HUGE mistake - page 4

*Admins, do not put this on facebook* Full disclosure, I am lazy about counting meds. I count them when they come in, and since I'm the only one who passes meds I just assume that the count will... Read More

  1. by   Amethya
    I'm sorry if I sound ignorant and such, but I never thought of counting medications when I get them. I just assume what's on the bottle is what I'm given, especially because the parents give me a new prescription bottle, so if it says 30, I say it's 30. I think I'll start doing this from now on, thanks for the advice.
  2. by   Flare
    Quote from Jen-Elizabeth
    That was my thoughts as well. Camera in my office while I am assessing students? Nope, nope, nope.

    We only have cameras in public areas at my school. So there is a camera in the hallway outside my office, but not in my office.
    a camera in my office would be a huge privacy concern. Unless the camera is in my medicine cabinet and only comes on when the cabinet is opened to take a snap of who opens it. But a lot of pictures of my face in profile is probably not worth installing such a complex camera
  3. by   OhioBPH
    I am not in trouble! We did MIDAS reorts for the 2 ritalin and the 1 tylenol. But my name is not on the the reports, its just reported for error stat tracking. But I did learn my lesson! I will be much more vigilant in my counting and focus during med pass.
  4. by   ohiobobcat
    Quote from scuba nurse
    I do not count OTC , that would be way too crazy!

    Our system (SNAP) keeps track of the med count, and counts it down after given, if you put the # in the system. I usually check to make sure I am on track with numbers but not everyday.
    Same. You can set SNAP to alert when you are down to, say, 4 doses left of a medication so you can call parents and have them get the refill for you.

    I count meds when I get them so I can enter the count in SNAP, but not on a regular basis after that first count. I keep most of the meds here at school in a locked cabinet (not Epi-pens) that stays unlocked during the day when I am in here.

    That's a lotta counting to have to do every day counts. Plus, who is witnessing these counts?
  5. by   OhioBPH
    Quote from ohiobobcat

    That's a lotta counting to have to do every day counts. Plus, who is witnessing these counts?
    The recieved count is to be signed by another adult, preferably the person dropping off. So I count and they sign that that's the count. But the daily counts no one sees.
  6. by   OyWithThePoodles
    Quote from NutmeggeRN
    Camera in your office??? Who has access to the video?? Hopefully it is only on after school hours?
    I go back and forth on this one. If you have complex needs students who you are changing/cleaning/cathing, this is wrong.

    If not...I don't know how I feel. We really shouldn't be doing anything that exposes a kiddos private areas if they aren't a complex need, right? Of course, there is the violation of privacy, but the same powers that have access to the video probably have access to the charting.
  7. by   nursmimi
    The cameras are on all the time. I also have a private bathroom that I use when assessing anything that may be under clothing. I DO NOT EVER look at privates and there is always another adult with me if I have to take a kid in there. Yes, the "powers that be" have access. I don't really mind the cameras, I guess I am just used to them. I see it as helping cover me.
  8. by   NutmeggeRN
    Quote from Amethya
    I'm sorry if I sound ignorant and such, but I never thought of counting medications when I get them. I just assume what's on the bottle is what I'm given, especially because the parents give me a new prescription bottle, so if it says 30, I say it's 30. I think I'll start doing this from now on, thanks for the advice.
    I think you should be counting ANY narcotics that come in, with whoever delivers them.
  9. by   lvnforschool
    I don't count OTC meds, but all others yes. The attendance clerk is my backup person, and she will sometimes forget to log in who came in for meds and I have to go back and count the pills on those days!
  10. by   chasinRT
    I count scheduled medications when they come in; in our district kids are allowed to bring meds and turn them in as soon as they arrive. If a kid brings a med, I count it with office staff cosigning. I then reconcile at the end of every week, making sure the number of pills given reconciles with how many are left. If a scheduled meds get dropped, I waste it with a witness. I don't count any other meds.
  11. by   grammy1
    Quote from chasinRT
    If a scheduled meds get dropped, I waste it with a witness. I don't count any other meds.
    Last week I was giving an adderall to a student, it was his last one. Yep, he dropped it. I can't believe what I did, I yelled, "Five second rule," he quickly picked it up, wiped it off, and took it. He was probably the one student who needed it more than anyone. I hated to see him go without it, and it just came out of my mouth instinctively. Afterward, I couldn't believe that I did it, so I called his mom and apologetically explained what happened. She just laughed and said they believe in the five second rule at their house too.

    We are required to count ALL meds when the come in, including OTCs. I no longer accept any OTC's unless they are sealed. Nothing is counted again.
  12. by   JenTheSchoolRN
    Quote from grammy1
    Last week I was giving an adderall to a student, it was his last one. Yep, he dropped it. I can't believe what I did, I yelled, "Five second rule," he quickly picked it up, wiped it off, and took it. He was probably the one student who needed it more than anyone. I hated to see him go without it, and it just came out of my mouth instinctively. Afterward, I couldn't believe that I did it, so I called his mom and apologetically explained what happened. She just laughed and said they believe in the five second rule at their house too.

    We are required to count ALL meds when the come in, including OTCs. I no longer accept any OTC's unless they are sealed. Nothing is counted again.
    Oh, grammy1, don't feel bad because this is pretty exactly the same story that happened to me once! After it happened, I was like, what did I just say? I called mom and we both laughed and laughed. Mom was awesome and actually very glad her child still got the med because that kid was one that if he missed a dose got very on track at school.
  13. by   Amethya
    Quote from NutmeggeRN
    I think you should be counting ANY narcotics that come in, with whoever delivers them.
    Well what's on the amount on the bottle, I assume that's how much it's in it. But I'll be doing that from now on.

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