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

Nurses General Nursing

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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:

Specializes in OB, M/S, ICU, Neurosciences.

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.

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......

Specializes in LTC, ER, ICU,.

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.

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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