"Discrepancies" In Epic Documentation

[Faithx14]

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?

[HiddenAngels]

16 hours ago, Faithx14 said:

Hey everyone... thanks EVERY one of you for your support. Turns out, I had a bunch of " flags" of pulled meds, not given, BECAUSE they were wasted/ returned . They were all instances of patients refusing meds, which happens DAILY on a psych unit. So before checking the actual documentation, it was brought to me. That, coupled with the unit bully saying my behavior was "altered"  because she literally yelled at me for something stupid in the middle of the floor which flustered me, led to a meeting where I felt totally jarred.  Felt like they were insinuating diversion on my part.. The incident left me reeling and distressed because people lacked the sense to check the nurse's documentation before questioning them.( me). Oh and another example of my " altered behavior" was that I closed my eyes a few minutes during report. .I was " nodding off".  What the actual ***?!

Oh okay now this makes sense. I’m so glad this worked out for you. I’m like a little investigator over here ,  I spoke with a pharmacy tech and everything about this.  Turns out they don’t have access to our passwords but they thought maybe someone had gotten access to yours, but it all worked out, so I’m happy ? 

[JKL33]

On 8/25/2022 at 5:37 PM, Faithx14 said:

Hey everyone... thanks EVERY one of you for your support. Turns out, I had a bunch of " flags" of pulled meds, not given, BECAUSE they were wasted/ returned . They were all instances of patients refusing meds, which happens DAILY on a psych unit. So before checking the actual documentation, it was brought to me. That, coupled with the unit bully saying my behavior was "altered"  because she literally yelled at me for something stupid in the middle of the floor which flustered me, led to a meeting where I felt totally jarred.  Felt like they were insinuating diversion on my part.. The incident left me reeling and distressed because people lacked the sense to check the nurse's documentation before questioning them.( me). Oh and another example of my " altered behavior" was that I closed my eyes a few minutes during report. .I was " nodding off".  What the actual ***?!

Um....oh my goodness?

The plot thickens, I guess.

All I can say is "relieved" is only part of what I would be feeling. I would have a very serious word with which ever administrator is responsible for letting this go ANYWHERE, and I'm not just BSing here. I would ask for a meeting and state that this type of treatment is completely inappropriate and that I expect I will never have another experience like it again.

I'm not saying you should do this, just that I most seriously would--and have done so for less. I don't tolerate that BS, it infuriates me (as you can perhaps tell).

[Faithx14]

Oh yes. Infuriating .. I'm still processing this, and really don't know what I'll do

[Ioreth, BSN, RN]

Wow. Thank you all for the excellent advice, especially on not using the scan overrides. I'm already a bit leary of pulling meds at all on an override since that one big case this year with an RN charged with negligent homicide after pulling a wrong drug overridden at the Pyxis. Now I don't want to ever skip scanning ANYTHING. Gonna re-up that malpractice insurance too...

I hate that you went through this, OP. Thank you for sharing your story and I hope that things get better. 

[Iris S., ASN, CNA, LVN]

I don't understand why HR would talk to you without having a report to show you. Is it legit or are they trying to intimidate you? 

In my experience it is always the pharm tech, because the problem persists after the nurse is suspended or transferred. Sometimes it's more than one pharm tech, it's not like they coordinate their efforts to avoid detection.

Get a copy of that report and call your lawyer. And find out who is investigating the incidents, make sure they are looking for people using your ID. 

 

When you get the report you can match the time to your shifts & see if it happened when you weren't at work, the investigator should be doing that for you and anyone else with opportunity.

Sorry this is happening. It's very frustrating.