"Discrepancies" In Epic Documentation

Nurses General Nursing

Updated:   Published

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The dreaded HR meeting happened. It was brought to my attention that there were 7 incidents of Ativan pulled but not given. 7!! Something is way off here. I work in Psych (15 years). I'm not a drug abuser. This is per a pharmacy report. Totally confused. We use Epic, and if something is pulled and not given, it shows up as overdue on the mar. 

Any one have an experience like this?

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are you saying they were pulled and not given under your ID?

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Yes , that's what the pharmacy report  says . But they had no report to show me. I asked to see it. HOW COULD anyone pull seven narcotics s ( over course of a month) and forget to give them? 

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Specializes in Public Health, TB.

My last workplace had a big discrepancy with benzos. Turned out to be a pharm tech issue.

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This doesn’t make any sense.   I was thinking that  this is a pharmacy issue.  

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Whatever is causing this mess.. you need to get a lawyer. Notify your . You COULD go down for the system error... or the pharmacy tech that has access.

 

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I didn't have insurance and JUST applied to NSO. Can I get insurance while something like this is going on? I'd be asking for help right after applying. Ugh 

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I'm so sorry this is happening! 

I really don't know if you can get NSO at this point in time (I would think not), but I would still reach out to a licensing attorney for a consult to determine what you can do now. They may recommend a hair follicle test to prove sobriety or something else to cover your a**. Don't speak to HR anymore without attorney advice, and definitely don't speak to the board without an attorney. 

I hope it never gets that far but you definitely need proactive protection in case it becomes a bigger problem. TAANA.org is a website for locating RNs who are also attornies. You don't necessarily need one from there but you for sure want someone who is familiar with nurse licensing defense.

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Specializes in Fall prevention.

So I worked at a facility that had epic and all of a sudden I get called in saying I had pulled a controlled substance and didn’t scan it I had worked there double digit years so I was given a verbal warning.  Then the next week I get called in and it has happened again so I get written up and drugs tested. So then it happened again the next week so of course  was extremely upset I was suspended a day written up and drug tested I am afraid I’m gonna lose my job  and my license then my boss tells she that she is receiving stacks of controlled substance discrepancies and she doesn’t understand why.  I spoke to several other nurses that were on last write-ups.   I also showed  my boss where the error happened with an antibiotic and I was refusing to give controlled substances anymore.  Well turns out it was all a computer error with Epic but the worse part was I had to fight to get the write-ups remove and they were only removing them if the nurse pushed.  Don’t know if this is what happening to you but something to consider

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OMG..unreal!! Can you please explain what happened? Was it a software error? I really need to find out what is going on. Any specific insights as to how you caught it?? Please respond ! Thanks in advance!

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Specializes in Fall prevention.

It was an error in the software that they were still trying to fix when I left about nine months later and I have been gone for 3.5 years now so I am trying to remember where but in Epic ( in the assessment somewhere) you can see a medication record and we found that the meds were showing given there.  They burned bridges with me when my boss told me that she had went from getting just a few to stacks of discrepancies and instead of saying whoa let’s look at this it was just automatic write ups and suspensions Im not even sure that no-one lost their job as it was a house wide issue.  If you are union make sure to take your union rep to any meetings with you.  Make they show you in Epic (not on a report) where it was not given  and then look it up on the patients chart not just on the med admin screen.  I wish I could remember which tab it was on in Epic( maybe flowsheets). I  know how you are feeling and wish I had more information but I haven’t worked there in a few years.  

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Thank you so much for responding, I really don't think I would make this many errors, especially with controlled meds. I'm still learning Epic, we have only had it a few months, and it's not that user friendly. If you remember any other details, please let me know. Thanks again!

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