I work in a nursing home. I have a patient who is prescribed percocet 1 tab every 6 hours PRN for pain. She generally takes one tab at 9AM and the other at 9PM. One of my collegues, who is a floater and occasionally works on my floor signed 4 percocet in her 8 hours (11PM to 7AM) shift. She was very clever to make the order look like 2 tabs(it was a handwritten order in the MAR, she channged it by adding I to the order which then looked like II tab), however, even if the patient was supposed to get 2 tabs she had her last dose at 9PM and the nurse who worked 11PM to 7AM can not give more than one dose during her shift. The same night she signed for 6 percocets on another patient who was supposed to get 2tabs every 6 hours, and had her last dose at 10PM. The nurse does not sign the the MAR for the PRN medicine but just signs the narcotics sheet.
We complained to the supervisor and it was even relayed to the DON but no action was taken............
After a week, a whole pack of percocet (20 Tabs) was lost along with its paper during her shift from my floor again. Everybody knew about it including the DON but she is still hanging in the building. Today, she was again on my floor....Eventhough I counted the narcotics with her,,,,, i was very much scared to give my keys to her..i have just ordered percocet for my patient, it will be delivered tonight. I don't wanna loose that but i wonder if I will see it in the narcotics box tommorow. To keep myself in the safer side, i had all the narcotic sheets copied for myself.....
