PXYIS

PYXIS is unforgiving! I had to go into slooowww mooottiioonn while at the PYXIS to keep myself straight!

It seems like in 2020 they could have something way more advanced than the Pyxis machines by now. We have had vending machines that can regulate how much you get of something for decades ?‍♂️

Why didnt they count before they called you and threatened board action?

Pyxholes.

4 hours ago, TriciaJ said:

If you didn't knowingly do anything wrong, then the onus is on them to prove it. 

On 7/9/2019 at 7:23 AM, Kenny Gee said:

At first I thought I gave them at the end of of the shift and dint chart it....but I didnt. But I said I did cuz I thought I did??

Geez, yes - never let people like this make you lose your composure. The worst thing in your entire story is that you just crumpled because incompetent people accused you of something. This experience would be worth it if you learned never to do that again. You can be pleasant and cooperative but for goodness' sake don't just assume you must have done something wrong because someone else says so. ??

The most important "take away" is never ever admit to something that you don't recall doing. Also, it would be helpful if all med rooms had video cameras on them that recorded and the "digital tape" was available to review if necessary. Also it would be helpful if machines could "individually dispense" medication. Thus, if you want one bottle of Propofol only "that" bottle is dispensed. One thing I always do now is to "double" check my EMAR before trowing away the barcode on a medicine to make sure that my "scan" has actually saved (I understand that this is not what happened to you, but this is a different problem that can crop up). Another big no no NEVER pull meds for another nurse (narcotics) when you will not be the one scanning them at bedside. I new a new grad RN who was fired and suspended because she worked on a floor with LPN's who could not pull their own IV push medicines. She pulled the meds for the LPN's, but some of them (on some occasions) failed to scan narcotics. Again, a case of the hospital saving money by gambling with the license of RN's.

The LPN's definitely could not pull the narcs, and probably should not have given them either. However the floor had 16 beds, 3 LPN's and typically one RN (sometimes two). Since the RN had a full PCU load they would often (I believe) pull the med and trust the LPN to give. However, sometimes this didn't occur or occurred with less than 100% fidelity. Ultimately, the RN was blamed without the underlying "system" issue being addressed.