Accidental Diversion - Need help!

Nurses General Nursing

Published

I've been working agency for a few weeks now and on last Thursday one of my patients had a Morphine PCA - The doctor DC'd it during the shift so I pulled it and stuck it in my pocket until I could get back to the desk to chart on the sheet (it was empty so nothing to waste).

Of course I got two or three more calls that sidetracked me before I got to chart and I forgot... So I get home that night go to take my scrubs off and there's the syringe (empty) with tubing in my pocket... I set it on the dresser so that I have it in case the hospital needs me to bring it in.

So I hear nothing all weekend and I get called in for a shift today - I go in and they ask about it. I was honest and told what happened. So they send me home to get it and now I cant find the syringe anywhere... I don't know if my girlfriends daughter or my daughter may have thrown it away thinking it was trash or what???

Is there any way that the patient's PCA records all pushes to show that the full amount of the syringe was used? What do I need to do? I'm still at the house "looking for it" although I've already been through the two bags of trash and its not there. Trash went out on Friday morning so I'm guessing they tossed it Thursday night/Friday early morning.

I've never done anything like this before... I'm not a user and would very happily take a drug test. I'm scared and don't know what to do or what to expect. I know I have to go back to the hospital in a minute and tell them I couldnt find it... but what happens next? Do I lose my license?

Specializes in Infusion Nursing, Home Health Infusion.

Fill me in.....if it was empty are you not just supposed to put it in the medicine waste container. I do not think we have the nurses here check in their empty PCA syringes..they just toss them. Do you have to check them back in???? I am confused!!!

Fill me in.....if it was empty are you not just supposed to put it in the medicine waste container. I do not think we have the nurses here check in their empty PCA syringes..they just toss them. Do you have to check them back in???? I am confused!!!

I would think for an infusion or PCA, the drip must be confirmed by another RN to be completed. It may vary by hospital however.

Specializes in drug seekers and the incurably insane..

Aaah...I wouldn't worry too much about it. You're taking action by doing a drug test, and what you did was accidental. We're all human....but you might consider that the make-up and big-hairs in the offices might write you up for it. Hope they don't though. Once I took home a vial of Ativan with half of the Ativan in it....forgot it was there. I found it in my pocket as I emptied them. I called the charge nurse immediately to let her know that I had it and I was bringing it with me in morning so it can be wasted. It was not a problem.....I'm trusted where I work at and everyone knows I hate getting injections so I'm not about to give myself a shot of Ativan!! Good Luck*wine

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