I'm new to this med-surg floor. When we get a drug like morphine out of the Pyxis it asks if we are going to give the whole amount. If we say no it asks for a witness. The "witness" will come in and scan their badge and leave. The pyxis will then open the drawer for you to remove the narcotic. We then take it to the room, scan the pt and med, draw it up, waste the proper amt and give the rest. No one witnesses this. I first tried leaving the extra med in the bottle so I could prove what I gave and was told this was wrong-that we withdraw all of it and squirt out in the trash what we don't need. No one will stand at the Pyxis and wait until the med is drawn up and wasted because their ID is needed before the med is even taken out of the Pyxis and no one has time to watch. No one follows you to the room to actually witness. Once it's drawn up, no one could prove it's really the narcotic. I'm not sure what to do. Everyone just says I trust you and if anyone has a concern they'll just drug test you anyway. Is this common? I'm a little concerned because I don't want to be someone's witness and it come back that they were abusing drugs or selling them or giving the wrong amt or whatever with my name beside theirs. Am I worrying too much or should I talk to the manager?
I know several nurses who have taken advantage of that situation by collecting the wasted meds and having a party. Always stick around. You don't want to supply that 10% of nurses who are getting high (we're no different than the general population and in acute areas, stats say the percentage is higher). If not, I'll take care of them once their license has gotten into turmoil and the trouble that comes to those blind witnesses who supplied them.Wait for someone to die at the workplace from an overdose and you'll do things differently. Most facilities know of at least one who did so at work only to see the weeping family filing in after the incident when they didn't survive.
If you want to find whose using on your unit, it's not that hard to find 'em if you KNOW what you're looking for. Most every unit has at least one. Why don't people think about the rules and why they're there? We went to school for how long to get our licenses? We could easily be supplying our friend for their death.
...Perfect example of State Board's "did the nurse follow Basic Entry Level Nursing Practice (or not)?" -and they will question WHEN, not IF the person using the wasted drigs is nabbed, 'cause that's always the question, "How did you obtain schedule III, II narcotics"). Attend your state disciplinary hearings and federally charged DEA cases and you're eyes will be opened to the suppliers and the users neccesary to kill someone (patient or coworker). I know SEVERAL (not one or two) who died from "wasted" drugs.
Questions always follow why established federal laws were not followed (federal charges don't have parole). I'm shocked at how many mentioned consciously ignore federally mandated DEA laws, 'cause I can't imagine a state shirking this responsibility. They do however, write it clearly when we're all licensed in case the state failed to properly train and warn of the DEA.
Last edit by CASTLEGATES on Oct 14, '12