I'm a new nurse, 3 months and counting. This happened a week ago. I had this 60 y/o DM male patient who had a cellulitis on the left lower extremity. I assisted the doctor in doing I&D inside the room. Pus. Lots of it.
(I heard later that the patient's wife knows the doc's mother personally so they agreed to do I&D inside the room to not add up the financial burden of going to OR for such minor surgery.)
Afterwards, she ordered to give ATS (anti-tetanus serum) 3000 units IM after negative skin test and TeAna 0.5cc IM.
So okay, I explained to the patient the new meds I'll be giving. I told him I'll have to inject those meds on his arms. Then I did a skin test for ATS and injected the TeAna on his left arm.
After 30minutes, I went back to check the skin test.. and called the ROD. It was negative. I had the ROD signed the chart.
Then I went back to the patient. There was a side drip antibiotic on the main line so I removed it first. Then the next thing I remembered, I inserted the syringe with the ATS on the main line tube!!!
OH MY GOD!!!! I don't know what happened but I just realized that I've already inserted it there!! Good heavens!!
I was so relieved that something inside me stopped me from pushing the syringe... I was ONE PUSH away and I'll have my first ever med error as RN!!! :smackingf
I immediately withdrew the syringe from the tube.. and said to the patient that I'll just go back to get an alcohol swab from the station.
I went back to the room and asked for the patient's name again, and told him I have to inject the med on his right arm.
He said kindly, "Yeah. I was wondering why you put it in the tube? I thought I heard you telling me I'll have both meds injected on my arms."
All I replied was "Oh." Then told him to inhale because I'm about to inject the med. I said "thank you, sir" when I was about to leave the room.
I never admitted to him that I almost made a mistake. I don't want to lose any patient's confidence in me.
He was discharged a day after.