I'm not saying you did or didn't do it--I wasn't there so all I can go by on is what you post. But 5 times is 4 times too many to be an accidental oversight. Especially when the medication in question is a pain medication, likely a controlled substance and a common target for diversion.
And if the times were off between the EMR and the Pyxis, wouldn't everyone else be dinged as well? You wouldn't be the only one being suspended. But apparently it's just you.
I'm not sure how your scanning process works. In my facility, I have to pull the medication out of the Pyxis first because when I scan the medication into the EMR, I scan the actual barcode or QR code on the medication itself. There's no way I could scan a medication from the Pyxis into the EMR without the actual medication in hand.
Of course, I could skip the scanner and manually enter the medication administration into the EMR...and sometimes I have to do that when acuity warrants it (i.e., I have to give emergency IMs to a patient who certainly isn't going to let me scan anything). But it would be flagged as a manual entry and not a scanned one. Then they could compare the EMR and Pyxis time to see when (if) I actually pulled the medication out. But even then, the pull time would be before the manual entry time, unless I misentered (intentionally or accidentally) the manual entry time.
As far as I know, most acute care hospitals work the same way as mine. Perhaps yours doesn't, though I don't think it's likely.
So what EXACTLY are you doing?
- Are you actually pulling the medication before scanning? But if that were the case, the pull time would come before the scanning time.
- Are you pulling one dose from a floor stock, scanning and administering it, then pulling the next dose from the Pyxis? That certainly would cause a time discrepancy.
- Or are you scanning/entering the medication into the EMR first for some reason: patient acuity, to avoid a late medication administration (common new grad worry), using the scanner is too annoying, to make thing easier for you, diverting the med, or whatever other reason, and then pulling the med afterwards? That's a bad habit to get into, because you risk thinking you gave the medication and actually forget to give it. And don't even get me started on the evils of diverting.
Sit down and really think about HOW you are doing things and WHY you're doing it that way. Be honest with yourself. Then talk with your manager about how can fix things. It doesn't guarantee you'll keep your job, but if you get terminated, you'll have learned a lesson for the next job.
And yes, you are/will be suspected of diverting. Understandable when it's a pain medication involved. Be prepared for that...and don't think that a clean UDS is an automatic "get out of jail free" card. Facilities know that people often divert not for their own use, but to supply/sell to others. And five discrepancies isn't actually reassuring for the hospital to see...it does cast considerable doubt on you and your actions.
If you are actually diverting, then you definitely need to talk to a lawyer as you could be facing criminal charges.
I'm sorry if that all came off as harsh. But your manager has a very valid reason for putting you on leave while investigating this. Discrepancies with controlled substances are not taken lightly by either the hospital or the DEA. What you're dealing with is very serious. So it's really important for you to figure out where you're going wrong and correct it.
Best of luck.