i work 3-11, during the change of shift narc count, the 11-7 nurse noticed a missing med on one of the cards. we get the blister cards and they are numbered starting with 30 and work down to 1, I gave the med, which is a routine hs med. I gave it and punched the pill out of the proper slot which would have made the count 27. During our count the other nurse noticed a missing med from the #10 slot. I did not notice this earlier when I did my count with the 7-3 nurse. We looked all thru the med cart, took all the meds out of the drawers and both narc boxes,. searched the residents room, was not able to find the missing pill. So we called the DON and she told me that since I signed the book at the beginning of the shift and it is my responsibility I cant leave til that med is accounted for. Never found the med. so me and the other nurse had to write up a witness statement, and the DON said she would have to call the OLTC, DEA and the Police and I would probably be suspended. She is to call me tomorrow and let me know. I feel horrible that I missed that. I just skimmed over the card and seen there was a pill in the slot that coordinated with the count. MY BIG MISTAKE !!! I WILL NEVER DO THAT AGAIN !! my DON was nice about it, (I was in tears of course, being a new nurse and having the count be off is very overwhelming) But it really bothers me that I didn't notice it and the day shift nurse didn't notice it either. But since I signed the book and said the count was correct, I have to take responsibility for it. Which I do since it was found on my shift. It just really bothers me that I will be suspended. Another nurse friend of mine told me that something similar happened to her and it all worked out ok. they just reported it as a missing narc and she had to take a drug test and it all worked out OK and the SBON didn't take her Lic. or anything. But I'm still worried !
