Opinions please!

I know - it is just so frustrating because I know that it was given. It makes me sick that people think that I didn't give the medication. I will definitely be giving my full attention to checking my MAR every shift & getting my co workers to check it for holes as well. Thanks for your input!

I have no doubt that you gave the medications. However, documentation is a pretty basic nursing function, and if it is isn't documented, then it isn't done. That's kind of simple. The facility is responsible for doing quality checks on the documentation, and missed documentation of medications, particularly several doses, is easy to catch. The facility could get into a great deal of problems with regulatory agencies for failure to catch and correct things like this. Instead of complaining about the disciplinary action, I would suggest that you admit fault, figure out how you let this happen, and come up with some steps to prevent it from happening again. You screwed up. Simple as that..

You know you gave the med and the resident is able to confirm that you did. That's all well and good, you said you normally check the MAR before you leave, but had overlooked it. You overlooked it for 2 weeks.

It's very easy to become complacent when doing the same tasks over and over. Learn from this experience and check that MAR as though it was the first time you had passed meds to that resident, not the hundredth.

That's a crappy situation. Paperwork wins over common sense these days. I hope things look up soon.

There's nowhere else in your charting where you might have referenced med admin? We use a paper MAR at the place where I work as an RN, but any meds that require an assessment or are prn are also charted in our EMR- maybe not the exact dose administered, but the assessment and a reference to the order & admin time.

There is a significant issue if you missed charting meds on this pt for two weeks. This could have serious consequences for the pt if the next nurse saw the blanks and assumed the meds were not given.

I'd advise that you accept responsibility for the error with no excuses and present your supervisor with your plan of action to assure that it doesn't recur.

No unfortunately there isn't anywhere else that it is charted (all of our PRNs/blood sugars are paper as well.) And I did take responsibility for not signing and of course made a plan of action to assure all medications are signed off. I am just frustrated with the situation, I am not saying that I didn't do anything wrong, I was more or less just trying to vent.

The resident gave a statement that she received the medication and there was objective evidence to support her statement, yet the management chose to deceive the physician and the POA by telling them you didn't administer it. I would ask the management, when the physician was told the patient's blood sugar levels were stable without insulin, did he believe it? If so, he should have discontinued the insulin, since it would seem the patient no longer needs it.

I understand what you were saying. My advice was just on how you should present to higher ups. This is what they want to hear and will reflect better in their eyes if they perceive how seriously you take this.

I can see why you are venting, when the management lied, they violated the ethical principle of veracity, two wrongs do not make a right.

I would point out to them that the patient's BG levels didn't change after you supposedly stopped giving them insulin, so clearly the patient suddenly stopped requiring insulin on the same day you stopped giving it, if you had given it they sure would have become hypoglycemic, so, you're welcome.

This is the problem with the "if you didn't chart it, it didn't happen" mantra; it's moronic. There actually is a difference between doing something and not charting it vs not doing it or charting it, and it's an extremely important difference in a variety of ways.