New Job, New Nurse, Missing Narc. No signature

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I just started a new job, On my first day in the med room (ALF)- Signature are missing from different resident chart(narc Book) dating back 3months (more than one signatures). med tech does not keep up with count, DON don't have time to check. I dont know where to start with the narc book! How can This problem fixed? Will I loose my licenses if this is before my employment date? How can the missing signature fixed

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Report this problem to your supervisor and keep a copy of that documentation, and keep a record for yourself of any follow-up. Do not record any info that would violate pt. confidentiality. If you see further violations, document them, too. If you are questioned later on you will have proof of the corrective actions you tried to take. I've been an RN for a long time, and it still amazes me how lax some places are about narc counts, not finding errors for months afterward, and expecting nurses to "fix" them.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Thread moved for better response.

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Specializes in PICU, Sedation/Radiology, PACU.

Contrary to what most new grads seem to have been told, you cannot just lose your license over any little thing. You have to be found guilty of a serious ethical or legal violation. You just started working for this company. You were not working on the shifts when the signatures are missing. You were not even employed. Why would you think you could lose your license because someone else did not sign out a narcotic three months before you started working?

Report the discrepancies to your supervisor. When you come on for a shift, insist on counting the narcotics with the previous shift and document it. If it is the responsibility of the med tech to keep up with the count, ensure that she is doing so during her shifts and write her up if she fails to do so. Make sure you sign out a medication every time you take one, according to your facility's policy. Whenever you encounter a discrepancy, document it, report it, and keep that documentation. You can only be responsible for what happens on your shifts.

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Thanks for your reply, It helps alot :-) I did spoke to my supervisor. I start to document everything I discuss with her.

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