Pyxis undocumented waste

[nicunursecourt]

Hey everyone.

I am seeking advice on what to do about an undocumented waste in the Pyxis. Background is that back in March I was completing my second phase of training with a preceptor. During a very hectic day I pulled fentanyl from the Pyxis and my preceptor told me she would waste with me later. Unfortunately we both forgot and I am remembering now that this occurred. This is the first and only time this has happened to me. I have always been a stickler for wasting at the Pyxis with another nurse. The patient has since been discharged and there is no way for me to go back in and waste with the nurse that witnessed me giving the medication. The proper amount was charted in the MAR. My question is, since this was a couple of months ago, should I bring it to the attention of a supervisor? I do not want it to come back to me later and be fired or lose my license. Remembering this now is terrifying me and I am in need of some advice.

[rx3500]

You are correct, there is no fool proof way to prove any transaction, that is until there is an audit. I'm only suggesting that each individual cover themselves, especially in the midst of a huge opioid crisis. The few extra moments could be there difference between employed and jobless. Point is to document somewhere, if you are one whom is somewhat forgetful. People are always watching, keeping record.