What do you do when you highly suspect a family member is either selling, taking, or both a pt's medication? I have addressed this with my supervisor, but all I get is the run around. Long story short for you all. Have had pt for approx 3 months. Perform med check q weekly to week and a half.
Approximately 2 weeks ago, discovered an empty bottle of oxycodone 30 mgs 3X daily. Said to pt, "Oxycodone? I didn't know you were on oxycodone. Where did this come from?" With a blank stare into space, he said, "I don't know." I said, "You don't know." He said, "No, I don't know." This script was filled not too long ago. All of his meds are always in his lock box. So, all of a sudden out-of-the-blue, there is this empty bottle of this med.
His other nurse who works for a different agency said he has to go in monthly to get this script refilled. This nurse also told me that it is known to her that this family is known to be into drugs.
I have called his MD, but have yet to get a call back. He is on morphine sulfate as well. If I ask the doctor to do a urine drug screen will this detect if he takes the oxy or not? Some of his med counts are off as well. I highly suspect his son is the one doing this and that the pt may be aware of it. What should I do?
