Failure to Sign Narcotic Reconciliation Logbooks
Penalty
Summary
Facility staff failed to ensure that narcotic reconciliation logbooks were properly signed when discrepancies were found in two of four logbooks. During observations and interviews, it was identified that multiple dates in the logbooks at two nursing stations were missing required signatures from staff responsible for the controlled drug count. Both a Registered Nurse Supervisor and a Licensed Vocational Nurse confirmed the missing signatures on the specified dates. Review of the facility's policy and procedure for controlled drug reconciliation indicated that both on-coming and off-going nurses are required to count and reconcile controlled drugs at the end of each shift, which was not followed in these instances. The Assistant Director of Nursing acknowledged that staff did not adhere to the established policy.