narcotic orders help needed Legal Qs!?

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audit founds errors in charts made by 1 nurse like no Dr's orders 4 narcotics are signed out & no record that nurse gave them to the clients or wasted them...What would be the good decision of Incident based peer review committee ?

a-RN needs remedial education in how to documents these meds

b- the nurse must be reported to the BON for signing out med without order

c-the nurse sould be terminated from work for stealing drugs

d- the nurse must be reported to the BON becoz of the combination of the errors with possible impairment due to and/or substance use and /or abuse

What is the wright answer!!???

Specializes in Geriatrics.

I have no answers, but this just stresses the importance of counting narcs with another nurse at the beginning of a shift and also at the end of the shift.

Specializes in ICU/ER.
audit founds errors in charts made by 1 nurse like no dr's orders 4 narcotics are signed out & no record that nurse gave them to the clients or wasted them...what would be the good decision of incident based peer review committee ?

a-rn needs remedial education in how to documents these meds

b- the nurse must be reported to the bon for signing out med without order is this something that gets reported to the board?

c-the nurse sould be terminated from work for stealing drugs where does it say she stole?

d- the nurse must be reported to the bon becoz of the combination of the errors with possible impairment due to and/or substance use and /or abuse where does it say she is impaired?

what is the wright answer!!???

i go with a

Specializes in ER, PACU, Med-Surg, Hospice, LTC.

I would also say A.

Specializes in psych, addictions, hospice, education.

no doctor's order but the narcs were signed out? this is bigger than forgetting to document the drugs were given...

Specializes in Medicare/rehab (prev), Ortho Research.

Is this a nursing school question?

Is this a nursing school question?

it is RN Legal test question CE)) by rules and regulations it seem we must suspect each other and report))) crazy) option A makes sense but after reading that legal txt it looks like D..

it is RN Legal test question CE)) by rules and regulations it seem we must suspect each other and report))) crazy) option A makes sense but after reading that legal txt it looks like D..

i'm inclined to go with D as well.

signing out narcotics w/o an md order, and no record of who it's being administered to, is a reportable offense.

leslie

Specializes in psych, addictions, hospice, education.

I don't think any of the answers are good.

Specializes in ER, Med/Surg.

I vote "E" None of the above

Specializes in mental health; hangover remedies.

A might be an option, as would B - but I would suggest D - and I would also strongly suspect that this action is a proscribed mandatory reporting requirement of either the State or the BoN - or both (or federal).

If it states it is a "legal" question - I'd look for the legal answer.

A = managerial

B = reporting to the BoN (but wait,....)

C = employment

D = reporting - but the answer gives a more qualified reason for reporting than B; ie: becoz of the combination of the errors with possible impairment due to and/or substance use and /or abuse

It clearly states for what purpose the reporting law exists.

I have no idea what law or regulation it is and suggest you check against your State Board home page.

(Unless it's a federal requirement)

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