Being asked to change my Nursing Note

Specialties Med-Surg

Published

Hi guys, I just wanted a sounding board for this. I worked this weekend as a Supervisor, I’m an RN. We had a patient who needed Narcan, he had an order for it and we have a Narcan policy in the building. I went to the Med room to get it and it wasn’t there, 911 was called and the patient ended up getting admitted to the hospital. I documented that the narcan was not given because there was none in the building and MD Informed.  I documented that I informed the DON, who stated that she had the pharmacy remove the narcan from the floor. I included that I sent the order to the pharmacy to be filled for house stock. I got a nasty email this morning saying to change my note to just say, “narcan not given and unavailable”. 
 

I think that’s unacceptable, it’s a doctors prescribed PRN medication that we were not able to give because it was removed from the floors and the DON had not communicated that with any of us (and I’m a supervisor). When a patient is missing a medication, I always charted the reason why it wasn’t given and included the resolution- meaning order sent to pharmacy etc. I feel like I protected myself and my license, but I’m uncomfortable changing my note. Let me know what you guys think... thanks 

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