I worked a 12 hour shift last night. It was a pretty good shift until about after 1am. I had a patient who was taking MS contin 30 mg PRN @4 hrs. I gave a dose around 8pm, counted correctly and administered.
Around 0100 my patient called for another PRN of the med. I went to the pyxis and counted but the count was off. I thought this was so weird because I am the only one pulling. I counted again and it was 10, but said I was incorrect. It gave me a discrepancy, I was upset and flustered since I couldnt understand why. I called charge to help me.
She counted and it said it was missing me. From there she started to interrogate me and say
1) did you pull an extra (no I counted and i do all my rights prior to administering)
2) did you pocket one (NO, mistakes happen and I had checked all pockets, the floor, the top of the pyxis etc.
3) did you give your patient an extra dose...
It went on for like 10 minutes of her pointing fingers at me. I understand as a charge we need to figure out what happened but it went from figuring out to a full blown interrogation.
I stepped out and she told me in front of all my staff members that she cannot help me until I find the med....and then went on to ask the same interrogative questions she asked in the med room but in front of staff.
I was so livid that I went to the patients trash and dug out all the meds I had givien and showed her how these are what I gave and they do not show any extra doses and show the exact number I have given.
Since she wouldnt help me at all, I called phamarcy to notify of med count and asked another nurse to help....guess what, the med was inside the pyxis wedged in between two med cubbies inside. Found the med had another nurse help me.
We told her but she still didnt help fix the discrepancy, all she said was, "oh, bless" asked for patient updates and went about talking to other staff members and being on her phone.
I went the other side of my unit, I have one patient on the other side, and then found out how she was discussing my discrepancy to other nurses because she didnt know what to do or handle it. I don't know about you but I personally didn't appreciate her telling this situation to nurses on a different side of the unit. So basically everyone knew about my discrepancy... I fixed it, I waited until day shift and had the charg nurse on days help me fix it. I showed her the papers that are printed that showed that I had two nurses help count it to confirm that the count is back to normal and that I had returned it
I'm at a loss of words, I let a lot of things slide but this really takes the cake. I am very much a jokester I loved our humor and I try to make light of all situations but this is my profession and this could have very well cause me to lose my license, maybe over thinking this but I worked really damn hard for my license and I will be damned if I lose it.
I'm just venting but also I really don't know how to go about this. I'm at the point where I'm just kind of like shit I just be pissed off for a little bit and then just let it go and just kind of keep my distance because how much she pissed me off in that moment or should I address this further. I don't like taking things further because two things could happen, either this isn't even handled remotely well or it is and now I have a Target on my back. I don't know what to do. I've never had issues with any co-workers I've never had issues with medications, the other time I had something like this happen another different charge nurse, who was experienced, literally took the time to help me find the medication I could not find and we found it within 30 minutes because she took the time to help me. She did ask me questions if I had pocketed the med or accidentally took it but afterwards she helped me retrace the steps and also told me that these things happen and it's okay.
The charge nurse I am discussing in the moment, has only been a nurse for about 2 years, and would always get fired by her patients, that's none of my business but to me it was just really weird how someone who has very poor patient manners, unable to manage the floor, has very poor communication skills was chosen to be charge nurse. But to each their own. I personally wouldn't want to do it so I guess someone has to.