Dilemma with Narcotic Med Count

[nurseangel78]

I work at a LTC facility as a new nurse for 2 months. I work 3-11 shift, well last night when the new DON came on to work 3rd, we did our narcotic med count as usual, the count came up correct, we signed it off and it was time to clock out. Well, I got a phone call this morning saying that the count wasn't right at 7am and that there was a Lortab missing. I told her that the resident's medicine it was missing from only got Ambien last night on my shift and of course I signed it off. I told her she didn't get any pain medicine. My question is has anyone else ever been in this suituation? My DON said well then "we have a problem". She has called twice this morning and asked me the same thing again. I told her over again that no, I didn't give her a pain pill. Could this jepordize my job, not to mention my nursing licenses, even knowing that I did nothing wrong. What if she tries to blame me for taking it???Should I be this stressed about it??

[kadokin, ASN, RN]

This thread brings up some ?s for me. We do a weekly narcotic count on my psych unit for the pyxis. I am amazed at the nurses who want to do a "call and response" type of count. . . .i.e.-one person calls out the count on the pyxis screen, the other person actually physically counts the meds. To me, this is just careless. BOTH nurses need to count the physical meds AND check the computer count. I am constantly amazed at how sloppy our practice can get.

[burn out]

I love our accudose machine...we never have to count anymore.

[Jerimiah29:11]

I have a question. I am worried sick about a situation. I counted narcotics with the night nurse and they were correct, then I work a 12 hr shift. I have a pt who takes a narcotic routinely. I sign the narc book before I pull the pill, so I don't forget. The count that night came up with 2 EXTRA pills than there should have been - which I guess is better than 2 less, but still, I may have forgotten to give her the pill that morning - which would have only made the count off by 1! I told the supervisor who just said to write the 2 numbers to the side instead of wasting the pills to make the count correct. I am a new nurse (4 month). Can I get fired for that?