April90

Also medications that was sign off as given does not match with the remaining count that was delivered by pharmacy. We still use paper charting.

Sorry, maybe I should have made it clear. By giving med to confused pts, I meant a confused pt that always refused to take their routine medications let alone giving every narcotic q4 or 6 hours. Yes, maybe he is just that one nurse that can always give to pts. Yes, I also give pain PRN meds to confused pts but I will always try non narcotic med first to pts that refused to take any medications before I pop out narcotic. This is a LTC setting.

I have a coworker that pocket narcotic for himself. This nurse has been working there for a long time. He is very clever and sneaky about it. He will pick the right pt and take the remaining narcotic or would give multiple times in one shift to confused pts. My place they don't compare it, they just file the narcotic paper. I have already raised my voice to my supervisor and boss but he is one of the favorite nurse therefore things will not escalate as it should. Any suggestions? Anyone have similar experience?

Im a new grad also and have been working in LTC/Rehab for about 4 months. First month of working I felt like almost everything I learned from school went out the roof. It was like hell in the first 2 months and I wanted to quit every day. I was still passing meds when next shift showed up. I cried on the first day after orientation ended. Use your orientation time wisely! When doing med pass on orientation make sure you know where all the medication are located in the med cart. I made the mistake of having my preceptor pulling out all the meds then hand over meds over for me to go give it to the resident. She pulled out meds by memory. Then once I'm done with orientation, I had no idea where some of the med are at. I spent a lot of time trying to look for certain med. Know your labs and how they effect our body because you'll be reporting labs every week to the doctor. Labs number is always in the report so you wont need to memories them. Also learn your facility policy, paper work and computer system. Always ask other nurses or your supervisor aka RN if you have any concern. My normal routine: for 3-11 shift. clock in. Look at my rooms to see if I have any new patient. Make schedule for CNA assign to which room. Read communication book. look for any labs that need to be report. Count narcotic and Get endorsement from previous shift. Call MD for lab results. Stock my med cart. Pass first med pass. After first med pass, charting. Take my 30min dinner. Get back start my second med pass. Chart after med pass. Restock, count and report to next shift. Clock out on time if everything goes smoothly. If there are change of condition or pt constantly getting up, it will eat up your time especially when youre new.

This sound like my nursing program though mine is private so I doubt they'll do much if it was known. As long as the student give them a higher percentage of the "probability of passing nclex" then it'll look good on the school. They'll get all the good grades now from cheating but once they take the nclex or working as a nurse it'll come back to haunt them.