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Miscounting Meds

Nurses   (2,361 Views | 18 Replies)

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Sour Lemon has 9 years experience.

3 Followers; 4,280 Posts; 31,025 Profile Views

Does everywhere not require 2 nurses to count narcotics? When I worked in the hospital, 2 nurses always counted every time a controlled substance was being pulled.

I've never encountered that, thank goodness. I'd go crazy.

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391 Posts; 6,423 Profile Views

Does everywhere not require 2 nurses to count narcotics? When I worked in the hospital, 2 nurses always counted every time a controlled substance was being pulled.

Goodness, no! Though I think I'd like to work in a hospital with enough staff that an extra nurse would be available every time I pulled my meds. We only need another nurse to witness a controlled substance waste, and even then it can cause (usually minor) delays in patient care to find someone who can waste with me.

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NurseCard has 13 years experience as a ADN and specializes in Med/Surge, Psych, LTC, Home Health.

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Oh for crying out loud, this happens where I work all of the time.

Someone goes to get a med, they count, accidentally miscount,

oops there's a discrepancy. So, recount with someone, solve the

discrepancy, problem solved.

WHY the need for so much scary discipline, over small mistakes

that are easy to fix? Mistakes that everyone is going to make?

I don't get it. Is it a power trip kinda thing?

Edit: our pyxis... actually it is an Accudose... does the "are you

sure? This number will cause a discrepancy" thing whenever you

put in the wrong number. However for some reason,

discrepancies still get created. All we have to do is

go back in and recount the little box with another nurse.

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Kallie3006 has 7 years experience as a ADN and specializes in Surgical, Home Infusions, HVU, PCU, Neuro.

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The pyxis is set up to alert you if the first number entered is wrong, and discrepancy is created- telling who last accessed, their beginning count and what was removed, your actual count and the expected count, so as to trace the problem. A miscounted pocket is the easiest one to fix, I dont understand why that would be something that would be a factor in your evaluation.

We would need a full time pyxis nurse if we had to had a witness every time a narc was pulled. Wow, that just seems crazy to me!

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Kallie3006 has 7 years experience as a ADN and specializes in Surgical, Home Infusions, HVU, PCU, Neuro.

1 Follower; 386 Posts; 5,557 Profile Views

The pyxis is set up to alert you if the first number entered is wrong, and discrepancy is created- telling who last accessed, their beginning count and what was removed, your actual count and the expected count, so as to trace the problem. A miscounted pocket is the easiest one to fix, I dont understand why that would be something that would be a factor in your evaluation.

We would need a full time pyxis nurse if we had to had a witness every time a narc was pulled. Wow, that just seems crazy to me!

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12 Followers; 3,803 Posts; 28,619 Profile Views

Oh for crying out loud, this happens where I work all of the time.

Someone goes to get a med, they count, accidentally miscount,

oops there's a discrepancy. So, recount with someone, solve the

discrepancy, problem solved.

Hear, hear!

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12 Followers; 3,803 Posts; 28,619 Profile Views

As far as med cabinets alerting you when you've typed a wrong number but haven't entered it yet, I have not encountered this. Not sure if that's because not all are programmed that way or because double-counting has prevented me from encountering the warning message.

Another thing is that before I even begin my transaction, I note whether there is already a discrepancy (icon is present on home screen). If there is, I don't proceed with my transaction until it's fixed (or until pharmacy/supv/appropriate party is aware there's a problem and has advised how to proceed).

I don't think any of this is overkill given the potential for hateful/unnecessarily punitive handling of mistakes if/when anyone sees fit to handle them that way.

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