Tonight I had a message from the nurse manager at work on my machine. She said she was calling because there were blanks on the MAR for a patient's IV ABX on both Saturday and Sunday night which is my regular weekend assignment. She said she needed to know if the patient even received the ABX over the weekend.
I thought about it and came to the conclusion that there had to be something wrong with the MAR. I could see myself possibly overlooking a scheduled medication once, but not twice. I am very conscientious about my work so overlooking the drug is out of character for me.
I went to the facility tonight off the clock to look at the MAR and try to figure out what happened. What I saw was that the IV MAR was apparently created and placed on the chart Monday. Previously the man was receiving the ABX on the day shift. The dates start with my shift and of course the person who made it made some nice big circles to show it wasn't given. I know who made the MAR because I know everybody's handwriting. Of course there isn't any way that I can prove it was backdated. Similar things have happend on this unit before with backdated records and certain nurses covering themselves by placing blame on the rest of the nurses.
I'll have to call the NM tomorrow to see what they intend to do. I'm sure that they will do some kind of disciplinary action against me. I don't feel like I did anything wrong, but I'm sure I'm going to get it just the same.
I would think that this would classify as a med error and that at most it would warrant a written disciplinary. A co-worker of mine did say that she thought they could push it as patient neglect and say that I had a responsiblity to check on the status of his IV meds even though it wasn't on the MAR. She suggested I sign it out tonight to prevent that. I DID NOT sign it out tonight though because I know they can really burn me for falsifying. Can anyone tell me how far they can push this? This is making me quite nervous. Any advice on how to follow up on this?
Thanks in advance for any input.