Module 4: Discussion
Documentation Affected by Under Staffing or Misappropriation of Narcotics?
- What sections of the Nursing Practice Act and the Board Rules address documentation?
- The nurse cannot make more staff magically appear. What could the nurse have done, under these circumstances, to improve her documentation and perhaps avoid being reported to the Board? (NOTE: In the real case upon which this scenario is built, the nurse did testify that she felt that she had allowed herself to get lulled into the “that’s the way we do it” mentality for that unit!)
- What do you feel is the best way to handle narcotic wastage if another nurse is not readily available?
Suppose you are an investigator with the Board. Open and read the sample background information and notice letter from the Board by clicking on the link. Then discuss the above questions with your colleagues.
Background Information and Sample Notice Letter download
Your participation in this Discussion will be graded upon the detail and accuracy of your contributions to the discussion.
Module 4: Discussion Answer
- Nursing Practice Act and Board Rules on Documentation:
- To find information on documentation in the Nursing Practice Act and Board Rules, you should refer to the official website of the nursing regulatory body in your jurisdiction. This information is typically outlined in the sections related to standards of nursing practice, responsibilities, and ethical conduct.
- Improving Documentation and Avoiding Board Reporting:
- Nurses can improve documentation by adhering to established protocols, ensuring clarity, accuracy, and completeness in their records. If facing challenges, the nurse should communicate proactively with supervisors, seek guidance, and document the specific challenges they encounter. By demonstrating awareness and a commitment to patient safety, nurses can avoid being reported to the Board.
- Handling Narcotic Wastage without Another Nurse:
- If another nurse is not readily available for narcotic wastage, the nurse should follow facility protocols. This may involve having a second nurse sign off on the wastage or following a specific procedure outlined by the institution. Additionally, the nurse should document the wastage accurately, including the reason for any deviation from standard procedures.
It’s crucial to note that the specifics may vary based on jurisdiction and facility policies. Nurses should always refer to the applicable laws, regulations, and institutional policies in their region. If faced with uncertainty, seeking guidance from a supervisor or the institution’s legal and compliance department is advisable.
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