What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply.)
a. Independently waste the drug in a secure place.
b. Record in the narcotic log that the drug was wasted.
c. Chart in the patient's record the reason the medication was refused.
d. Get any staff member to sign the narcotic log as witness to the drug being wasted.
e. Confirm the count is correct on the narcotic log.
ANS: B, C, E
When a controlled substance is wasted, the actual wasting must be witnessed by a licensed person, the narcotic log must be signed by both the nurse wasting the drug and the witness, and the narcotic count is confirmed by both people.
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