Narc problem. Plz Help me!

[kjani26]

i am a lpn. 6 month. i work in ltc.today i had discharge resident .i went in her room with all med she was taking including narc.i gave her all med that was prescribe. what ever narc she was taking it wasn't prescribe so i didn't give it to her. after i said by to her in her doorway taking med and narc in a clear beg i heard other resident tab alarm going on i went to attend with bag of meds. i found resident standing on side of the bed who is high risk for fall hanging his brief with full a pee.i put bag with med on bed side table and helped him get in bed, changed his brief. after i left room (i have forgot bag of med in room that i find out later).i was working with two cna male and female.f cna came to me and told me she show some meds in mr.b's room (same room i left the med).i was totally forgot about that so i asked what kind med in a cup. she said no in a bag.remembaring that i have i said let's check. i and she went to mr.b's room there wasn't anything in room. she said she show on bed side table. she opened drawer. there wasn't anything. she said m cna was there that time to. i said lets ask him. we went to him and asked. he said he might have thrown them in trash when he picks up other trash from mr.b's room. we all went to shower room that is separate from rooms and he went to trash and dig out the med bag. i took the bag and check meds find out that 5 narc pill was missing. i was starting my 1700 med pass. after i done passing med. i notified charge nurse. she notified don, administrator.i called in office. i told them what happened. then both cna was called in office. both cna was asked to give written statement. i didn’t. then charge nurse came and counts other narc with me. i am so scared that what they would do next to me. i didn't take them. my fault is i didn't notified them write way. i don't know what to do next. i am so scared. plzzzzzzzzz help me

[HappyPediRN]

Sorry, I couldn't even understand your post nevermind begin try to help you. Good luck.

[southernbeegirl, BSN, RN]

I hope you chart better than you post. Sorry on my part too, but your story makes no sense.

[southern rn]

Please clarify..you said in your post that the pts narcs weren't prescribed so you didn't give them to her then you say you had them in a bag?...Did someone count and verify with you the amount of narcotics present before it was placed in a bag to hand to the pt?

Not to alarm you, but if you did indeed leave a bag with narcotics lying around, expect to have a very big deal made of this, including drug testing, etc. Just try to be calm and matter of fact and give your version of events. Hope everything works out OK.

[lpnflorida]

As I am trying to figure out. It sounds like your intention while discharging a patient was to return their home medications they had brought in but were not prescribed for at the time of discharge. Is that correct?

If so, we return all medications which a patient brings into the hospital with them regardless of whether they are currently prescribed or not. They are advised that this is no longer prescribed at this time and do they wish us to dispose of them at this time or do they want to do it when they are home.

Your DON will look into events , they will try and discover what happened to said narcotics. Write down events as you recall them, each and every detail.

[pielęgniarka, RN]

If I understand your post, you lost a bubble wrapped card of narcotics.

This happened at place I worked at. The cops were called in after the DON was notified. Those involved were interviewd by the DON, then suspended pending investigation, then some were fired. The department of health came in for a facility wide survey and to do interviews. The nurses that were fired took their case to court I think to argue unfair termination. I don't know what kinds of charges were filed or how it turned out though. Sorry this happened, but might need to chalk it up to a lesson learned the hard way.

[CoffeeRTC, BSN, RN]

Wow...it is hard to read.

Looks like you had all of the meds including narcs ready for d/c. Heard an alarm go off, went in to help then forgot bag o meds in that room. When you went back, you found narcs missing from that bag???

Okay...there are lots of things wrong. Never, ever leave narcs unattended. I've been in situations where the crap hit the fan (I was signing in narc cards and someone literally had a heart attack in front of me)...first thing I did was try to secure those narcs, while assessing the situation. I ended up putting them in my waist band....not comfy or the best for infection control, but they never left my sight or body. I've seen nurses put a card down for a second and poof....they were gone. Staff and residents seem to know which cards are "the good stuff" For one, when they are checked in, they come separate.

Why didn't you fill out a report/ statement? Why didn't you report them missing asap?

[wonderbee, BSN, RN]

There are really no options here. Expect and prepare for the worst. Start checking around to see what's out there if you have to find a new job right away. That's the most helpful advice I can come up with. Be ready to move on.

[Babs0512]

If I'm reading it correctly, you had a bag full of meds, some narc's and the bag is missing? What you should do is write up an incident report - because, you messed up big time - and take your lumps. If you have any chance at salvaging you job, you must take responsibility for your error. Explain how you will follow the patients five rights next time etc... don't try to say "Mr D was standing on the bed naked so I put the meds down..." They may be what happen, but ultimately it's your error.

Be honest and upfront. Good Luck and keep us posted

Blessings

[GrumpyRN63, ADN, RN]

I don't understand about the written statement. You didn't give a written statement or you weren't asked to give one??