Quote from elkpark
If it were me, I'd be sure to do this every time it happened -- why should nursing get blamed for pharmacy's problems? If there is a chronic problem with pharmacy supplying what the units need, that needs to be made clear to the higher-ups and addressed. Seems like everyone in healthcare gets a free ride except the nursing staff, but that's because so many of us are willing to put up with it!
100% agreed! Nurses are so worried about getting written up and/or fired that they will do just about anyting administration tells them to. Ya know what? It really doesn't happen that way, at least not in my experience.
I have worked LTC on a couple of occassions. I not only made my notes on the medication record, I made them in the nursing notes. That pretty much prevents the facility from changing my records. I also make whatver calls are needed to cover my own butt. It's not my worry if I wake someone up in the middle of the night. Hey, that person is the one who chose to take that job, it's part of their duties! I also follow that up with an incident report. Put the responsibility where it belongs.
I know that facilities DO INDEED retaliate on those who make waves, but if you do a darn good job of covering your own butt, they don't have a lot of chance to retaliate on you. They are forced to take it where it belongs and that is, in this type of incident, the nurse who failed to reorder routine meds or the pharmacy for not making the scheduled delivery on time.
Unfortunately it's all about covering your own butt and hopefully you'll have a little luck in the proccess and they won't find a common error that you have made to retaliate against you with. (Like putting your initials in the wrong square on the med sheet! - oh yea, it happens all too easily especially towards the end of the month on a weekly or monthly med.)