narcotic count issues

[finne1]

Hi just curious how others would have handled this: during narcotic count, an opened bottle of morphine liquid from the ekit was on count for over one week. No patient name, no dose, etc.... I refused to take the count as being correct. what would have done? better still, what should be the repercussions of my refusal to take the count? the supervisor came down and stated it was ok. I felt very strongly against this and asked to leave to which the supervisor agreed.

[journey_bound]

I would imagine that both your manager and pharmacy would have to investigate to determine who opened the bottle, to whom it was given, how much, and when. You've already spoken to your manager. Has it been cleared up? I'd submit an incident report regarding it to your manager, if you do, the responsibility is on the manager to follow-up.

[diane227, LPN, RN]

An open, unlabeled bottle of any narcotic should be sent to the pharmacy immediately with an occurrence report about where it was found etc. I would treat this as a narcotic discrepancy and I would certainly take all steps to get it off the unit so I would not have to be responsible for it.