Need advise ASAP

Nurses General Nursing

Published

I am a little bitter so I will apologize in advance for grammar and spelling. I am currently employed at a LTC facility. I have been there for 17 months, with no corrective actions. Last week a nurse from the other floor called me to report that several patients had c/o not receiving their medications that pm...including narcotics that had been signed out for. I advised her to fill out resident concern forms and to notify supervisor ASAP. This is not the first time a complaint has been filed against this particular nurse for not administering meds including narcotics. I myself reported her for signing out narcotics 5 hours after sending a pt to the hospital and another nurse reported her for signing meds & narcotics to a pt with a G-tube and the syringe not being opened at shift change. (no syringe found in garbage either)

My last day of work was very busy and during my last med pass I missed 2 omeprazole and when I realized it it was too late to give. I circled the meds, notified the MD, notified oncoming nurse and supervisor. Today I receive a phone call from DON to tell me that I was suspended until further notice. She said that I had circled 15 meds on the MAR and I did not do that. I explained to her that I had circled 2 and my steps of reporting. She said that 15 was circled and that was not going to be tolerated. I DID NOT circle those 13 other meds. Now my question is how do I proceed? I have a meeting with her next week. Do I remind her of the reported previous incidents with the other nurse with not even an investigation? Also I really believe this is all because I filled out a med error against her for not hanging an IV antibiotic for a pt with a PICC line. Any advise is appreciated, and I thank you in advance.

Specializes in Gerontology, nursing education.
didnt you chart what happened at that time?

document document document

especially now that someone is out to get you.

Thing is, she did document the meds given in the MAR. She also documented the two drugs she missed. Someone else altered her charting so that it appears she did not give fifteen meds that night,

Please don't flame me for saying this but if LTC facilities could just catch up with acute care facilities in terms of computer documentation, things like this would not happen. No one would be able to go in under the OP's name and change the charting. I worked in a place that was half computer charting,, half paper and it made me nuts. Get rid of the flow sheets and the paper MAR!

I'm just not sure, at this juncture, there's anything the OP can do to document what's been going on. Maybe every person who works LTC needs to create a personal journal of what happens at work. Sad to think it comes to this. :o

BTW. to the OP----is this a small home or a larger one? Metro area, suburban, small town, rural? I am just curious.

Hope all goes well for you but if not, we're here.

Specializes in LTC, SNF, PSYCH, MEDSURG, MR/DD.

i agree moogie, electronic charting needs to be everywhere.......

It is a 100 bed facility in a small town. I have enjoyed my time off from all the drama in that place I didn't realize just how miserable I was. Will let everyone knows what happens. Thanks everyone for your support.

I would avoid mentioning the narcotic diverting nurse who hasn't been disciplined. Keep your arguments contained to the facts in question and your own personal experience.

I'm so sorry to hear that.

Since everyone knows about this incidence already, I might as well make an announcement (via email or verbally) in front of all the staffs about someone has 'falsified' your signature and you have already contacted your attorney to investigate in this matter. Honestly, whoever did that will be scared to death.

Since ur manager's not being supportive, you should consider finding another job. Who knows, maybe something better is waiting for you...

Good Luck.

I would like to thank everyone for their advise and support. I had a meeting with the company (my attorney present) and after reviewing the video of the morning in question was advised to let them terminate me. Apparently the company stopped watching the tape too early and my attorney had them play the tape for time after I left. He actually seen the other nurse at the nurses station with the MAR after I had left. Hopefully they won't fight the unemployment.

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