pharmacy has overhauled their Morphine protocol. They have changed suppliers and will no longer need to open the bottle and add the dye. (It came clear to them and they would add red/pink to it). They also won't be splitting the contents of one b...

3. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   I never personally held the bottle of Morphine. The RN supervisor had me witness she was adding the bottle to the med dispense. I did witness her put the bottle in but made the mistake of not looking at the contents of the bottle. When the supervisor...

4. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   Thanks everyone for all of your replies! So they still haven't been able to figure out what happened but some nurses admitted to signing into the med dispense as a witness for other nurses and then leaving the room which is obviously a very big no no...

5. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   Believe me, I have learned my lesson! I will be even more careful with being a co-signer and with the narcotics in general. I think I can be a little naive and trusting but this has scared me enough to make sure I'm asking the other nurse to slow dow...

6. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   The bottle comes in a box from pharmacy but we have to open the box and remove the bottle to check it in when pharmacy brings it. The boxes do not fit in the drawer so the bottles themselves are placed in the drawer in med dispense. Our narcs as well...

7. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   It is the pharmacy that delivers the med that way. I don't know for sure why they divide it up. I think maybe they split it because we are only to use the med dispense bottle until a full bottle comes from the pharmacy. So say I pull for patient A be...

8. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   Thank you for your reply! Your first paragraph is a good synopsis of what happened. I'm not afraid they thought I took it or will accuse me of that. I'm afraid that I will take the fall and be made an example of for not ensuring upon restocking the d...

9. Narcotic Discrepancy!!

   Gericare25 replied to Gericare25's topic in General Nursing

   Sorry if I'm not explaining this well! There are a set of keys for the supervisors. They count between themselves and the supervisor keeps the keys to themselves all shift. Then we have four hallways and each has a med cart with a narc box on it. Eac...

10. Narcotic Discrepancy!!

    Gericare25 replied to Gericare25's topic in General Nursing

    Just want to thank everyone for their replies! I will update as soon as I know the outcome of the investigation.

11. Narcotic Discrepancy!!

    Gericare25 replied to Gericare25's topic in General Nursing

    Yes I meant co-sign. Not sure why my phone continues to autocorrect to consign! So we have a med cart with a narc box on each hall. The med dispense is only used to pull meds that have not arrived from pharmacy or for "now" meds that are new orders. ...

12. Narcotic Discrepancy!!

    Gericare25 replied to Gericare25's topic in General Nursing

    These are bottles we pull and use only for one resident so none of the med should be used while in the med dispense. It is a strong narcotic and the largest dose which would be very large would be 1mL at a time. Usually we give 0.25-0.5mL of the med ...

13. Narcotic Discrepancy!!

    Gericare25 replied to Gericare25's topic in General Nursing

    Thank you for your reply! I will definitely always be checking the actual liquid in the bottle no matter who the other nurse is! I have learned my lesson and it was my lesson to learn because it's just good practice. I will be obtaining legal counsel...

14. Narcotic Discrepancy!!

    Gericare25 replied to Gericare25's topic in General Nursing

    I actually don't do the shift to shift count as I work as a floor nurse and not the supervisor. Apparently the supervisors have not been looking at the liquid in the bottles and only that there are bottles of the right count in there. This is obvious...

15. Narcotic Discrepancy!!

    Gericare25 replied to Gericare25's topic in General Nursing

    15mL should have been in the bottle. They come half full from pharmacy for the med dispense. They take a full bottle and split it into two. No sign of spillage according to the higher ups. We do not give from the bottles in the med dispense. If we ne...