No Narc count????

[ennylyecats]

I just started orienting at a SNF. Today was my first day there. The nurse I was orienting with showed up a little later and jumped right in to get report and then we were off passing meds etc. At first I thought maybe someone just counted her cart for her but when I asked her later about how they do the narc count there she said they don't, they trust each other!!! I am surprised to say the least. I sat there for a minute speechless but then said...I hope no one is going to be offended when I don't accept the cart until I count the narcs. She said they'll be count with you but they might think your a *****!!!!

Has anyone ever heard of such a thing?? I mean I am a fairly new nurse but.....is this the norm????!!

[heron, ASN, RN]

In my state, the handling of narcotics is mandated by the state Board of Pharmacy which issues facilities' licenses to dispense controlled meds.

You might investigate whether this is the case in your state as well. If you mention that facility licensing might be in danger, you might see some action.

[CoffeeRTC, BSN, RN]

Always keep the keys with you. Don't get lazy and go along with what they are doing. I'm wondering if this could be a reportable offense to the state or BON?

I wonder what the DON does if there is a discrepancy in count?

[LPNnowRN]

ALWAYS keep the keys with you--I tick people off at work because I won't leave the third cart keys with the cart. They have to come find me. ANYONE can go in there, use the keys and enter the locked narc box. I don't care what happens after I count out, 'cause then it's their license, but I care a lot about my license when I am working my shift!!!

[heron, ASN, RN]

Once again, call your state pharmacy board.