pt. called in narcotics under MY name...now what - page 5

Im an lvn at a clinic. I just found out a pt of ours, who was denied her last request of hydrocodone phoned it herself using my name. We found this out because she did not include strength and the... Read More

  1. by   nightengalegoddess
    Call the cops for sure! Wow. Nursing is so crazy for us! How do you call in narcs? I've worked in hospitals and don't even know what this means. We get the order, process it, and the patient gets the meds in the pyxis. How in the world does a patient "call in a narc"? Does she call the physician using SBAR and then get an order??? I am ignorant! How can this possibly work? This must be a case for Nurse Jackie; cause' it is beyond my understanding. Please let me know what this is so I can make sure I turn my name tag the other way when I deal with the big addict patients!!! I mean it!!! Thank you!!!!!!!!!!!Good Luck OP! I would definitely call the police...just in case...you have something on record if the BON should ever catch wind.
  2. by   xtxrn
    Quote from nightengalegoddess
    Call the cops for sure! Wow. Nursing is so crazy for us! How do you call in narcs? I've worked in hospitals and don't even know what this means. We get the order, process it, and the patient gets the meds in the pyxis. How in the world does a patient "call in a narc"? Does she call the physician using SBAR and then get an order??? I am ignorant! How can this possibly work? This must be a case for Nurse Jackie; cause' it is beyond my understanding. Please let me know what this is so I can make sure I turn my name tag the other way when I deal with the big addict patients!!! I mean it!!! Thank you!!!!!!!!!!!Good Luck OP! I would definitely call the police...just in case...you have something on record if the BON should ever catch wind.
    The pharmacy is the direct link to the person who called this in, and an investigation was initiated by them.
  3. by   JBudd
    Quote from nightengalegoddess
    Call the cops for sure! Wow. Nursing is so crazy for us! How do you call in narcs? I've worked in hospitals and don't even know what this means. We get the order, process it, and the patient gets the meds in the pyxis. How in the world does a patient "call in a narc"? Does she call the physician using SBAR and then get an order??? I am ignorant! How can this possibly work? This must be a case for Nurse Jackie; cause' it is beyond my understanding. Please let me know what this is so I can make sure I turn my name tag the other way when I deal with the big addict patients!!! I mean it!!! Thank you!!!!!!!!!!!Good Luck OP! I would definitely call the police...just in case...you have something on record if the BON should ever catch wind.

    This isn't an inpatient thing. We are talking a clinic, and often prescriptions are called in to a pharmacy so that the meds are ready when the pt. gets there (Walgreens, Walmart, etc.). My state doesn't allow narcs to be phoned in, only abx etc.
  4. by   nightengalegoddess
    Excuse me for my ignorance, but who is the local narcotics officer? Is he DEA? Or just the sheriff? I am so confused. How can a patient order a narc for herself in a nurses name without the full name to start with? I am blown away. I will change my nametag to another name if this happens a lot. Is this in behavioral health? SNF? Med-Surg? I am so mind-boggled and ignorant!!I feel for OP!!! Any paper trail will be a GOOD thing!!!!! Blessings AGAIN!!!
  5. by   nightengalegoddess
    Thank you x tern and J Budd....knew exactly what I meant...duh...: )
  6. by   xtxrn
    Quote from nightengalegoddess
    Excuse me for my ignorance, but who is the local narcotics officer? Is he DEA? Or just the sheriff? I am so confused. How can a patient order a narc for herself in a nurses name without the full name to start with? I am blown away. I will change my nametag to another name if this happens a lot. Is this in behavioral health? SNF? Med-Surg? I am so mind-boggled and ignorant!!I feel for OP!!! Any paper trail will be a GOOD thing!!!!! Blessings AGAIN!!!
    It was a patient at the clinic the OP worked at that called a rx in to the pharmacy....the pharmacy caught it.
  7. by   morte
    I am thinking that the OP may need to have the perp. cited to have on record for the BON. Can't go back and do that in the future....paper trail, paper trail.
  8. by   Merlyn
    Quote from nightengalegoddess
    Excuse me for my ignorance, but who is the local narcotics officer? Is he DEA? Or just the sheriff? I am so confused. How can a patient order a narc for herself in a nurses name without the full name to start with? I am blown away. I will change my nametag to another name if this happens a lot. Is this in behavioral health? SNF? Med-Surg? I am so mind-boggled and ignorant!!I feel for OP!!! Any paper trail will be a GOOD thing!!!!! Blessings AGAIN!!!
    Each moderate size Police Force has a Narcotics Division or Department that has the job of investigating crimes concerning drugs. All the police I know have training in Narcotics such as recognition and testing a suspected substances. But the Narcotics Officers have extensive training. They are the ones that go undercover to get the dealers.
    Changing your name plate wouldn't help. Someone can go online and get your license number, and in some cases your address and phone number. Boards of Nursing have added look up a license. The person just pugs in your name and bingo they have your number and the he new provider information numbers. I don't know if hospital nurses have them but agency nurses do. I put down my address in stead of the agency's. My name address and phone number is all over the Internet. This is brought to you by your friendly US government. Ain't Nursing grand!
  9. by   DoGoodThenGo
    Quote from Yulie
    Im an lvn at a clinic. I just found out a pt of ours, who was denied her last request of hydrocodone phoned it herself using my name. We found this out because she did not include strength and the pharmacy faxed over a clarification fax. I am angry. What is the best way to handle this now? I did speak with the pharmacy, they said they have an investigator who will check into it. Should I file a police report? Tell the board? has this happened to any of you and what is the best way to handle it. My license is dear to me and I am offended someone would jeapardize it.
    Someone just does not grow a pair to pull a stunt like that over night. Make the phone call. Not only to CYA but it is your duty as a licensed professional.

    Think about this; if you don't report this patient and she/he pulls this stunt again and it goes through only to end up with a horrible outcome, then the whole story comes out later and your name will be attached.
  10. by   nursel56
    Quote from BabyLady
    But seriously folks...is this situation even that unusual that the OP described?

    I would think that pharmacies would very savvy at picking up these fake call-ins and to me, it wouldn't take but rattling off a little pharmaceutical jargon before you could trip up easily to someone that did not have medical training...might be harder with a former nurse.

    However, I think that this probably happens all the time..more than we know.

    I am sure those that have worked in a pharmacy would know.
    A person might get away with pretending to be someone else to get a refill, but none of our local pharmacies would be likely to fill a new prescription for narcotics over the phone. In all the years I worked in clinics, I don't remember a case where the person used the nurse's name. We got quite a few who would show up at the pharmacy or in the waiting room claiming all sorts of outlandish things. The pharmacist would go through the motions of repeating the story to us, we'd bust up laughing because the last time the person had seen us was 3 years prior for a stubbed toe. Sometimes they'd call us if they just thought something seemed flaky to them. Everyone being vigilant is the best way to stop it.

    Got to put a kudo in for the doctor I worked with--- after denying a refill for a woman who had a flare-up of "leg pain the doctor already knows about so you don't need to ask him". Hadn't seen us in 3 years but after she flipped out he called her at home at the end of the day to talk about what was going on and I am sure offered to get her in rehab. What a sweetie he was.
  11. by   Yulie
    I know it is pretty late to update this thread, but I noticed it in my inbox. First thanks to everyone who commented I really appreciate it. I did speak with our P.D., also our D.O.N I spoke with the pharmacy that gave me the heads up originally and a couple weeks after this post the pt was arrested and taken to jail, this was not her first attempt. Be well

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