"Missing" narcotic please read need help!!!

Nurses LPN/LVN

Published

Ok so today is my day off, and I wake up bright and early to a phone call from my job. I didn't answer it but checked the machine and it was the dayshift RN supervisor telling me she has to ask me some questions for me to please call her back. I called her back and she is telling me that on Monday of this week pharmacy came to bring meds, I signed for them and apparently they brought a patients vicodin, and those are now missing???

So I am like ok, first of all I am trying to wrap my head around this at the crack of dawn and get my thoughts together. She asked me if I remember receiving the narcs, and I told her no. You have to understand that pharmacy comes at least 3 times on my shift, so no I don't remember specifically receiving that residents narcs. I did explain to her that if the narcs were received I had one med cart for one particular hall which does not have the narcs in it. The other nurse I worked with that night had the other med cart which had the locked box for narcs. If the med was received I would have had to add however many the pharmacy sent to the pt's current count, and I would have had to give the narcs to the other nurse to put in the locked box because she had that med cart I did not.

So she told me she was going to call me back she was going to call the other nurse. I waited about an hour then called her back. I was not worried at all because I know I did nothing wrong, if I received the narcs I would have put them where they belong, I have no reason to steal anything never would! So I call her and she says oh that nurse doesn't remember getting anything either that night the problem is that you signed for it, and you may be losing your job over this because it's a narcotic. So I called the DON no answer, call the ADON which is very very nice, she proceeds to tell me that she knows I would never take anything but that this is a huge problem and that the police have to get involved, it's probably going to involve a lawsuit, and I could possibly lose my license.

She asked me to come in and write a statement, this is when I started to get worried. All I have wanted to do all ever since I was little was to become a nurse, and now that I am a nurse this cannot be happening. I worked so hard to get where I am today. So I write my statement basically saying that yes I may have signed for meds that day but I do not remember receiving narcs for that resident. One thing you have to understand is that when pharmacy comes they have a clipboard and they hand you say 2 bags then on the clipboard it will say 2 bags 2nd floor they say sign here then they leave. You do not know you are getting a narcotic unless you open the bag. Inside the bags are invoices with the residents names & presciption # of all the meds that they sent us in the bag. Those invoices we keep and send down to the offices. So my other suggestion was to look for the invoices if we have one with that residents name & pres # then I have a problem! If not it was never received. So the ADON pulls out the invoices for that day....guess what it's not on there whew! Then she calls pharmacy and asks about that prescription and the pharmacist says we are filling it now, and she says but is it just being filled for the first time or was this filled & sent on Monday like we were told earlier? She asked him like 5 times and he repeatedly told her that it was RE-ORDERED on monday but just being filled today!!! So she just told me well just take it as a lesson, you are fine.

My question is this has me thinking do I need to get to cover myself just in case. Because thinking about this situation and the fact that I could have ended up losing my license is really scarry. Does any LPN's out there have this insurance. Please tell me your thoughts on this. I am going to enjoy my day off today despite what happened earlier but I want to do things differently from now on. Also, what are your takes on the way my facility handles receiving meds from pharmacy? Why do we have to have 2 nurses count narcs before& at change of shift but just 1 nurse can sign for narcs and not double check before pharmacy leaves to make sure we have what they claim to be giving us???

Specializes in Derm/Wound Care/OP Surgery/LTC.

At my former job, we had great pharm delivery guys who understood that we were going to take our sweet time checking the cards and comparing it to the invoice. We didnt have a two nurse policy, we just did it for one another anyway. Saves a lot of headaches.

Specializes in Peds, Neuro, Psych,Home Health, Telemetr.

I've been a LPN for over twenty years not once have i ever accepted a narc, without first verifying the med and then counting them, never sign anything your not sure of. There should be a pharmacy verification sheet in duplicate for all recv'd meds not just narc, I thought that was universal.

Your signature is your bond...and if your name is on it and you signed it , it's all your responsibility according to the law.

Take this as a great lesson going forward. Good luck!

Specializes in LTC.

This sounds slightly similar...at my facility we had a card with 10 vicodins in it to be sent back to the pharmacy....this pt was discharged....the nurse who had it handed it to me and then I handed it to the 3rd shift nurse who then locked it up in the med room to be sent back....3rd shift is supposed to send back meds and narcs...well...i was off for 2 days and when i came back the don and adon had me in the med room grilling me about it...and when i told them the same story that the 2 other 2nd shift nurses i was with that night had told them they kept saying "are you sure are you sure..." I kept it simple and said yes...im sure if you dont believe me then drug test me but if I get tested then so should every single nurse that was here that day and thereafter.....what had happened was that 2 different 3rd shift nurses had come in and got the tote ready to go back to the pharmacy it was all accounted for and locked up with neon yellow ties..but when it got to the pharm...one of the yellow ties numbers didnt match and the vicodin was gone...soooooo someone had to remove a tie at some point to do whatever and boom.....med gone. .....whether or not it was a nurse of the pharmacy delivery guy...or the pharmacy itself misplaced them...who knows....either way...ive not heard anything since...and no one was tested. now..mind you...this exact pharmacy had said they had sent us 90 depakotes for a pt and we never got them. Now we have to basically go thru hell and back to send narcs back and have to sign out the ties now....etc etc....and those nurses that sent that vicodin back...refuse to send back any meds now....dunno if thats guilt related or just being stubborn and not willing to put any effort towards team work.....beats me....i always get stuck sending them back but i always have another nurse with me to check behind me and watch me put the meds in the tote and seal it up.

+ Add a Comment