I work at an out-patient mental health clinic. On a day off one month ago, a fellow nurse covered my clientele. One of my clientele come in for med boxes to be filled with assistance by the nurse. This client takes Lorazepam BID PRN. The count was 45 pills when the nurse filled client's med boxes. Afterwards, the nurse documents the count at 31 pills remaining.
Two weeks later, when I prepare to meet my client, I count my narcs and discover there are only 21 pills remaining, not 31 as other nurse noted! As the client may use up to 24 pills, this leaves me short for her visit. Not good. I call the nurse in who incorrectly documented amount.
His excuse, no excuse. He states, "Oh, well, you gotta order your pills sooner." Nurse doesn't even acknowledge his error. He states, "Well, I was really busy that day and didn't have time to count them..."
Incredulous, I tell him to correct count sheet and he does. He then begins to tell me how I need to handle my meds in the future! I tell him to leave my office as I now must rush to pharmacy and get missing meds for my member who is patiently sleeping on the sidewalk in front of the clinic!
Subsequent to this incident, this young nurse has not spoken a word to me. He walks by me and only acknowledges me when I make the effort to say hello, boo, anything.
All I had wanted from the beginning was for this nurse to accept responsibility for his error, acknowledge his actions. Now, he has taken it to a new level, telling our super that he was only trying to "give Mark some advice" about how to handle his meds..."
I am very disappointed in this nurse. He has said inappropriate comments to me in the past, but I've let them go due to his youth. But, 10 missing narcs and no accountability has me spooked about him. I no longer I feel I can trust him and am starting to wonder if he may have tried to set me up with missing meds. Given his childish behavior subsequent to this event, I am now considering my options.
Would it be prudent to take the matter to H.R. and let them sort it out?
My ADON now knows, but doesn't seem to concerned. He only says, "You guys gotta work it out." How do you work out a nurse that doesn't count his narcs and will not accept responsibility for his actions?
Would this issue be a matter for the BON?
I dread to go there, but this nurse's behavior has gotten me rattled. How in the world do I know those benzos didn't go down his gullet?? How do I know this hasn't happened before? How in the world can I trust this person again!
Any advice is so appreciated, thank you kindly in advance my fellow nurses,
