Might be involved in my first nursing-related legal thingie

  1. Had a pt forge (add digits to) the number of pills on a narc script that I wrote out for a doc (he signed it, of course, but my name was on it as well since I wrote it out.) Pt dc'd, took script to pharmacy, and because of suspicious behavior (as well as previous Rx hx) pharmacist called to confirm number. MD wants charges pressed, which I strongly support.

    Documented my recollection of the event (which was strong as the event was very recent and the amount was an unusual one.) Will see what happens.
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    About Nurse Ratched

    Joined: Jun '02; Posts: 6,586; Likes: 69
    RN - College Health
    Specialty: Geriatrics/Oncology/Psych/College Health


  3. by   MollyMo
    I pray everything goes well for you.
  4. by   Jenny P
    I don't think you will be in trouble for this; but rather on the right side of the law here. Don't sweat it; but you might want to talk with your risk management dept. about this. There may be a change in policy needed here (maybe a duplicate copy to be put in the pts.' chart or something)
  5. by   Nurse Ratched
    Wasn't sweating my end. Just the first time I've been involved in a legal issue related to nursing. It should be an interesting learning experience. I'm glad to see the pharmacists are watchful of these things.

    Jenny - the doc on the other unit has carbons on his script pads - that is definitely a good point. We always document on discharge in the narrative notes that scripts were sent, but not for how many, etc. I'll suggest this to the doc. Thanks!
  6. by   Jenny P
    It sounds like a good idea to me. You're welcome!
  7. by   Cathy Wilson, RN
    My husband's psychiatrist photocopies all of his Rx's for his file (does it for all pts).
    Our GP has a Rx program on his computer that prints out name, address, Rx info, DEA, etc. It not only gives numbers, they are spelled out, too!
  8. by   misti_z
    You will be fine.

    Our docs write the number to be dispensed as well as spell it out, as do I when I'm writing one for the doc to sign. The carbon copy is a great idea too.