Inpatient pharmacists: How crazy in politics at your workplace?

[lord999]

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The order is surely traceable. It shows her name as the pharmacist verifying the order, date, time, etc.. The main thing here is I wasn't the one verifying that order, and yet she claimed my name under the incident report.

If you ABSOLUTELY sure about that, you have a decision:
1. If you think your Director will escalate the situation correctly, as lying on an incident report is not only a termination offense, but usually a professional Board one.
2. If not, then you actually need to follow @owlegrad 's advice, however, keep that in the pocket for when it is officially documented that you need to go to the QM department at your hospital with your concerns. If not handled, this is an easy JC QM integrity report.

 

[zelman]

LOL @ suing her for libel. That's not going to happen.

Fair enough, but Libel as proof of harassment is probably an easier win.


Also, does the fact that they're in a union help or hurt the situation? Can they be used to investigate?

 

[awval999]

How can she falsify the order verification?

 

[zelman]

How can she falsify the order verification?

She shouldn't be able to...


...but I worked at a facility where pharmacists didn't have superuser privileges, but did have access to assign privileges. When I wanted to change things I wasn't supposed to, I'd just make myself an Admin for 5 minutes. This was on garbage software that has the ability to document interventions and medication errors, but has no way of retrieving or reporting what was documented. There's some bad software out there when the industry has a lot of contracts that go to the lowest bidder regardless of quality.

 

[owlegrad]

Like I mentioned earlier, better to have a ship to jump to before lobbing HR atomic bombs. Harder to justify and defend the firing of a 27 year veteran of the hospital than the new guy, how's that for risk management?


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When the 27 year veteran is falsifying documents and it is as clear cut as OP says it is, very easy. The much riskier proposition is keeping the pharmacist that would falsify QA reports...

 

[TheBlaah]

CAPS has a very simple report that you can pull up and print to see who Entered, Approved, and Released each TPN, all with timestamps, for any given day that's generally available to anyone with a login. Should be a simple enough matter to print it out.
Let me know if you need to find out how.

 

[UGAZ]

Ok everyone keeps asking how can she falsify the verification process? NO she could not . Her ID was there as the verifying pharmacist. Her ID was there as the submitting pharmacist to CAPS. But the thing is ...she responded to the incident report in the software (risk management software) with my name as the verifying pharmacist along with pharmacist C as the double checking pharmacist. Yes, she did. That's why I got mad. I Just happened to work same day in the evening shift. It could be anyone ....that worked that same day.

I will discuss with my director this week. Now that I think about it...she wanted to get rid of me anyway, why would I need to be nice to her.

 

[gwarm01]

Do you think there will be an real consequences from this, or is she just being petty?

I would still bring it up to the director. Don't worry about having seen some sort of "confidential" document. Just tell them you were shown the document by someone who had access and was concerned. Don't feel obligated to name anyone. The simple fact is that you are not in the wrong here. If they were to try to punish you for viewing a document that shows someone falsified records then the entire institution is corrupt.

 

[confettiflyer]

When the 27 year veteran is falsifying documents and it is as clear cut as OP says it is, very easy. That much riskier proposition is keeping the pharmacist that would falsify QA reports...

It is, but what I was alluding to was the potential for the 27 year person to escalate as well. It's much easier and better for the OP to have a backup plan (if possible) before starting down this road.

Don't get me wrong, i side with the OP and hope he prevails, but things get tricky as you go up the chain of command


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[farmadiazepine]

Either you did the second check for the TPN or you didn't. Why isn't there a record of it? And why is nobody asking pharmacist B who actually did the second check?

 

[confettiflyer]

Either you did the second check for the TPN or you didn't. Why isn't there a record of it? And why is nobody asking pharmacist B who actually did the second check?

From what I gather, he did not do the 2nd check, but the original pharmacist falsified a report that exists beyond the privileges of the OP, and he only found out through a leak. That puts him in a position of defending against evidence that technically doesn't exist, for him at least.

Someone correct me if I'm wrong.

 

[Dred Pirate]

any chance she could have used your ID to enter the TPN? (I know it is crazy but I almost went off on a resident who sat down at my computer to enter orders - yes I should have locked my screen but I walked away for like 1 or 2 minutes) I told him if he ever does that again he will be in from of his manager and this is completely wrong and fireable.

 

[confettiflyer]

any chance she could have used your ID to enter the TPN? (I know it is crazy but I almost went off on a resident who sat down at my computer to enter orders - yes I should have locked my screen but I walked away for like 1 or 2 minutes) I told him if he ever does that again he will be in from of his manager and this is completely wrong and fireable.

Wow that is not okay ever ever ever. Holy Jesus on a Harley.


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[confettiflyer]

any chance she could have used your ID to enter the TPN? (I know it is crazy but I almost went off on a resident who sat down at my computer to enter orders - yes I should have locked my screen but I walked away for like 1 or 2 minutes) I told him if he ever does that again he will be in from of his manager and this is completely wrong and fireable.

CAPS is a separate log in and only supports one person...second check is usually offline (sign the printout and file).


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[Digsbe]

Yea this sounds like a call to HR and the compliance office. Some serious **** going on here. You need to make stand for your license if not your integrity.

I don't think their license is in any trouble since the product never reached the patient and no harm done. The person falsifying documents with obvious character problems may be in trouble though if the board cares enough to act.

 

[BidingMyTime]

Wow, hospitals politics is nasty, but your environment is over the top, out and out lying on a verification report is really bad. Can you access the CAPS to show that she was the actual verifying pharmacist? I would screen print that for sure. In a workplace like you are describing, it's hard to know who to trust outside the department. Ideally HR, QA, or compliance nurse, any of these should take this matter very seriously, but there is the risk that they won't. Honestly, I would get out of that toxic environment ASAP. Because your nemesis has already lied about you once, who knows what else she is lying about, who knows if she wouldn't purposely mess up an order in the future, maybe even after you had legitimately checked it. It's seems obvious your boss doesn't care, it also seems like HR doesn't care, because undoubtedly your previous managers have talked to HR in the past, and getting nowhere with the problem, just decided to leave. I know this really sucks when you haven't done anything wrong, but sometimes leaving is the only real positive choice.