I recently transfer work and I am greatly bother with the policy of dispensing narcotic meds from accudose for CRNA to administer. In my previous hospitals, this practice have been abolished as based from the concept that whoever dispense it must give it. As circulators, we are busy doing a lot of our job during the surgery. To dispense a narcotic meds is easy but to watch the CRNA aspirate it, administer it or even make sure it is given is impossible. Worst, I just recently heard some scrub tech talking about a morphine (unopened) in the OR floor, and no sanction were given to whoever had left it. I am afraid of my license to be jeopardized by neglectful people. Is there are concrete policy, story, protocol anyone can share. I'll use it as a basis to talk with my superiors so as to eliminate such policy. (I don't mind running for other med, but not on narcotics).
Pull the drug from the Room narcs supply,( because once the inductuion starts, the CRNA really can't leave the patient) but don't sign for it, have the CRNA sign" After" the case- a medication reconcilliation-when everyone else does the sponge count, have the CRNA and a designee(could be the anesthesiologist) do a narc count. If they both sign a narc sheet, maybe morphine won't finds it's way on to the floor.