Doctor insists I use expired Dilaudid on patients

Nurses Safety

Published

Let me state that I have desperately been looking for a new job. I am a single mother and have been staying at my current job out of necessity.

I work at an oral surgery office, doing conscious sedation. We had some dilaudid expire November of 2013. I alerted the doctor to this, and he told me several times to use it, or find another job. We also have midazolam that expired last month, I asked if I could toss it, and he said to keep using it.

Further, we prescriber hydrocodone in the office. A couple months ago, a bottle of it went missing. I insisted that we report it to the DEA (as recommended by the DEA), but he specifically told me not to.

My question is: as soon as I can get the hell out of this office, after I report this, can I lose my RN license for using this expired stuff? Even though I was only working there to support my family?

Well the asst that was just fired must have said something because the doc wanted to waste the remaining bottle of dilaudid and 8 vials versed today with me. So now any action would be my word against his.

All I've got now is the missing hydrocodone. I'm reporting it as soon as I leave, which might be next week. Second interview at same hospital on Tuesday.

I'm not sure that waiting to report the missing narcs is the best course of action. There's bound to be questions about why you waited. Please get the advice of an attorney on this before it gets any worse!

Specializes in Adult Internal Medicine.
Well the asst that was just fired must have said something because the doc wanted to waste the remaining bottle of dilaudid and 8 vials versed today with me. So now any action would be my word against his.

All I've got now is the missing hydrocodone. I'm reporting it as soon as I leave, which might be next week. Second interview at same hospital on Tuesday.

What is your response going to be when the DEA investigator asks: why did you wait several weeks to report the missing hydrocodone?

Specializes in Hospice.

NO WAY, I can't believe what I am reading! Yes you would be considered negligent since you are the one responsible for verifying meds. Didn't you learn the 5 rights???? And I do believe your RN license could very well be jeopardized. I can't figure out why you would knowingly stay there, money or not. On top of the exp. med issue, also having an entire bottle of narcotics go missing?? I would run not walk right out of there and file a police report about the missing narcotics. You verified them as being there for the previous night count, what is the explanation you got when you went to count again and came up short?? Once the DEA gets involved with the narcs missing, your administration of expired meds will look like nothing. (You know you can ALWAYS refuse to give something you are not comfortable giving. Just make sure you document why you did not give the med. The doctor wanted you to give them so he was not liable in the event of an adverse reaction! Protect yourself and good Luck!!

Specializes in CICU, CVICU,NeuroICU.

I 100% agree with Silver 5. Protect yourself and your license because no one else will. Be smart - not sorry.

I'm out & it's been reported..so we'll see!

Specializes in OMFS, Dentistry.

GOOD! Proud of you! Hope it all goes well....

Wouldn't it be nice to be supported? Maybe in a semi-perfect world, you'd just report it and then receive a magical check in the mail until you are able to land another gig, if they decided to fire you over fulfilling your duties as a professional nurse.

I think its mandatory that every nurse has at least two jobs for stunts employers try on us just to be on the safe side, but truth be told is that we are held to an extremely high standard and the nurse really has no supportive organization that protects. Just like state boards protect the general public, there should be boards that protect nurses cause we all know HR isn't it. Lol!

I would also be careful about posting this stuff online...best of luck to you.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
I 100% agree with Silver 5.

Silver 5 is not the person's username, that's just their account status. :)

I totally agree with gcupid

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