Med error could cost my job? Need help!

Nurses General Nursing

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Hi everyone! I really need to get this off my chest and get some responses back on your opinion of the problem.

I was off work for 3 1/2 months for some personal problems. When I returned to work, I am not allowed to work nights or be mandated. Soo, the hospital I work at said this is a disability. So I had my MD fill out the paper work which included a detailed summary of my problem. I just got back into the swing of things, and now I have a major problem.

I was working evening shift, and it was really busy on my med-surg unit. Patient A asked for a pain pill, and so did patient B. I knew it wasn't time for patient B's pain pill, but I went into the med room to get patient A a pill. I got into Pyxis, our computer system for medication distribution, scrolled down to my patient and selected Vicodin ES. When the drawer opened, I removed one pill, opened it, and placed it in the cup, but the cup tipped and the pill was ont he floor. SInce the drawer was still open, I accidently hit cancel all meds, which cancels my action and makes the machine still think that theres the original number of pills in there. In my case, there were four, I took one but it fell, so now theres three, but since I hit cancel all meds, the machine thought it had four still. My nurses aide came into the room and told me that pt C was climbing out of bed again, and pt D was coughing so hard she was throwing up. I was now in a hurry to go help her out, so i put the dropped pill in my pocket until I could call pharmacy and figure out how to fix the problem in the pyxis machine. I created a discrepancy because I still had to remove a pill and the true number was different from the machines number.

The night just got worse from that point. I spent a good part of my night on the phone, with every ones family members, three different doctors on different patients, attempting to keep my Houdini in bed, etc etc etc you all know how it goes. I totally forgot about that pill!!!

The next day, I go to work, and I get called to HR. I'm instantly placed into a state of panic, what did I do wrong, did I get a serious complaint against me (I had a pt not happy with me the week before), was I being sued, I mean a million things were going thru my mind. I practically ran to the other side of the building to get to HR. When I got there, I was out of breath and scared to death to hear what was going on. When they told me it was over this discrepancy, my mind went totally blank. I didn't remember what I did with the pill, and I didn't have it on my person. Since I didn't know exactly what happened to the pill, and I didn't have it to prove that I didn't take it, They placed me on administrative leave of absence, unpaid. They told me that I could get either probation or I could be let go. I got hysterical. I had to call my mom to come get me, I was so upset that I couldn't function. My manager had to stay with me as long as I was in the building, which was embarrasing. I took an extra nerve pill while waiting for my mom to come get me. I just sat there and cried, telling her over and over that I didn't take it, I would rather die than risk my job. I love my job, and I've been with the company for six years now.

When my mom got me home, I took my managers advice and checked my uniform from the day before. My mom was a witness. We checked all the pockets. I had a shirt that has double slit patch pockets on the front. I always use the pockets closest to my body, never the ones further out. We found the pill in the front pocket. I was so happy that I cried. My anxiety medicine had kicked in,and I remembered the entire incident from the night before. I immediately called the hospital, requesting to talk to the head lady in HR. I explained to her what had happened, and she told me that its fishy since just an hour and half ago, I didn't know what happened to it. But its the truth. I'll swear on a Bible, I'll give hair sample for drug testing, whatever they want. I'm not a drug abuser, never have been. And the thought that they are suspicous of that makes me upset, but I can see where they are coming from. Its been over a week since this happened. Its been more than five days. I still haven't heard anything yet. The waiting is killing me. Just the thought that I could lose my job is driving me insane. Has anyone else dealt with anything like this before, what came of it, or does anyone have any suggestions for me? I could really use all the support I can get at this point. Thanks

Specializes in Utilization Management.
You found the pill, why can't you just take it back?

She needed to fix that discrepancy before she left the building with the pill. Because she left the building and had the narcotic in her possession it looks like she was diverting a narcotic.

The hospital can't let something like that slide.

If she had taken care of the problem before she left, it probably would not have been a big deal.

This is why I've gotten into the habit of emptying my pockets before I leave. It's just too easy to make a mistake like that.

FWIW, I believe you. I almost took an Ativan home one night because of a similar circumstance, but found it when I emptied my pockets before I left.

I do hope this works out for you. (((((hugs)))))))

Specializes in CVICU, PICU, ER,TRAUMA ICU, HEMODIALYSIS.

Whether someone gets terminated over something that is obviously "human error" in which no real crime, civil or legal, was committed and no one was hurt depends on one thing: Is there any other reason why they (your manager or the hospital) wants to get rid of you. If you have been there 6 years, you have presumably gotten 6 evaluations and been retained during that time for good reason. If you ARE terminated, file for unemployment. The hospital will state you are not eligible due to the termination. Then you file an appeal which you will be told how to do in the letter you get from your state's employment or labor dept. notifying you that your claim for unemployment has been denied. Then you prepare your case. You can have someone help with you like an attorney if you wish or you can do it on your own. Most unemployment hearings are telephone hearings done with an administrative law judge presiding. Whether you win or not will depend a lot on whether your Human Resources dept. followed the company's disciplinary action policies as stated in your employee handbook. You should get yours out and review the policies. Many companies give their employees a smaller version of the entire manual but the section on disciplinary action procedures should be in yours. I sincerely hope you do not have to resort to any of this. But from personal experience and from working as Assistant Director of Human Resources during a vacation from nursing about 16 years ago, I can tell you that when it goes to administrative leave, it usually means that the company is getting their ducks in a row for termination. I know this is not going to make you feel better. But keep in mind that you really have done nothing wrong; your explanation taken at face value makes it clear to any rational person that the worst thing you did was succumb to being human......you were overwhelmed and you FORGOT the pill in the pocket; but you were doing what every nurse is taught to do from day one: Priortize based on the acuity of the situations at hand. You could have ignored your patients and instead, taken the time to call the pharmacy, ask your charge nurse to help you rectify the error with the Pyxis and observe you wasting the medication. It probably would have taken 20 minutes to do that but you would not be in the situation you are in now. It might have been worse. You might instead have a patient who aspirated on vomit, or one who suffered a broken hip due to a fall; in other words incidents that could have been prevented had you not chosen to take care of the pill in the pocket first. The pill fell on the floor. It happens. You did right to take care of your patients FIRST. You forgot what in the total scheme of things was minor, but due to policy, narcotic laws, etc, etc, etc, has gotten you into a snarled mess. You still had the pill as evidence that you had no intention of diverting drugs for yourself or anyone else. When I read "med error", I thought you gave the wrong drug to the wrong patient or something like that. You did not commit a med error. A med error is wrong drug, wrong patient, wrong dose, wrong time, wrong route. Remember that from nursing school?? You made a policy error. You may still get terminated I am very sorry to say, because it would be a very stupid move on the part of the hospital. But the reality is that it does happen. But if it does, don't let it destroy you or your career. Fight it. Appeal it. YOU REALLY DID NOTHING WRONG. My prayers are with you. The very best of luck to you. You sound like a very good and conscientious nurse.

Specializes in corrections, LTC, pre-op.

I can't believe this over one frigging pill and your record with them. I don't believe I would want to work at a place like that. I mean they should realize that if you were a druggy that you would just take it all or there would be other instances. Give me a break. Take the pill back waste it write out the report and decide if you want to work at a place like that.

Good luck

Whether someone gets terminated over something that is obviously "human error" in which no real crime, civil or legal, was committed and no one was hurt depends on one thing: Is there any other reason why they (your manager or the hospital) wants to get rid of you. If you have been there 6 years, you have presumably gotten 6 evaluations and been retained during that time for good reason. If you ARE terminated, file for unemployment. The hospital will state you are not eligible due to the termination. Then you file an appeal which you will be told how to do in the letter you get from your state's employment or labor dept. notifying you that your claim for unemployment has been denied. Then you prepare your case. You can have someone help with you like an attorney if you wish or you can do it on your own. Most unemployment hearings are telephone hearings done with an administrative law judge presiding. Whether you win or not will depend a lot on whether your Human Resources dept. followed the company's disciplinary action policies as stated in your employee handbook. You should get yours out and review the policies. Many companies give their employees a smaller version of the entire manual but the section on disciplinary action procedures should be in yours. I sincerely hope you do not have to resort to any of this. But from personal experience and from working as Assistant Director of Human Resources during a vacation from nursing about 16 years ago, I can tell you that when it goes to administrative leave, it usually means that the company is getting their ducks in a row for termination. I know this is not going to make you feel better. But keep in mind that you really have done nothing wrong; your explanation taken at face value makes it clear to any rational person that the worst thing you did was succumb to being human......you were overwhelmed and you FORGOT the pill in the pocket; but you were doing what every nurse is taught to do from day one: Priortize based on the acuity of the situations at hand. You could have ignored your patients and instead, taken the time to call the pharmacy, ask your charge nurse to help you rectify the error with the Pyxis and observe you wasting the medication. It probably would have taken 20 minutes to do that but you would not be in the situation you are in now. It might have been worse. You might instead have a patient who aspirated on vomit, or one who suffered a broken hip due to a fall; in other words incidents that could have been prevented had you not chosen to take care of the pill in the pocket first. The pill fell on the floor. It happens. You did right to take care of your patients FIRST. You forgot what in the total scheme of things was minor, but due to policy, narcotic laws, etc, etc, etc, has gotten you into a snarled mess. You still had the pill as evidence that you had no intention of diverting drugs for yourself or anyone else. When I read "med error", I thought you gave the wrong drug to the wrong patient or something like that. You did not commit a med error. A med error is wrong drug, wrong patient, wrong dose, wrong time, wrong route. Remember that from nursing school?? You made a policy error. You may still get terminated I am very sorry to say, because it would be a very stupid move on the part of the hospital. But the reality is that it does happen. But if it does, don't let it destroy you or your career. Fight it. Appeal it. YOU REALLY DID NOTHING WRONG. My prayers are with you. The very best of luck to you. You sound like a very good and conscientious nurse.
Specializes in corrections, LTC, pre-op.

I disagree, we are all human and the hospital can do any thing they want. Hospitals cover their butts all the time by letting things slide believe me. No wonder nurses are leaving the profession. Geeezzzzee!!

All the best.

She needed to fix that discrepancy before she left the building with the pill. Because she left the building and had the narcotic in her possession it looks like she was diverting a narcotic.

The hospital can't let something like that slide.

If she had taken care of the problem before she left, it probably would not have been a big deal.

This is why I've gotten into the habit of emptying my pockets before I leave. It's just too easy to make a mistake like that.

FWIW, I believe you. I almost took an Ativan home one night because of a similar circumstance, but found it when I emptied my pockets before I left.

I do hope this works out for you. (((((hugs)))))))

This is why I've gotten into the habit of emptying my pockets before I leave. It's just too easy to make a mistake like that.

Good advice, Angie O. I'm going to take it!

How crazy!!! You need to contact a lawyer and the union ASAP.

I had #30 morphine which came up missing on me and I did not go throuhg the drama which you are describing. In my case the police were notified, there was an investigation and it was found that one of the nurses was abusing it. But the whole thing was cleared up within a couple of days and I was never threatened with losing my job.

I am neither an unbeliever of what you say, or a believer. I must accept what you say because the only information I have, is what you have given. My advise for you is get your own drug test. You can walk into any employment drug testing agency and for about 35$ get tested depending what test you take. Call an attorney!!!! Evaluate your usage hx on the pyxis. This system was designed to recognize trends in activity for various different criteria. I have to guess this was not the first time, or a trend would not be recognized. It sounds to me as tho you are guilty until proven innocent in their eyes. prove yourself innocent!

Specializes in CVICU.

I would insist on a drug test. I would do it in writing and I would offer to pay for it only if the hospital refuses.

You should have told the nurse that came to get you about your patient that the pill fell, etc, and you'd talk after the shift??

Also, what's up with the "nerve" pill? If you are taking Rx. meds, you'll have to give a complete list of all thing you take.

Goodluck, Shygirl

Specializes in Med/Surg, Geriatrics.

I agree with those who suggested you get a lawyer. To those of us who have worked a busy med-surg unit over the years, the incident is very plausible and there is no doubt that it happened the way you describe. the reason I suggest you get a lawyer is that the hospital's reaction is totally out of proportion to the incident and they could conceiveably report you to the board and your career could be seriously affected by this. While they have to take narcotics tampering seriously, in my experience they usually wait until there is a pattern or until there is more evidence to justify any suspicions or accusations as things can happen. I wouldn't want to work there anyway but please see an attorney so you can protect your rights and your license.

Specializes in Public Health, DEI.

I would have reminded the head lady in HR that your manager had advised you to check your uniform. Why make that suggestion if the hospital was just going to say finding it there was fishy? Make sure you don't lose that party of the story should you have to file any action in regard to this incident.

I know you said that your reason for being off work was due to personal problems. Do you believe that these personal problems had any bearing on the way your facility is interpreting this incident? Where I work, the reason for taking a leave is absolutely confidential. All records relevant to a leave go through one particular position at HR and it is a termination offense for anyone in that position to share this information with anyone. The more stories I read on allnurses, the more I understand the purpose behind this policy.

Honey when you said error I thought maybe you gave the wrong blood pressure pill to someone or something. 1 vicodin tablet is silly! It would be different if a whole box of oxycontin went missing. Just tell them you don't know what happened to it, and have them drug test you. Do you have a union?

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