Can an evening shift RPN sign for a narcotic wastage that was not signed by the oncoming RN?

The rationale for the assertion that the RPN cannot sign for the other nurse's wastage is based on the principles of accountability and the specific regulations governing the administration and documentation of controlled substances. Each healthcare professional is accountable for their actions, including the handling of narcotics. In situations that involve the disposal or wastage of narcotics, it is essential that the individual who witnesses the wastage also signs off on it. This ensures an accurate and responsible chain of accountability.

If an RPN were to sign for an RN's wastage, it would violate these principles, as the RPN cannot take responsibility for another nurse's actions. Moreover, regulatory standards and policies typically stipulate that wastage must be documented by the individual who is authorized and responsible for that specific drug or who directly observed the wastage. This is vital to maintain accurate records and to uphold patient safety and the integrity of medication management.

In summary, the importance of personal accountability and adherence to established protocols in medication management underpin the correctness of this answer.