Published
When you and the on coming nurse found the discrepancy what happened next?
Do you use a Pixis or paper log? You should not have gone home until the discrepancy was corrected. If you were unable to figure out why a narcotic was missing your charge nurse or supervisor should have been notified and an incident report written up.
So a discrepancy was found and what ???? it wasn't rectified, no one was notified, and you went home?
Well what did you do when you noticed the discrepancy during count? Did you notify whomever needed to be notified and track down what happened to it?
I recently had a narc count off when I came on shift. The other nurse and I double-checked all documentation, called the Nurse Supervisor and the Admin-on-call per policy and relayed our findings and where we suspected the count had gone off based on the documentation we could find. Once that was done the other nurse was able to leave and the supervisor took over the investigation and ultimately figured out where it got off and what happened - everything worked out okay in the end and no one lost their jobs or was even punished, but it was a lot of phone calls and paperwork.
If you noticed the discrepancy and left with out doing anything about it, there is definitely a chance it will come back to bite some one - likely you.
It kind of depends on the circumstances. For example, if you have a history of missing narcotics, a series of warnings, and there is video of you crushing and snorting it, then yes, you are going to encounter difficulties.
Otherwise, it depends on the circumstances and your supervisors.
Either way, good luck.
My old job was a mix of paper and computer charting and access to controlled substances was electronic and traceable. Plus, there were cameras in the med room. There would be an increasingly thorough audit until the discrepancy was resolved. Typically, someone logged a med in the wrong clipboard or forgot to chart it. Usually, walking back the inventory and comparing it to patient charts who had orders for the missing drug took care of it. Discrepancies were always resolved within 20 minutes at the most. I imagine in a fully electronic environment, it would be easier and faster to resolve. We never had any missing drugs stay missing.
Mbarbour
2 Posts
I counted my narcs with oncoming nurse and I have a narcotic missing. I am upset because I have no clue what happened to it ? Will I be fired ? Or worse ?