Infection control issue. Dignity- can it get any less dignified? FACT- the person could have found that at ANY time, and held onto it, if she wanted to get that nurse in trouble. Rarely do I suggest a lawyer- but in this cae the nurse was fired and accused of neglect (not giving meds). Serious, and that place is seriously insane. Also- why take it to the ADMIN, not the DON? I smell e. Coli.
Other ways to 'case' a suspect nurse:
-Count non narcotic meds, on blister packs, before her shift. When she leaves, check MAR against prior # of pills.
-In extreme cases, like a seizure- get blood levels of Dilantin, and go from there. Some places I worked- that med, and others have been added to the narc count, since so many nurses don't give it?
-Ask alert patients what meds they received at any given time. This can be asked as QI survey:"It's just another tool we use to be sure you are getting what you are ordered, is all, much like you attend a care plan meeting". Then check the MAR. If you're hearing patients omit meds that have been signed off, you can start to take a closer look.
-Find a med that has run out, and therefore not available to be given, before her shift. Then check MAR to see if it's signed. If yes, good cause to ask here how she gave it. If she says she ordered it, that can be tracked. If she said she ... borrowed it? You just found another can of worms.
-Glucometers store readings for whatever period of time they are designed for. Easy to check if a nurse is making those readings up- nto everyone knows they have a storage capacity.