Narcan med error - page 2

by michlynn

So, there is a ridiculous situation going on at the long term care facility where I work. One nurse gave 120mg of oxycontin to a patient who doesn't even take narcs so another RN (me) was told to give Narcan IVP. I am a new grad... Read More


  1. 2
    1. who the heck takes 120 mg oxycontin?
    2. Typical LTC- gotta throw someone under the bus- you were it. Say good riddance to this good ole boy network. Seriously- the oxy administering nurse isnt even getting their hand slapped?????
    Wishing you a better job with more honest people in it.
    TeleRN44 and applewhitern like this.
  2. 0
    How much narcan did you give?? You did the right thing, just curious. I would think the LPN would be suspended for giving the wrong med to the wrong pt if I am reading you right. Don't let them us you as a scape goat.
  3. 0
    Update... I have been fired. So where do I go from here? When I interview with other places what should I say?
  4. 3
    apply for unemployment.
  5. 7
    Honestly, my reputation is important to me and should be to you too. I would file a grievance and take it a step past the administration of that facility. Long-term/off brand facilities are always looking to make someone responsible for something. It is their method for covering their ass; make it look like they solved the problem by firing someone instead of educating. It was your first med mistake, you took the proper steps in reporting it, and the person that could have truly harmed the patient has not bee reprimanded which places all of the patients there at risk. We have a issue in nursing with being punitive with medication errors which is why they don't get reported. Apply for unemployment, look for a new job, and decide whether or not to fight it.
    IowaKaren, sharonp30, maelstrom143, and 4 others like this.
  6. 0
    I am so sorry. What a terrible place to work, with clearly terrible management. Def apply for unemployment. Dk what to say in an interview though..
  7. 1
    Oh....heck no. The other nurse wasn't disciplined? No, no, no.

    Yes, you had a med error, but (and I have to admit, I've never given narcan) yours wasn't as bad as hers/ his.

    Hospice pts/ ca pts can get that much oxycontin.
    maelstrom143 likes this.
  8. 1
    You were fired? I am so sorry. What happened to the LPN that gave 120mg of Oxycontin to the WRONG patient. This makes me so mad and the reason I did not want to work in LTC. They gotta throw someone under the bus, you were the chosen one. The LPN has probably been there for a while and has administration on her side.
    TeleRN44 likes this.
  9. 1
    Quote from PediLove2147
    You were fired? I am so sorry. What happened to the LPN that gave 120mg of Oxycontin to the WRONG patient. This makes me so mad and the reason I did not want to work in LTC. They gotta throw someone under the bus, you were the chosen one. The LPN has probably been there for a while and has administration on her side.
    YOU were fired because BY LAW and because you were the RN, YOU were required to give the IVP medication that saved the pt's life?? Oh, hell to the NO!!

    I completely agree with the previous poster who stated that it is important to protect your reputation. It's time to lawyer up and I would take the additional step to ensure they're NOT reporting you to the BON to cover their posterior ends with State. State typically wants a warm body and your facility apparently has offered up yours for the sacrifice. Only you can decide if you're going to go quietly or put up a fight. Are you possibly considering using this facility as a reference for your next job?

    You may not be able to go after them for terminating you, for what it is worth. Most places of employment and many states are employment "at will". This means you can be terminated at anytime and without being given a reason/them having a real reason. However, IF they are making false claims regarding your employment/reporting you to the BON without investigating all the facts...blah blah, blah...it's a whole different game. Not 100% sure...since each state is different and I didn't look to see where you live...I know that is pretty much how it goes around here.

    I worked in LTC, once upon a time, as an LVN and I saw some pretty horrific things. It was one of the reasons I left and went back to the hospital/clinic setting. Something about being asked to edit the details of an incident report so the facility looked better after a pt was left alone in a lift by the CNA, lost consciousness...fell and broke her clavicle. Nice. I refused to edit my report, by the way. Toyed with the idea of going back to work at once since becoming an RN. I don't think so...not after stories like this!
    sharonp30 likes this.
  10. 0
    I am wondering if part of the problem is that the narcan was probably not ordered in a rational way, for a sustained release drug?


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