At Change of Shift,two Nurses (One from Each Shift)discover a Discrepancy

question 12

Multiple Choice

At change of shift,two nurses (one from each shift) discover a discrepancy in the narcotics inventory for morphine 5 mg/mL vials.The count is short by one vial.Which of the following steps should be taken to reconcile the count? (Select all that apply.)

• A) Only nurses on the off-going shift that actually used the automated dispensing system or the narcotics cabinet should be asked about medication they have given.
• B) Steps must be retraced to identify whether someone forgot to record any medication removed.
• C) Check patient charts (MAR) to see if medication was given that was not signed for on the inventory report.
• D) Notify security for large errors.
• E) Notify the nursing supervisor (charge nurse) and the pharmacy department of any undocumented (unreconciled) discrepancy.

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