Many hospitals use a Pyxis machine to dispense medication and use the information from the Pyxis to spot trends in the medication of patient as well as diversion of narcotics. Over the past several years, I often get telephone calls from nurses accused of diversion when their dispensing of medication to patients exceeded the norms of other nurses. Nurses' medication habits differ. Some nurses tell me that they aggressively dispense pain mediation in accordance with doctor's orders as they do not want their patients to suffer from pain.
In the past month, I have spoken to four nurses fired from their job for diverting narcotics.