Lesser of two evils...

Nurses General Nursing

Published

I would like to ask for your opinion regarding a med issue at an ALF.

What is the better thing to do?

To admit that your facility ran out of a narcotic painkiller for a resident, and you used the pills of another resident (who became allergic and whose pills were waiting to be destroyed), or to admit that you ran out, document that the narc wasn't given, use the PRN ES Tylenol in the meantime, and get a script for the narc and get it in, even if it takes days to get an MD to come in and write it for you? The first option clearly shows, that you borrowed narcotics, the second would give your facility a deficiency, because the med wasn't available.

I would really appreciate your thougths.

Specializes in Community Health, Med-Surg, Home Health.

I have never been in such a situation, but I have to admit, I would be tempted to do the same. If the narc is the same drug, same dose and whatever else, I would have been tempted to give it, because it would save time. One of the things I value about this site is hearing the other side of it, and now, I would probably take the situation to the doctor and RN and have them create a solution.

I have friends working in med-surg that had similar things happen with heparin. The pyxis on their unit didn't have any and they went to borrow from another floor where some of the nurses working there created a stash. I guess that was wrong, too.

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