Being accused?

I know this is upsetting.

But until you have reason to do otherwise, take a deep breath and relax!

I can't say what the outcome of this will be. I don't know how often your Pyxis is physically counted by the charge nurse, pharmacy, or whoever to make sure the counts match. There are many options for action on the part of your department manager and/or facility administration -- it will depend on your facility's policies. You and the night nurse or your entire department may be subject to a temporary or permanent change in procedures for accessing controlled meds. But you need to remember that this is in response to an unacceptable situation (being unable to account for controlled substances) and nothing against you personally.

Make sure you log out completely and correctly after every time that you access the Pyxis. Continue to carefully check yourself as you have been. Other than that ... this is out of your hands.

Take care.

Meds go missing (at least "on paper") often. There is a great audit trail on these machines, so the error is usually found quickly.

Don't sweat it. The worst that can happen is you'll have to drug screen. No big deal, right?

Meds go missing (at least "on paper") often. There is a great audit trail on these machines, so the error is usually found quickly.

Don't sweat it. The worst that can happen is you'll have to drug screen. No big deal, right?

At this point I'd be willing to do anything to prove. The sad thing is i feel like...why am i being stressed out and so worried when I didnt DO anything wrong?

Try to relax for now. It's common to retrace their steps when meds go missing, it doesn't mean you're being accused. They were asking because you might have said "yes, I gave her 20 mg" or any number of things that would have explained the missing dose....and then they would have realized a mistake was made, so don't jump to conclusiosn that you're going to be set up or lose your license.

Our med machine automatically goes back 2 people who have accessed the machine regardless of who made the mistake when our count is off - so it's common for our supervisor and/or Pharm to call us both and question if our count was right when we accessed X drug. No big deal - we answer honestly - and they go on to the next.

We have several agency nurses that have a hard time with our machine because the way our machine counts is different than most facilities. Our PRN staff has a hard time too. Full time staff is used to it - so we usually do OK. But about once or twice a week we get a count off and we have to wrack our brains to figure out what happened.

As long as it's not a continued chain of events for you - I would just relax and not worry. She probably had to contact everyone who accessed the machine to get out the drug w/in X period of time, you were one of them. You answered honestly and she has moved on.

I would not worry. They would have to prove that you are guilty of taking the medication. Worse case, they would ask you to submit a drug screen. Medications get missing all of the time. Sometimes we never get an answer. Don't worry about it.

We use an Accudose which is very similar to Pixis. Do not sweat it. I would have been more upset, as you were too, when they called questioning my dosing to my PATIENT. Screw the Pixis and a discrepancy that wasn't caught by your supervisor, and be aware of "poentially" being pinned as a scapegoat. There are a lot of shady folks out there who might be testing the waters to see if they can get someone else in trouble for their urge to steal meds.

Before I started at my hospital there was a nurse who used to go into the med room claiming to do a "count" on narcs. She would siphon the morphine out of the syringes and replace them with water during this time. You never can tell.

*hugs* ^^

Tait