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Here's One For Ya.......

Posted

Has 20 years experience.

At work last night, I was with the day nurse in the med room, and we were beginning to count what is in the locked narc box....Well, there were some (recently deceased) pts meds on the counter, and I told her I would be d/c-ing them that night to get them out of the way.

She told me to go ahead and take them if I wanted to, and give them to some other folks I know, and that she would sign them off with me.

I said, "No thanks, I'll destroy them tonight."

What the heck was that?:eek: Talk about an uncomfortable situation...this person has been a nurse for over 20 years and seems to be quite intelligent (maybe not!), but still....

And I have been noticing for the past few times I have followed her that she has been signing off on the MAR in "my" place, on my shift, like she already gave the med....and an antibiotic that was sceduled bid was given tid, I do believe, cause not only did she sign in my place, but there was one more tablet missing than should have been. (Pet peeve of mine are my residents not getting their antibiotics on time or not at all, so I count them every time I give one and see if it adds up.)

This nurse has only worked at our facility for about a month.

Hubby wants me to keep a log of all times she has signed in my place, and on what med...he thinks something fishy is going on.

What do you all think?:confused:

Originally posted by Julielpn

At work last night, I was with the day nurse in the med room, and we were beginning to count what is in the locked narc box....Well, there were some (recently deceased) pts meds on the counter, and I told her I would be d/c-ing them that night to get them out of the way.

She told me to go ahead and take them if I wanted to, and give them to some other folks I know, and that she would sign them off with me.

I said, "No thanks, I'll destroy them tonight."

What the heck was that?:eek: Talk about an uncomfortable situation...this person has been a nurse for over 20 years and seems to be quite intelligent (maybe not!), but still....

And I have been noticing for the past few times I have followed her that she has been signing off on the MAR in "my" place, on my shift, like she already gave the med....and an antibiotic that was sceduled bid was given tid, I do believe, cause not only did she sign in my place, but there was one more tablet missing than should have been. (Pet peeve of mine are my residents not getting their antibiotics on time or not at all, so I count them every time I give one and see if it adds up.)

This nurse has only worked at our facility for about a month.

Hubby wants me to keep a log of all times she has signed in my place, and on what med...he thinks something fishy is going on.

What do you all think?:confused:

I'm not a nurse yet, but I do know when something stinks. I'd take your husbands advice and keep documenting her behavior until you figure out what she's up to. She'll give herself away eventually. People like that always do.

Originally posted by Julielpn

...Hubby wants me to keep a log of all times she has signed in my place, and on what med...he thinks something fishy is going on.

What do you all think?:confused:

Julie,

Give your husband a cookie and a big hug, because he hit the target dead center: there's something fishy going on here. Maybe it's stupidity and maybe it's drug diversion, but somethin' ain't right! Do as your beloved tells you--document everything. And tell your supervisor!!! It's not only your license swinging in the wind here, it's your facility's risk as well! Many places have programs to deal with employees like this, whether they just can't figure out the proper way to give, document, and dispose of medications, or they've got a drug problem themselves. But don't put yourself and your livelihood at risk by not reporting this.

I'm sure there are others here with plenty more good advice, but that's what comes to me first. Good luck and let us know how it turns out!

jnette, ASN, EMT-I

Specializes in Hemodialysis, Home Health. Has 10 years experience.

Document, document, document.... something WAY wrong here !

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 27 years experience.

I don't think I would let it continue...I would report it now.

unknown99, BSN, RN

Specializes in Inpatient Acute Rehab.

:eek: Yes,

I agree with trauma. It definitely needs reported right away. If she is doing this with antibiotics, then it makes you wonder if the patients are really getting the narcotics that she signs out. COVER YOURSELF!!! It is your license that you will be protecting!!!

sashibeak

Specializes in OB/GYN. Has 1 years experience.

As we say in the UK, cover your arse, Julie. You do NOT need to get in trouble for this.

Your husband is absolutely right, and you should keep a note of everything that goes on.

Is there someone you can talk to at work? I know you don't want to be a tell-tale-tit, but if you don't have a word with your supervisor then you could get in trouble.

Good luck and be assertive!

;)

NoBODY should be signing off your meds except YOU! If you let her, it's your fault. Nurses must above all defend their license despite the comradery we have when we're working together.

And this other nurse is an idiot to let anyone else in on stealing meds regardless if they're not accounted for.

When you say she is signing out your meds do you mean she is giving them and signign them out like she gave them at a different time or do you mean she is signing your name?

Either way report her now, but if shes signing your name I would absolutely report it to the BON also.

SmilingBluEyes

Has 20 years experience.

so fishy i need a gasmask...

report this one. i guarantee this is one dangerous person.

fishy or not. This calls for an incident or occurance report EVERY time you find she does this. And Do not Delay filing the report. Don't look for reasons before you file the report.

If she is signing out for you write it up. If meds are missing write it up. If both write it up.

A PIA for sure but you must do this for anyone to get to the bottom of it what ever the cause.

If you don't write it us you could be implicated. The conversation that you had with her about disposing drugs should also be written up.

Keep copies of all the documentation that you do on this.

Here is a hint that legally covers you even better than that. Take a copy of the documentation and mail it to yourself registered mail. When it comes back to you DO NOT OPEN IT. Put it away incase you are ever called into court.

The court should be the only one to open it. When someting is mailed registed there is a date and a signature. So you have absolute proof when the documentation was done and that you did not just make it all up at a later time..

This may not be necessary in this situation, but is a good thing to do in some situations where your motive or honesty could come into question in a court room.

jschut, BSN, RN

Has 20 years experience.

I think BrandyLPN has what I am talking about with the meds.

Say, a med is to be given at 9p....I am supposed to give it, cause I am the nurse at that time. She will sign her intials as if she gave it, but she leaves at 7p.....so I guess what I am trying to say is that she gives (or don't give, but signs that she did) the med at a different time than it's supposed to be given. Then signs where I am supposed to sign.

When I go to work Monday, I am going to write down all the different times that this has happened.

I am almost reluctant to report it because the DON has put her resignation in (last day is Jan 16th) and the ADON is also leaving. So who do I tell?

bestblondRN

Specializes in OB, M/S, ICU, Neurosciences. Has 30 years experience.

don't like the sound of this at all......:nono:

in addition to what everyone else has said, there is blatant falsification of record going on here when she signs off your name on meds that she's given.

this nurse is 10 miles of bad road......document everything, report her, and keep documenting if nothing is done. then start going up the chain of command if you have to--the administrator would bethe next step, and if no results, then contact the state directly. there are programs in all states for impaired nurses. protect your license--you worked hard for it, i'm sure!

good luck julie!

If she is signing at 9pm and is not there at 9pm this is against the law.

Follow your chain of command.

Follow up with the BON if you do not get satisfaction

I would find out why these two administrators are leaving at this time there is possibly a problem with that facility. You might want to consider leaveing too.

See if you can talk to them discreetly and find out thier real reason. These three things going on the same time is not good.

jschut, BSN, RN

Has 20 years experience.

I know the reason....the administrator. She uses the facility for her own personal gain. She books church functions (for her church), then makes the CNA's keep the residents out. Her sister is dietary manager, who allows residents a snack at hs of saltine crackers and pineapple juice (this is sometimes, but other times are just as bad). And we are allowed nothing in our nutrition pantries at night....well, we do have a 1/2 loaf of bread, but nothing to put on it...

State has been informed, but nothing is ever done. Things are whipped into shape as soon as they know they are coming. Charts have disappeared from the building until they are "doctored", and some of the "clique" nurse will go to the DON's house to get the books in order.

We are threatened over and over about "filling in the holes" in the books, and have had our paychecks held until all books are done.

It's a rediculous place, and I do want to leave, but with school starting in January, and fighting for custody of my grandson, I need the stability and flexibility that this job offers me. Not that I wouldn't leave if something else came along......

Love-A-Nurse

Specializes in LTC, ER, ICU,. Has 19 years experience.

julie, what i am gathering from your original post is, the person you relieve is signing off in the "window" that you are to sign in?

if so, this happens at times. you can circle and initial and clarify on back of the mar. it would cause me to ponder if she/he does it frequently and on what resident and meds, too.

it doesn't matter if your don/adon are leaving, it's important to report and document, for your records as well.

if too few meds are questionable and she signs in your window, this is another matter and if you shouldn't report, it falls on you, too.

you can also date/sign the med card, if used, beside the pill you give and keep the card for reference.

jschut, BSN, RN

Has 20 years experience.

That's exactly what I mean! :)

But, yes, it does happen frequently, and I do (with the antibiotic thing) always mark the card with date, time and my initials.

When I go in on Monday, I will make a list of all the places that have been marked with her initials when it should've been mine. I'll mark date, time, resident and med given.

Maybe there's a pattern somewhere.:confused:

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