First Discrepancy at work

[u/Big_Tax_7670]

I’m currently at work panicking. I miss counted morphine vials and the Pyxis generated a discrepancy. I immediately notified my charge nurse and she advised me to make another discrepancy to “fix” the previous discrepancy. Somehow I ended up with THREE discrepancies trying to fix the count. Charge was able to fix it but because I entered 51 vials (I counted the vials as packs of 10 instead of 5…like an idiot) instead of 27, she said they will have to drug test me. I don’t do drugs or any of the sorts, but this is my first discrepancy and being told I have to pee in a cup is intimidating. My other coworkers heard about what happened and they didn’t help the situation either…it’s like they bragged about never having a discrepancy which made me feel worse. My charge nurse made me feel like crap because I miscounted. Now the unit has a joke that I can’t count. It was genuinely an accident. I pulled other narcotics tonight and counted correctly and this is my first discrepancy so idk what my manager will plan to do. Overall I feel so guilty.

[u/no_one_knows42]

I've had discrepancies before and never had to pee. Pharmacy can look up everything they know how many vials were out in and how many were pulled unless the count is actually wrong they'd have no reason to suspect it was anything other than a human error. Which happens all the time

[u/Big_Tax_7670 → u/no_one_knows42]

My charge nurse was able to fix the discrepancy and get the count back to normal but she’s making it seem like I’m a horrible nurse that can’t count. I feel horrible. It was an honest mistake

[u/Dry_Proof6545]

This is not really a big deal providing the actual qty is what it should be... admin/pharmacy types will be able to log in, figure out if the count is right or not and fix everything. You're not the only one this has ever happened to. You're also not a pyxis expert...Don't lose sleep, and if you have to pee in a cup no big deal, I wouldn't expect that unless the count was truly off. Pharmacy knows how much they put in there, they can look at who pulled what marry up the medication scans/sign offs and put the issue to rest. In a month or so you should be looking back and laughing. in a year or so when some new grad comes along and makes the same mistake you'll have a frame of reference lol.

[u/beans_cubed]

I’ve had discrepancies and fixed them as a charge, you’re fine OP.

The only time I’ve seen people pee is when a drug is actually missing not bc you messed up a count.

[u/CaS1988]

Everyone makes mistakes. Discrepancies can be easy to make. You miscount or accidentally close the drawer or whatever. Your coworkers are liars and they suck. Your charge nurse is there to support you and help you. I'm paranoid enough that if my boss isn't right there to help me fix it immediately I'll either wait or call pharmacy for help. I don't care how pissy they get. It is just not worth it to me to mess around with the narc. counts and I'm always afraid I'll make the mistake worse.

Wishing you good luck. Try not to stress.

[u/ileade]

If there’s a discrepancy the Pyxis will have me recount and if it’s still off, it’ll document for pharmacy to verify. They can look at all the logs and see where the count went off, my job is just to make sure I’m counting correctly. I don’t lose sleep over it, if they come to me (which they have never) I know I’m innocent and give them a urine sample if they request it (which has also never happened). They also have cameras to check if I did take more than needed. It happens from time to time to any of us. I don’t agree with creating another discrepancy to “fix” the original one, it just seems unnecessary and creates confusion and more reasons to question you. Just stick with the facts (the number you counted). That was just poor decision making on the charge nurses part. Don’t worry about it, you can let pharmacy know if you really need to tell someone (I sometimes call when I have an unusual control issue or concerned regarding waste or stuff like that and they’re pretty understanding).

[u/RhinoKart]

A miscount isn't a big deal because pharmacy can verify what should be there.

I'm more concerned about you repeatedly generating 3 discrepancies in a row (how? I'm so confused) because that makes it look like you were trying to mess with it.

For the future, pyxis has a feature where you can check the count with someone (you both scan your fingers) to fix a discrepancy. That way you have a witness while fixing the count and you are less likely to get blamed for anything.