sorry if this is in the wrong thread it's been a while since i've been on here. So a month ago, I took out morphine and had to waste. My preceptor didn't waste with me, and my pixus allows us to "waste later" which is stupid and creates problems. I wasn't approached about it to this day, but what would happen?
2nd scenario: Sometimes during morning rush before i see my patient for all their AM meds, i will anticipate my patient needing a vicodin or whatever, and will pull it out (as PRN rx) before asking pt if they want it-this avoids me going back and forth to the pixus. I recall on a couple different occasions where they were too sedated or sleepy, and i would return it. When i return the pill, how will they know I returned it? what if another nurse says she returned hers, (BUT really DIDN'T), and I actually return mine. I don't like how you don't return it to the original box but into a drop box kind of thing, where the pharm tech picks it up later.
Also, is it okay for you to sign in pixus to get something for another nurse ? This happened to me yesterday my coworker couldn't log in with her fingerprint.
Specializes in Mental Health, Emergency, Surgical.
If you sign your name to a narcotic, you better watch it be given and signed for with your own eyes.
Likewise, if you waste a narcotic, get it witnessed and signed for as it happens or by the end of the shift if it was an emergency.
Nobody has the right to complain if you insist on doing the above, as they are the one breaking protocol and they know it. You only need look in the recovery sub forum to see the protracted consequences from one mishandling of narcotics. The Board won't care why, how or give a second chance,
In Australia, we don't have pixis, but we countersign to retrieve narcotics from the locked cupboard, countersign in med chart, countersign to waste, and both nurses attend the bedside to administer. It is understood that being busy is no excuse for cutting corners. We sign as it happens and nobody would dare go outside the protocol!
Specializes in Cath/EP lab, CCU, Cardiac stepdown.
It doesn't matter what anyone else says, whether pharmacist, tech, doctor, other nurse, whoever. The license is yours and certainly for YOU to lose. So I would be more cautious getting meds for other nurses. When the poop hits the ceiling, saying he said or she said it was ok is not going to be a solid defense. They might be thinking it's ok for YOU to pull that med for nurse Jackie but they would never do it themselves.
buttercup99
68 Posts
If you sign your name to a narcotic, you better watch it be given and signed for with your own eyes.
Likewise, if you waste a narcotic, get it witnessed and signed for as it happens or by the end of the shift if it was an emergency.
Nobody has the right to complain if you insist on doing the above, as they are the one breaking protocol and they know it. You only need look in the recovery sub forum to see the protracted consequences from one mishandling of narcotics. The Board won't care why, how or give a second chance,
In Australia, we don't have pixis, but we countersign to retrieve narcotics from the locked cupboard, countersign in med chart, countersign to waste, and both nurses attend the bedside to administer. It is understood that being busy is no excuse for cutting corners. We sign as it happens and nobody would dare go outside the protocol!