newRNhereMI

thanks for your responses. I am hoping for the best. There was a hard script on file as well. It just wasn't my day. I am really considering switching to a hospital where I learn more though and not feel so overwhelmed with 30 residents.

The med was withdrew from the narcotic ekit. Getting updated or policies is almost impossible everything is out of date and nights your lucky to be notified of new changes until the DON asks why you didn't do something. Usually the I didn't know doesn't fly maybe LTC isn't for me.

There was a pharmacist available who put a stat on the order but that usually takes about 4 hours or so. I am on nights, I was just unaware of the getting the approval code from the pharmacy and did not do so. The ADON told me that was against the law and a big no no. I am not sure if he was trying to scare me or if it really it a big problem. I'm off for several days so I feel like I will be in turmoil till I can get an answer from them.

I'm a new RN and have only worked in LTC for a few months. A situation happened where a resident requested a PRN drug and it was unavailable. We have been instructed not to be afraid to use our edk's and get what we need. I have never had to pulled anything from the Narc box before and was told by different ppl we had a new policy. So in short the policy was misunderstood and I didn't get prior authorization from pharmacy to pull the drug. The resident did however have an order and the pharmacy had a copy of a hard script and got the pills out later that night. I pulled the med and gave them when they were requested. My problem is I didn't get authorization for pharm and now I am concern for my job and license. The adon when I notified him stated this wasn't a med error but a very big problem and would take care of today. I didn't get a response back today everyone was unavailable or in meetings. I dont know all the rules and regulations but really am in constant worry over well my career now. I cant seem to get an answer or call back to know how this is going to be handled. Has anyone had any similar situations or offer any input.