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Discussion

Pyxis error

Hello colleagues,

I really need some opinions and advice. Last Thursday (7/28/16), I was escorted to HR, in which they showed me a print out report of my transactions from the Pyxis the day before. It showed I had removed a narcotic on a patient that wasn't my patient and not even in my dept(PACU), but in pre-admission tesing I found out. I never go to that dept I said, and this was not my patient, and I didn't perform this transaction. They informed me I had to submit my fingerprint for this transaction. I continued to tell them I never made that transaction.I also provided them with as much details of that day. Long story short: I was suspended w/o pay, submitted to a drug test, which was negative and had to be driven home from work in my car by someone else with the director of security following behind. This has left me devastated, horrified, scared to death, mentally and physically stressed. I am not a druggie nor a drug thief!!! I've been a nurse 41 yrs! Why on earth would I do this now?? I know they have policies, but they still damaged my integrity, character and reputation as my coworkers knew something was up before me! I can't eat or sleep. I have prayed and prayed. I'm truly scared I'm going to lose my livelihood, go to jail, God knows what else. I called this past Monday and left a message for the HR director to call me back. Never got a call. I heard today she is on vacation. I tried to get hold of the person covering for her, but could not get thru to HR or even leave a message. I finally called another dept director for help, and she took a message to that person..never got a call back today. Tried to call again before they closed. No answer and not able to leave a message. I have consulted with one attorney, who basically took my money and didn't give me any encouragement, only that he could send them a letter for $1000. Needless to say, I'm looking for someone else, but I can't afford an attorney and make too much money for a pro bono attorney. Tomorrow is my last paycheck. What then?

I truly believe this is based on human error in the Pyxis, but how can I prove it?? Please send me your opinion and advice on this mishap. Any article links would be greatly appreciated as I need all the info I can to prove my case.

Thank you so much in advance. I trust going to my colleagues because I believe we take care of each other!

Respectfully,

DD

Featured Replies

What a nightmare for you, I will pray that your situation gets resolved in a hurry. :nurse:

The only explanation I can think of (besides their version of events) is that you failed to sign out and someone else pulled it under your name. Are there any security cameras around the place that might show anything?

I was wondering the same thing. Many facilities have cameras placed around Pyxis machines to show whom signed out what. The fact your urine drug screen is negative speaks volumes too.

Once I was at a pyxis signing out meds when another RN raced over, pushed me out of the way and signed out a 10 mg MSO4, then ran back into a pt room. I was stunned. I also calmly signed it back in again, then marched over to the nurse in question and said: "Mary-Grace, you better get your butt over to the pyxis and sign that MSO4 out under your own name now or I'm going to go speak to Ron" (our nurse manager). She made noises about "It was an emergency", and "The pt was having CP, and needed it now". Not my problem. I also told her when things settled down that if she ever did that to me again that I was going to file a complaint. It never happened ever again.

My point, not everyone is trust worthy just because they have a nursing license. The more I think about it, the more likely it is as Sour Lemon RN stated that you may not have signed out, and someone took full advantage of that.

If there are cameras, or other evidence that exhonorates you, then I smell a lawsuit. That was handled poorly, and was humiliating. You need to light a fire under your attorney's orifice, because he/she is not doing their to protect you.

Wait. What? This makes no sense.

Why could you not drive your own car? Your employer does not have that authority. Something does not add up here.

Agree! Why have someone drive you home?

Doesn't make sense. I know it is hard to afford a lawyer, but way less costly down the road.

Do you have union representative? Call both ASAP.

I also wonder if you pulled a narc on your own pt at the same time but selected the wrong pt on the pyxis?

I don't know how you can pull up the wrong patient if thy are not on your unit?

If they wouldn't give her access to her own car, it must be so the police could have it instead. I assume they got called.

I hope you gave your fingerprints willingly when you said you never go to that department, nor do you touch that machine. Insist on that room being treated as a crime scene and have it dusted for prints, if you can. They may find plenty of prints but none of them will be yours.

You could volunteer for a polygraph.

Good luck.

I have already commented but I thought of a question about the Pyxis. I have never worked anywhere that did not have an automatic log off function on computerized equipment. So how come if you went into a Pyxis were you not automatically logged off? I know for us in the VA system we would get bent out of shape when we would be logged on to the BCMA giving meds and stop to talk to or help a patient and by the time we'd get back we were logged off. It was an appropriate safety device as it prevented someone looking at information inappropriately. If indeed some one accessed your account name after you had been in the Pyxis then perhaps it is the fault of the system and not you. I would at least look into it. You would need to get info from your employer which more than likely puts you back in the position of getting an attorney to sue for the information. Employers will circle their wagons and let employees suffer and hang for what they did not do. They will also make examples out of individuals. It should be a lesson targeted at all the other RNs and LPNs at your facility to pay attention to all Pyxis transactions.Practice defensively, watch your use of any password protected systems.

I don't think it's typical to require a dual login for narcotics. And thank goodness ...that sounds like a nightmare!!

Where I have worked, a second RN loggin is only required for waste. Either at the time you pull it when you plan to give a partial dose or later when you didn't use the whole dose.

Go to: Peer Review Ratings This is Martindale Hubbell's Peer Review Ratings for lawyers and law firms in the U. S. My son gave me the link; he is on faculty at a state university school of law. Martindale Hubble is the sine qua non for finding competent legal services.

Your present lawyer appears to be incompetent and avaricious; finding that out this early in the case is money well spent. Leave him.

If you can accept where you are right now, as if you had chosen it, your change in perception will bring a deeper understanding and intelligence to dealing with the situation, both now and as it unfolds (With props to Eckhart Tolle).

And do Google "Legal Aid Services for Nurses in "; seek and you will find!

Positive thoughts!

Wait. What? This makes no sense.

Why could you not drive your own car? Your employer does not have that authority. Something does not add up here.

It makes perfect sense. At our facility, if an employee is suspected of being under the influence, they are not allowed to drive themselves anywhere. They must accept a ride home from someone else, and if they refuse and drive themselves home anyway, they're immediately terminated.

Of course, that would be for actual suspicion of being high, based on behavior. Not on a pyxis discrepancy.

Wish we would get an update from OP?

It makes perfect sense. At our facility, if an employee is suspected of being under the influence, they are not allowed to drive themselves anywhere. They must accept a ride home from someone else, and if they refuse and drive themselves home anyway, they're immediately terminated.

Of course, that would be for actual suspicion of being high, based on behavior. Not on a pyxis discrepancy.

She said her drug screen was negative.

I don't have words of wisdom for you, but I want to share my story so you know that you are not alone. I have been looking for a nurse with a similar experience. Here is what happened to me...

In May, 2016, in the middle of my shift, I was approached by the Nurse Manager. She informed me that I needed to follow her immediately. She escorted me past my Supervisor and peers; I was taken to the Administration offices. In addition to this Nurse Manager, there was a Director of Nursing, a Director of Human Resources, and another person sitting behind a computer. I was informed he would be typing notes during this meeting.

I asked why I was there. At that point, the Director (whom I never met prior to that day) informed me that I was being investigated for diversion; I felt like I was blind-sided by a truck! The Director asked me to empty my pockets; I immediately complied and nothing was found. Also, I offered my car key and locker key; she accepted my locker key, but stated my car key wasn't necessary. I offered to submit to any testing and would allow her to search my home. I stated that I would do whatever was necessary to demonstrate that I was not diverting. I shared that I was a long-term (26 years) and loyal employee with excellent annual reviews and no Pyxis discrepancies of any kind!

The Director informed me that they would be collecting a urine sample and if I refused I would be terminated immediately. I restated that I had already agreed to being tested. I was escorted to Employee Health to provide a urine sample. Upon returning to the Director's office, the contents of my locker were loaded onto a utility cart. The Director informed me that my belongings were removed from my locker while I was in Employee Health. She then proceeded to search my belongings; nothing was found. At that point, she informed me that I was suspended without pay, had me surrender my ID badge, and informed me that I was not to discuss the investigation with my peers. If I had questions, I was to call her.

Two weeks later, I received a phone call informing me to attend a meeting the next morning. At this meeting, I was informed that all suspicions were unfounded and I was being returned to work with back pay. Since I had scheduled vacation during my suspension, they used my paid-time bank to pay me. I assured them, I was in not on vacation while I was waiting for them to get back to me. After waiting for 2 weeks in limbo, I was physically and emotionally exhausted. I asked them if they received my messages/emails asking them for an update and telling them that my emotional and physical health were getting worse with each passing day that I waited for their answer. I was informed that my requests had been received, but they wanted to complete the investigation before returning my calls/emails.

I knew it would take 3 days to get the urine screen back, but waiting 2 weeks with NO information was torture. I ended up under the care of my physician who referred me to a mental health provider. I was diagnosed with a severe anxiety reaction and began medication and counseling. My providers placed me on medical leave. I've now been diagnosed with PTSD.

Despite multiple requests to understand the basis for the accusations, I have not been given answers. Whenever I ask a question, I'm repeatedly informed that there is no record of me being investigated for narcotic diversion.

My leave is running out and I am terrified of returning to the same position. I don't understand WHY I was accused in the first place and WHY it took 2 weeks to get back to me! I asked if there were discrepancies, patient complaints, of if I appeared to be 'under the influence'. I was informed that there were no discrepancies and no complaints, and they would not be discussing anything else because there is no record of the investigation in my employee file.

If I leave this employer before August, 2017, I must pay back the entire amount of tuition benefits. It is a large sum; I would need to take a personal loan, extend the mortgage on my home, or tap into my retirement savings early and pay a penalty (I am only 54 years old). I have located an attorney that charges only $100 for a one hour consult; I have an appointment on Tuesday.

I understand your feelings and concerns; this is not a situation that I ever dreamed I would be facing in my spotless (up to this point) career. I will keep you in my prayers.

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