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Discussion

Lost patient list

I lost my patient list with vitals written on it inside the facility. I tried to look in every patient room but I wasn't able to locate it. Is my nursing license in trouble? Or will I be fined?  I already reported it to the DON. 

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Had a similar situation at the last medical center where I was employed in psych. A tech had left the patient roster in the day room they were using to jot down VS which was found by a patient's relative. In those days, room numbers and both the first and last names of the patients were on the list. The tech was reprimanded with a verbal warning and the roster, from that point forward, listed the first name and last initial only.

Your reporting to the DON was a prudent move, Maria, reporting the lost list after a search without result, which may motivate administrative officials to change the paperwork and procedure, in order to avoid a similar circumstance in the future.

It would seem a worse-case scenario here could be a possible HIPAA violation. Now, I use the word "possible" because, if no further ramifications result if and when the list was found, it's not an actual violation. It merely has thpotential for a violation, and if never found, it's merely dust in the wind.

Maybe to ease your mind a bit more, Maria, a patient accidentally dropped a benzodiazepine tablet which I was in the process of administering to them in the dayroom. I searched for that pill exhaustively and never located it. In 40 years of administering meds, I was unable to find a lost pill only twice, the other time was a Seroquel in the unit's pantry.

I reported the situation, wrote up incident reports, and received no negative ramifications, and hopefully it will be the same for you.

Good luck!

I'd be freaking out too in that situation, but it sounds like you handled it the right way by reporting it right away. From what I've seen, as long as it stayed inside the facility and there was no clear breach, it usually turns into a learning moment rather than something that costs you your license. Still stressful though, I get it

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