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Tweety Tweety (Member) Expert Nurse

Tuesday December 17, 2019

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Good morning!

Dianah, you guys look great and it sounds like a good time.  Sorry about the death of your classmate.  I hate to hear about the demise of people my age.  Makes me feel more mortal.

No word yet on my drug screen, but I think it's a "send out" and takes a while, but I should hear today or tomorrow that it's clean and I'm cleared to return to work.  Not sure if I have to be "counseled" by administration in pharmacy or nursing or not.

Was real bummed most of the day about this.  Thinking I might have made an error and took out two tablets instead of one and maybe even given them to the patient really upsets me and isn't like me.  It doesn't make sense.  Also when scanning the patient they said I scanned one.  Why would I have two meds and scan only one.  I would have scanned them both and the system would have told me I was overdosing and then caught myself.  Nothing about this incident makes sense.  I could have also mis-counted and the person ahead of me made the mistake, which is why she was tested instead.  In any event I'm having a hard time letting it go and accepting it.  But feeling better about it today.  Life for me has always been a series of live and learn experiences.

Bowling was fun and we had a nice pot luck on our last night.  We ended up winning a couple of games and move up to 18th place out of 21 teams.  Not a good season for us.  It's an $80 apiece prize.  Our team for next season is established and we're getting two new members as one is leaving to have surgery on skin cancer on his foot, and we had a vacancy spot all season.

Up early today for jury duty.  Called the jury line and no one is excused.  Must have a lot of trials today.  I was hoping with impending holidays some judges would be off.  It's not how I want to spend my day off.

Hope everyone has a good day.

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Good morning-

It's icy here today, and my office is opening an hour later than usual.  I'm debating about baking something to bring in, as I have extra time.  None of us need any sweets, but tis the season and all that.  

Tweety-I'm sorry about the gabapentin.  I understand your worry and would be trying to figure out what happened, too.  Jury duty, ugh.  Bring a book.

Dianah-Thanks for the pics.  You all look spectacular!

Going to go check to the pantry to see what I can throw together.  I'm thinking brownies.

Hope all have a great day!

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Glad you're feeling better Tweety

Hi BC

Has been a rough morning for me, woke up early with stomach cramps that transitioned into diarrhea and vomiting.  I'm actually feeling better now, so I'll take it easy and see how things go.  Glad I work at home now, makes things easier 

Yesterday was very productive at work, 3 questionnaires completed, a record for me.  Will make the rest of the week easier.  Exercised and ran errands afterwards 

Not planning to do much today, at least until I'm feeling better.  Hopefully should feel OK enough to get some work done

Weather will be turning warmer, up into the 40s

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Good Morning -

Tweety - I'm curious to know the reason why your facility decided to count gabapentin as a "narc". It seems awfully peculiar, and, quite frankly, absurd. (Next, you'll be counting Tylenol tabs as "narcs".) Even more absurd is your management/administration taking your badge away, and having you go through drug testing for gabapentin. Again, seems awfully peculiar, absurd. . . and woefully unreasonable. All of our medications come via Omnicell machines. There have been a number of proven instances of counts being wrong because the pharmacist or pharmacy-tech put in the wrong number of pills into the Omnicells. This is true for the narcs as well as for "regular" medication. Honestly, Tweety, I don't know why you put up with the crap that your hospital seems to throw your way. (I hear horror stories of Florida hospitals being super-unfair towards their employees, and quite unsafe towards their patients. We get many patients in our teeny-tiny hospital who live in Florida during the winter-time as "snow birds". They're the ones who tell the horror stories of how their Florida hospitals can be unsafe. The travel nurses who've worked in Florida hospitals share their own horror stories to us.) I'm sure that not all hospitals in Florida are as bad as what I've heard them to be. Still, the number of tales told about Florida hospitals convinces me that I'll never work there as a nurse. (Apologies for the long rant, Tweety. I'm simply appalled by how you're being treated.)

dianah - Enjoyed the photos that you shared. They look great, and they show what seems to be a fun time! Sad to read about the death of your classmate. There're been a few of our High School classmates passing away in recent years. As Tweety shared, it reminds us how mortal we all are.

BCgradnurse - Be safe while traveling to work. We're getting a mixture of snow and sleet which is forecasted to last throughout the day. Not fun.  Most of the area schools are closed. 

Joe - My gosh! Sad to read about your illness! I hope you continue to feel better.

Well. . . I've been up since around 4:30 AM. Been working on our Holiday video (again). It's looking and sounding really nice! It just won't be ready to give to family and friends (as DVDs) until early next week. So, family and friends will be getting their Holiday Present later than sooner.

Amy is going out in this inclement weather to take a test, today, to be certified as a Personal Trainer. She's been taking this on-line program and studying for this certification for the past several months. This certification test, that she'll be taking today, has been scheduled for weeks. Hopefully, the test date will be postponed due to the bad weather. So far, there's been no word of a postponement, and Amy is planning on taking this test.

I'm happy to be staying indoors for the day, and continue to work on Holiday video and music. 

Hope all have a pleasant and safe day today! 🙂

Ted

 

Edited by Ted

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Ted, I am not being mistreated but they are following protocol. As I followed protocol hu reporting it.  We have Omnicell and they liked long and hard to find a computer glitch or some error other than just me.  

Don't get me started on how and why gabapentin is now controlled here.  It's a new development from this year.  

Yes nursing here in Florida is a mess.

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Tweety - Their "protocol" leaves much to be desired. Regarding Omnicells, they're only as good as the information that is put into them, and taken out of them (via scanning and/or counting). As mentioned before, we've had well-documented mistakes made by the pharmacist and/or pharmacy-technician in-putting in the wrong number of individual meds verses the number of actual meds put into the Omnicell. Other errors to be found are barcodes that do NOT scan, and wrong barcodes on the medications (often indicating the wrong dose).

I recall nursing of 27+ years ago. There was much less "technology" back then that was used to keep track of medications and medication administration. Actually, there was NO technology back then like Omnicells and drug-scanning. Yes. Mistakes were made. I've made them. Still, mistakes are made despite the new "technology", technology which is supposed to help ensure patient safety. One word: "BullS**t". It's been my experience that all this new technology has brought us is new and different type of errors and problems that require new and different type of solutions to correct them. 

As for the weather. . . It's still snowing outside. No word as to whether or not the test, that Amy is scheduled to take, will be cancelled. 

Back to video-editing. . . 

Edited by Ted

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Hello from drippy, dreary Washington state. It's in the 40s, raining lightly, but continually. Ugh. There is good snowfall in the mountains, though. Work is wash, rinse, repeat. We have a new TB case with an unusual presentation, so that is interesting and shaking some brain cells loose to recall what I learned in anatomy.  EAP was finally able to locate a counselor for me that I will see Friday. It is someone that they had me call initially, who never called back. This doesn't seem like a good way to start. 

Tweety, this gabapentin thing seems so weird to me. I believe that Lyrica was a controlled med when I was still at the hospital, but not gabapentin. I know this will work out for you, but still doesn't seem fair. We had Pyxis, and after I left, they had a big mess with the DEA and messed up counts. I think a pharmacy tech was blamed eventually. 

Dianah, your costumes were wonderful! and the setting magical. Thank you for sharing the photos. 

Joe, I hope your tummy woes pass quickly. You are on fire with those questionnaires! 

I have signed up for a prevent diabetes wellness group at work, but they may not have enough participants to go forward. It looks very basic, but I am hoping being part of a group with encourage me and lighten my mood.  I am off for 6 days starting Thursday, so hopefully and can get out and be more active. 

Hi Herring and stars, and amo, if you are out there. Have a lovely day, all. 

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Ted, just curious what is your policy as shift director if a narc is missing and the discrepancy is not solvable after much investigation?   

Frankly I'm happy to clear my name with a drug screen.

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Tweety - If there's a discrepancy found in the narc count, a "Discrepancy Report" is obtained from the Omnicell. This report shows the discrepancy, and a list of the users who added medication to the Omnicell drawer (the pharmacist or pharmacy technician) in addition to a list of users who took out the medication. Then, what is SUPPOSED to be done is the creation of a Quality Tracking Report. The Quality Tracking Report should contain this list of names of as indicated on the discrepancy report. Later that week, we line up in a row all of the individuals who were on that list, and shoot them dead with a rapid-firing machine gun. Problem solved.

But. . . No employee badges are taken, and no one is subjected to drug testing.

(L O L! Just kidding. Actually, they're only maimed, not killed.)

😄 😄 

Now. . . If there is a trend to be found, if someone's name keeps coming up on the Discrepancy Report, then further investigation is warranted. One of our E.R. physicians was disciplined. Another E.R. physician was terminated. I believe that an RN was terminated for drug-diversion, too. (My memory is foggy on that one.) (I do remember an RN being terminated for drug-diversion when I worked at the really big teaching hospital, many, many moons ago. She was an excellent nurse who, unfortunately, diverted narcs.)

Edited to Add: Amy did NOT venture out today to take that test (thank goodness). The testing company was willing to reschedule her for another day. The weather is quite nasty, with snow and sleet. As for the video-editing??? I am not finding specific videos (of my father), even within my many, many HDDs that contained archived videos. I'm a bit bummed out by this. So, the video editing has slowed to a crawl, at this point.

Edited by Ted

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Tweety- I suffered a similar incident with 1/2 cc water-based Ativan in a small syringe. Circumstances were crazy, admin went overboard and reported me to the Nursing Board...and did NOT drug-test me. Planning on having my license restored, I took the $500 course and wrote an extensive report about the whole entire shebang, what went wrong, what I might have done wrong, what I 'should have' done, and the whole mea culpa. The other nurse involved with count had no, none, nil, nada anything to answer for. Come time to travel across state and go before the Board for getting my license restored, I had no $, no transportation, and everything I tried to beg, borrow did not work out. The lady at the Board was very huffy because I could not make the appt  they set for me, but NOTHING worked out so I could get there. Two years later when I was supposed to get my license renewed, I just let it lapse, again partly due to NO $$$. I have to tell you, it took me two full years to 'get over it'.....but I still think, and many RN's I spoke with at the time, including the RN with whom I worked the course,  and counseled me through the process, opined that it was quite an excessive response by the facility. But, it's all water under the bridge now. It is definitely one of those 'bummer' situations, as I had a so-called 'perfect' record for 40 years. Made me want to viciously pinch the lips off the DON who reported to the Board. / Sorry you have jury duty...hope they turn out not to want you on any of the cases. It's a wasted day while waiting to see if it's yea or nay on your participation.

Stay safe on the roads, BCg! And the same to Amy! And Ted, even though you say you aren't going out...

Joe, I hope your gut troubles vanish ASAP.

dianah, I loved your outfit, very well done and appropriate to C&I theme. Great photos, too. / Not to be making fun, but partly because humor is a major coping device of mine, at our ages and this time in our lives, it seems our peers are often ( per Gary Larson, the cartoon artist's words:) "Spit out of the Universe like watermelon seeds and never heard from again." I have friends, long out of touch, and I always wonder, are they still here somewhere or have they passed away? Several were 'besties' for years and were soooo funny and fun, I still miss them a lot.

j22, hope your counselor works out. Ask why your initial call was never returned. I'd want to get that out of the way first thing. I sure hope you get to feeling better, and bygawd, ENJOY your six days off!!!

Last night was the start of another WW III (ie third night in a row) with Nannie, though hubby did somehow manage to manage her well enough, so that we didn't get to the point of her going up those stairs, or out into the dark, in the cold wind and rain. I don't know how he did it, because more often than not, ANYTHING you say to her does not penetrate her brain at all. But she did end up going to bed at 9 PM and it was quiet after that.

We all slept late...until noon....and Nannie and hubby are each in their recliners, napping. Ozzie is upstairs in our bed wrapped up like a pig-in-a-blanket. I think he's pretty tired of the Nannie shenanigans and arguments, too. 

Only thing going on tomorrow is hubby's SS check arrives in the CU; I have already written out checks for the bills and put them in our mailbox, just to get it done and out of the way. My SS check is supposed to be in on the fourth Wednesday of the month, but that happens to be Christmas Day; maybe it'll come on Tuesday, 'cause prolly no bank binizz will be conducted on Thursday, and I wonder about Friday...no biggie, though.

Guess I'll post this and see the other posts that came in whilst I wrote this'n.

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I would probably ask to be tested if accused of purposefully falsifying a medical record in order to take the med myself. 

Once there was a drawer in the SureMed labeled "Furosemide". One night it contained 20 Vicodin unit dose tablets where there should have been Lasix tablets and vials.

I filled out an incident report and  called the pharmacy and nursing supervisor and reported the same. Pharmacy promised to sen someone. They did not. I told the supervisor why my patient needed Lasix ASAP ans she told me to get it from another unit because pharmacy was busy. I did, my patient diuresed OK, and I was off for two nights. 

When I came back to work there was still Vicodin in the furosemide drawer. As charge nurse I did the same notification plus sent incident reports to the hospital attorney, our medical director (a cardiologist), the pharmacy manager, and my manager. I wrote a letter to my manager that if the correct medication was not in the machine in 24 hours I would get the union involved.

The next night I returned to work to find an anonymous letter in my slot warning me not to threaten management. The drawers all had the correct medications and NO Vicodin. Our unit manager apologized for my letter. Her boss, a director who hated the union had written the letter and not signed it. 

All this time I told  my colleagues what happened. I was afraid one or more Vicodin would be missing and I would be blamed. The director who wrote the letter left our hospital to become DON at a different favility and was terminated from there after a short time.

If I could do it again I would insist the pharmacist come to the unit and ensure the drawers were correct ASAP. But then I was busy caring for my patients.

I hope we all have an OK or better day!

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Addendum. to my post:

Tweety, I would have been vindicated IF the stupid facility had done a drug screen on me like they should have. OH WELL!

Glad to hear Amy doesn't have to venture out in the weather.

Time for our afternoon coffee, and then a bit later, Ozzie's supper. Because he is a senior citizen, he goes for The Early Bird Special.

I should have started a week ago, putting a quarter in a jar every single time Nannie has said these two sentences: "Those lights and that Christmas Tree look so beautiful", and "That dog is the most PRECIOUS thing". I would have amassed maybe $50 by now. Better than a Swear Jar!!!!

P.S., Hey there herring. I should have demanded a drug test as well. I thought it very peculiar that one was not even mentioned. Hindsight, y'know.

Edited by No Stars In My Eyes

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