Stupid mistakes!!!! - page 4

I feel so bad today. The past two nights I have worked in the ED and have been so nervous! On Monday night we had a lady to come in with an acute MI. The doctor ordered 50mg of Demerol with 25mg of... Read More

  1. by   INwannaB
    Me too.....I feel like a total failure and so incompetent. The other day, I got confused when someone hand wrote a medication on a computer generated MAR and failed to time the medication so I didn't give it at all. My preceptor told me I should have known better even though I have never seen this before. When I asked how I would have known, she said "you just need to know" and stormed out of the room to report the incident to the nurse manager. Now I am wondering......what else do I "just need to know" that I don't know? New things come up every day and if you haven't experienced them before, how is it that we know what to do?

    There are so many friggen fires to put out that one does not have time to think. Someone PLEASE tell me this gets better!!!!!!
  2. by   PopeJane3rd
    You may have to take your time a bit and think before you act. It takes practice but is very do-able. These types of mistakes can have devastating consequences: loss of job, malpractice actions, bad performance reviews, etc.
    I'm not a nurse, but when you are drawing up medicines, can't you draw up one at a time? Or place the syringe with its respective medication and put a few inches away from other meds given?
  3. by   marilynmom
    Quote from PopeJane3rd
    You may have to take your time a bit and think before you act. It takes practice but is very do-able. These types of mistakes can have devastating consequences: loss of job, malpractice actions, bad performance reviews, etc.
    I'm not a nurse, but when you are drawing up medicines, can't you draw up one at a time? Or place the syringe with its respective medication and put a few inches away from other meds given?
    I'll keep my mouth shut with this post by a non-nurse
  4. by   marilynmom
    Quote from kit3375
    I feel so bad today. The past two nights I have worked in the ED and have been so nervous! On Monday night we had a lady to come in with an acute MI. The doctor ordered 50mg of Demerol with 25mg of Phenergan. Of course I always know to dilute Phenergan, but what do you think I did? I gave them both together and didn't dilute it whatsoever. I didn't realize what I had done until after the fact. The patient must have been in so much pain with the MI she didn't feel the Phenergan. Good thing is she's okay now... Boy I feel so STUPID!!!!!
    On Tuesday night we had a manic patient who the doctor ordered Haldol and Vistiril for. I drew both up in seperate syringes, and then Dr. decides to only give Vistiril. Do you think that I knew which was which??? Of course not. Had to start all over wasting the Vistiril and Haldol. The doctor just looked at me like I was an incompetent idiot. I feel that way 2. This is not getting any better.
    Don't be so hard on yourself please! We all make mistakes and the good thing about mistakes is that you learn from them I always learn best from the mistakes I've made in life. We have ALL made mistakes, I know I sure have, and I learned from them. We can't live a life without mistakes (because that would make us perfect and no one is perfect).
  5. by   joseash
    Quote from CardiacNurse777
    Me too.....I feel like a total failure and so incompetent. The other day, I got confused when someone hand wrote a medication on a computer generated MAR and failed to time the medication so I didn't give it at all. My preceptor told me I should have known better even though I have never seen this before. When I asked how I would have known, she said "you just need to know" and stormed out of the room to report the incident to the nurse manager. Now I am wondering......what else do I "just need to know" that I don't know? New things come up every day and if you haven't experienced them before, how is it that we know what to do?

    There are so many friggen fires to put out that one does not have time to think. Someone PLEASE tell me this gets better!!!!!!
    Do you have to chart meds in the computer when given? I usually look at my MAR printout and write med times on the top front of my worklist. Then I also see what the computer has scheduled for me to chart on during my shift. That way anything new should appear in the computer cueing me in. But your system may not work this way.........

    Yes, it does get better. Things will slowly start coming together and suddenly you will realize that you "just know things." Of course one day something will pop up that you have no clue about which may totally shatter your confidence. This is normal - not even the most experienced nurse knows it all - but don't let it ruin your day. You just need to take a deep breath and remind yourself of how many things you DO know. It is way more than you are giving yourself credit for, I assure you.
  6. by   INwannaB
    Quote from joseash
    Do you have to chart meds in the computer when given? I usually look at my MAR printout and write med times on the top front of my worklist. Then I also see what the computer has scheduled for me to chart on during my shift. That way anything new should appear in the computer cueing me in. But your system may not work this way.........

    Yes, it does get better. Things will slowly start coming together and suddenly you will realize that you "just know things." Of course one day something will pop up that you have no clue about which may totally shatter your confidence. This is normal - not even the most experienced nurse knows it all - but don't let it ruin your day. You just need to take a deep breath and remind yourself of how many things you DO know. It is way more than you are giving yourself credit for, I assure you.
    We have computer MARS but when you hand write a medication on the paper MAR (that was given over the phone) you are suppose to time them until the next MAR is printed. Well, someone wrote the med order and didn't write in a time so I forgot to give it. We don't have to chart the meds in the computer. I wish we did, then I wouldn't have missed it. By 2009 we will have the computer system where you have to scan the meds and the patient and the computer will tell you if you missed a med.....no doubt the system is intended for dummies like me.
  7. by   Sonjailana
    Don't feel bad! My mistake as of late is throwing away a vicodin in the med room..pretty embarrassing to explain that one to my charge nurse!

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